Bipolar Disorder Type 1

bipolarBipolar type1 is known as ‘raging’ bipolar and also as manic-depression. It is characterized by at least one total manic episode. A manic episode is an extreme, out of control form of the hypomania that is seen in Bipolar Type 2.

Some symptoms of mania may include flying from one idea to the next, an inflated sense of self with grandiosity, bursts of energy with decreased sleep, risky sexual behavior, overspending, generally abnormal behavior. In extreme episodes the person may become psychotic and lose touch with reality. A manic episode can last from a few weeks to a few months, and can be followed by depression. Some people have “mixed episodes” where they experience both mania and depression in the same day. Some people cycle between a few months of mania, followed by a few months of normal behavior, until depression sets in.

Depressive episodes include symptoms of clinical depression with low self-esteem, feelings of helplessness and hopelessness and sometimes suicidal ideation.

What Causes Bipolar Disorder?

-Biological factors: Bipolar disorder can happen when neurotransmitters including dopamine and serotonin, stop functioning properly.

-Genetics: Bipolar disorder is considered a hereditary disease.

-Environmental factors: Stress or traumatizing life events.

Symptoms of Bipolar Type 1:

-Mania: Aggressive behavior, Impulsive high-risk behaviors, increased energy, decreased appetite,

-Depression: Feelings of hopelessness, sleeping too much or too little, feelings of worthlessness and inappropriate guilt etc.

-Hypomania: A less severe full-blown manic episode.

-Mixed Episode: Simultaneous symptoms of mania and depression, including irritability, depressed mood, extreme energy etc.


Bipolar disorder must be treated with medications, usually life-long. A combination of medication and psychotherapy can help in reducing both the number of episodes and their intensity. Talk therapy can help prevent future episodes if the individual is willing to use the tools that are taught in therapy.