What bipolar disorders are
Bipolar disorders involve mood episodes that can include depression and periods of elevated mood (mania or hypomania). Episodes can affect sleep, judgment, energy, spending, decision-making, and relationships.
Many people feel confused or ashamed after an episode. Treatment helps build awareness and a plan—so mood changes are noticed early and managed proactively.
Signs that may show up
Symptoms vary by person and episode type. The key is recognizing patterns over time—especially changes from your baseline functioning.
- Depressive episodes: low mood, low motivation, hopelessness
- Manic/hypomanic episodes: reduced sleep, racing thoughts, impulsivity
- Shifts in activity, confidence, and risk-taking
- Substance use that worsens mood swings or masks symptoms
How treatment helps
Stability often improves with a coordinated plan: therapy, skills, routine stabilization, and collaboration with psychiatric providers when appropriate—especially when substance use is also present.
In dual diagnosis care, the goal is to reduce relapse and mood destabilization at the same time, because they often intensify each other.
Why sleep and routine matter so much
Sleep disruption is often both a trigger and a symptom of mood episodes. A consistent routine (sleep, meals, activity, support contact) can reduce vulnerability and help you notice early warning signs sooner.
Bipolar disorders and addiction risk
During elevated mood, people may feel invincible and take risks. During depression, people may try to numb pain or regain energy. Substances can temporarily change mood but often worsen instability over time.
Recovery plans often include coping strategies for both states, plus accountability steps for high-risk periods.
If you or someone you love needs help, we can walk you through next steps and build a plan that fits your situation.
Educational information only; not medical advice. If you feel unsafe or at risk of harming yourself or others, call 911 or go to the nearest emergency room.