Common Triggers of Bipolar Disorder Q&A

Bipolar disorder is characterized by abrupt and often unpredictable mood swings. A patient will fluctuate between manic episodes (severe emotional highs) and depressive episodes (devastating emotional lows) that can cause huge disruptions in their day-to-day life.

A manic episode consists of three or more of the following symptoms being present at the same time:

• Uncharacteristically upbeat or wired
• Severely jumpy or sensitive
• High levels of energy or activity
• High levels of agitation
• Feeling fearless or bulletproof
• Exaggerated self-confidence (euphoria)
• Sleeplessness (usually as a result of being so wired)
• Hyperactivity
• Increased talkativeness
• Racing thoughts
• High levels of distractibility
• Poor decision-making and/or impulsive and/or reckless behavior

It’s important to note that severe cases of mania may trigger a break from reality, known as psychosis, which requires inpatient hospitalization and immediate medical care.

In contrast, a major depressive episode includes five or more of the following symptoms:

• Feeling sad, empty, or hopeless
• Increased feelings of irritability
• Loss of interest in once enjoyable activities or loss of interest in everything altogether.
• Decrease or increase in appetite
• Significant weight loss
• Significant weight gain
• Insomnia
• Oversleeping
• Enhanced restlessness
• Isolating from family and friends
• Fatigue
• Feelings of worthlessness
• Excessive or inappropriate amounts of guilt
• Hindered ability to think or concentrate
• Suicidal ideation (thinking about committing suicide)
• Planning and/or attempting suicide

Symptoms of bipolar disorder may include other symptoms such as anxiety, distress, melancholy, and psychosis. It should also be noted that it’s common for symptoms to cycle, meaning that they may change or present differently as time goes on.

The exact cause of bipolar is unknown and is still being actively researched. However, the clinical research that has been done suggests that bipolar may be triggered by:

• Genetics. If you have a first-degree relative who has bipolar, such as a parent or a sibling, you have a higher risk of getting it yourself.
• Biological variations. It has been shown that those with bipolar disorder may have a physically different brain structure than those without.
• Periods of high stress. This can include situations such as the death of a loved one, developing an illness, environmental stressors, or other traumatic events.
• Drug or alcohol abuse. Those who misuse substances are more likely to trigger the manic and depressive episodes associated with bipolar.

The manic and depressive episodes that characterize bipolar can cause severe impairments in judgment which, if left untreated, can be dangerous.

• Left untreated, bipolar disorder can result in:
• Drug, alcohol, or substance abuse issues
• Suicidal ideation, suicide, or suicide attempts
• Legal problems
• Financial instability
• Reckless behavior that leads to dangerous situations or actions
• Damaged or ruined relationships
• Lack of job stability or inability to hold a job
• Poor work and/or academic performance

While symptoms vary from person to person and may fluctuate in severity over time, it’s vital to seek out treatment as soon as possible to prevent serious and detrimental outcomes.

Yes, a psychiatrist can diagnose bipolar disorder. Bipolar disorder is primarily diagnosed based on a person’s behavior and symptoms, including the occurrence of manic and depressive episodes. While a primary care physician can identify early signs of bipolar disorder, a psychiatrist or psychologist is typically the one who makes the formal diagnosis after a thorough evaluation.

A comprehensive evaluation will often involve discussions about the individual’s medical history, symptoms, and any family history of mental health conditions. In addition to behavioral assessments, the psychiatrist may recommend a physical examination and lab tests to rule out any underlying medical conditions or substance abuse that could mimic the symptoms of bipolar disorder. Once diagnosed, a psychiatrist can help develop a personalized treatment plan, which may include medication and therapy, to effectively manage the symptoms and improve overall well-being. Dr. Moses Tabe Ambilichu, M.D., at Success Health System, is a board-certified psychiatrist specializing in the diagnosis and treatment of bipolar disorder.

If you have questions about bipolar disorder or would like more information about the services we offer, contact us here at Success Health System LLC. We are happy to help support you in your mental health journey no matter what stage you’re at. We have convenient locations to serve you in Creve Coeur MO, Independence MO, and Columbia MO. We serve patients from Creve Coeur MO, Independence MO, Columbia MO, Overland MO, Bridgeton MO, Blue Springs MO, Kansas City MO, Midway MO, and surrounding areas.