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Bipolar Depression Disorder Symptoms People suffering from bipolar depression might experience difficulty staying at school or work as well as strained relationships with friends and family members, and an increased risk of drug and alcohol abuse. Untreated symptoms can also cause feelings of irritability and thoughts of suicide. Certain people also suffer from manic episodes, in addition to extreme “down” moods. These may include seeing, hearing or smelling things that aren't there (hallucinations) and believing things that aren't (delusions). 1. Feelings of hopelessness or worthlessness Feelings of hopelessness or worthlessness are a common sign of bipolar depression. During a depressive phase the person may feel empty, hopeless or feel guilt-ridden. They might also feel guilty or unworthy. These symptoms can make it difficult to deal with daily life and can result in an absence of enthusiasm for activities that once brought satisfaction. In severe cases, feelings of worthlessness can lead to thoughts of suicide or self-harm. Some people with bipolar disorder as well as feeling worthless and believing that they aren't worthy of love, also have difficulty connecting to their positive qualities. This can be especially challenging in relationships with close people, such as those with family members or romantic partners. If this happens, it's important to get help from a mental health professional or dial 911 or the 988 Suicide and Crisis Lifeline to talk to someone 24 hours a day. Sometimes, people with bipolar disorder experience both depression and mania at the same time. This is called a mixed episode. One can experience both the negative feelings associated with depression and the high levels of energy and false belief that are associated with mania, all at the same time. Symptoms of mania include feeling happy and joyful, spending a lot of time talking and laughing, being excessively confident and ambitious and experiencing hallucinations or delusions that involve hearing or seeing things that aren't real. A combination of medication and therapy can ease the symptoms. A regular sleep schedule, healthy diet, and techniques to reduce stress could also be helpful. It is important that you adhere to the treatment plan recommended by your physician since abruptly stopping treatment can trigger severe episodes. Psychotherapy (talk therapy), on the other hand can help you resolve issues that could be contributing to your mood fluctuation. 2. You don't want to participate in the activities you used take pleasure in A loss of interest in activities you normally like is one of the most obvious signs of depression. This may include activities like hobbies, work or spending time with family members and friends. Remember that depression is an illness that can take some time to feel better. You should consult with your doctor to manage your symptoms. Bipolar disorder is characterized by extreme mood swings and changes in energy and levels of activity. This can cause periods where you feel “up,” elated or energized, or extremely “up” (known by the term mania) and then periods where you feel “down,” sad, and “down.” Bipolar disorder can cause mood swings that can last for days, weeks, or even months. The most common form of depression is called major depressive disorder. It can be triggered by a difficult life occasion, like the death of a loved one or losing your job. It is important to remember that depression is different from the normal negative feelings that can be experienced in response to an event in your life. Depression is persistent, severe and doesn't go away by itself. Your doctor can treat your depression with psychotherapy or medication. Medicine can help manage your mood swings and prevent them from occurring however it is important to take your medications consistently as prescribed by your physician. Antidepressants, mood stabilizers, such as lithium and other medications are often prescribed to treat depression. You can find more information about specific medications that are used to treat depression, including side effects and warnings on the FDA website. For some brain stimulation therapy- which involves activating or reducing certain areas of the brain with electricity or magnetic waves — can also help with depression. 3. Difficulty concentrating Bipolar disorder is characterized by prolonged periods of energy and activity (manic episodes or “manic episodes”) which are then severe depression. This can make it hard to focus on work or other activities. It could also cause issues at home or in relationships. In many cases, family and friends are the first to notice changes in a person's behavior. Concentration problems can be an indication of a medical condition, such as a head injury or neurological problem. Patients suffering from these issues need to talk to their doctor and seek a diagnosis. It is normal to experience trouble concentrating during times, especially when stressed or tired. But this is usually temporary and improves as the person is able to rest or becomes more relaxed. Mental illness like depression or anxiety can also cause problems with concentration. It is crucial to get a correct diagnosis, as it will help the doctor choose the most effective treatment. In a study that utilized self-report assessments and an actual sample of patients, researchers found that difficulty in concentrating was associated with trait worry and all three indices of severity. This is in contrast to previous findings that showed difficulty concentrating did not correlate with other GAD symptoms when depression was statistically controlled (Joormann and Stober 1999). If you're concerned about your concentration, speak with your doctor. A combination of medications and therapy could help. It may take months or even years to come up with the most effective treatment plan and you'll have to follow it carefully. Early treatment can decrease the frequency and severity of depressive or manic symptoms. It can also prevent them from occurring again. Other prevention strategies include keeping a mood journal, so you can notice the early signs of an episode and avoid or reduce stress. 4. symptoms of depression men of guilt and worthlessness The depressive lows that are so intense can be associated with feelings of self-doubt and deprivation. It is important to remember that these feelings aren't your fault and that you aren't worthy of these feelings. If your mood gets too severe and you have thoughts of suicide It's a mental health emergency and you should seek medical attention immediately. Some people with bipolar disorder have episodes of mania and depression. These are known as mixed episodes. In a mixed episode, you might experience both high and low, but the highs aren't as intense as the lows. There may be rapid changes in your mood, causing you to jump from one state to the next quickly. The symptoms of hypomania or manic include an increase in energy and enthusiasm and irritability, as well as increased levels of activity and false beliefs (delusions), or paranoid or irrational behavior. In a manic or hypomanic period, you are more likely to take risks and spend money. If you're having trouble managing your finances, it's a good idea to establish a long-lasting power of attorney to name an individual to manage your finances for you. If you have mood symptoms that last for two weeks or longer, it's a good idea to consult your doctor. They'll ask you about your symptoms, and look for symptoms of bipolar disorder. They might suggest keeping a mood journal or chart to identify patterns. They might refer you to your local NHS community mental health team (CMHT) when they suspect that you're having a serious manic or depressive episode or if there are concerns about your safety. Bipolar UK has a list with useful contacts and resources. 5. Feelings of despair or hopelessness Bipolar depression is difficult to diagnose. Tell your doctor if you feel hopeless, depressed or apathetic. It could take a number of months or even years before you and your doctor find the right treatment plan for your needs. People suffering from bipolar disorder experience distinct periods of very positive, elated and energized behavior (known as manic episodes) and also very depressed, sad, indifferent or hopeless periods (known as depressive episodes). These mood fluctuations can make daily tasks difficult. These mood changes can be accompanied by feelings of irritability and impulsiveness. They can also cause problems sleeping and a change in appetite. These episodes can last for more than a week and can occur at regular intervals in your life. They can also be triggered by certain events, as well as alcohol or drugs. For example, stressful life events like moving, getting married or divorced, obtaining an occupation or losing one can trigger an episode. Drugs like amphetamines, cocaine, and ecstasy can trigger an episode. As can certain over-the counter cold medicines, antidepressants, sleep aids, some stimulant medications, and thyroid medication. Bipolar disorder depression can be severe and is correlated with the risk of suicide being higher. Suicide is more frequent among people with frequent depressive episodes, mixed episode, a history of suicide, or early onset. Other risk factors include previous suicide attempts or a history of drug or alcohol abuse, as well as a family history of psychotic disorders. Bipolar disorder cannot be treated but you can manage the symptoms and maintain a healthy lifestyle with the help of good medical care and a treatment plan that includes therapy, medication and lifestyle changes. It is crucial to stick with your treatment plan, even when you feel better.