Conditions InDepth: Bipolar Disorder

Author: Amy Scholten, MPH

Bipolar disorder, also known as manic-depression, is a treatable condition that typically causes extreme swings in mood, thought, energy, and behavior. There can often periods of normal mood between episodes. This medical problem is not due to personal weakness or a character flaw.

The mood swings associated with bipolar disorder are different from the average ups and downs experienced by everybody in life and in severe cases can be associated with psychotic symptoms, such as hallucinations, delusions, or thought disorganization. They can result in damaged relationships, poor job or school performance, and even suicide. When treated appropriately, people with this illness can lead full and productive lives.

Bipolar disorder affects an estimated 2.6% of American adults (18 and older). The condition typically develops in late adolescence or early adulthood. However, some people have their first symptoms during childhood, and some develop symptoms late in life. Bipolar disorder is a long-term illness that must be carefully managed by a medical professional throughout a person's life.

The cause of bipolar disorder is unknown, but it tends to run in families. Specific genes may play a role, but it is not caused by one single gene. Additional factors, including stressors at home, work, or school, are believed to be involved in its onset.

People with bipolar disorder are at increased risk for suicide, substance abuse, and high risk behaviors such as reckless driving and sexual promiscuity. Anxiety disorders, such as post-traumatic stress disorder and obsessive-compulsive disorder, tend to occur at a higher rate in people with bipolar disorder.

References:

American Psychiatric Association. Diagnosis and Statistical Manual of Mental Disorders. 4th ed. Arlington, VA: American Psychiatric Publishing, Inc.; 2000.

Bipolar disorder. National Institute of Mental Health website. Available at: http://www.nimh.nih.gov/publicat/bipolar.cfm. Revised 2008. Accessed on November 22, 2009.

Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) : www.cdc.gov/ncipc/wisqars. Accessed on November 22, 2009.

Estevez RF & Suppes T. Maintenance Treatment in Bipolar I Disorder. In: Yatham LN & Kusumakar V, ed. Bipolar Disorder: A Clinician’s Guide to Biological Treatments. New York, NY: Taylor & Francis Group, LLC.; 2009: 107-152.

Merikangas KR, Akiskal HS, Angst J, et at. Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2007;64:543-552.

The numbers count: mental disorders in America. National Institute of Mental Health website. Available at: http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-am...ca.shtml#Bipolar. Updated August 10, 2009. Accessed November 22, 2009.

Last reviewed November 2009 by Ryan Estévez, MD, PhD, MPH

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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