ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

What exactly is Bipolar Disorder?

Updated on May 15, 2013

Bipolar disorder

Bipolar disorder, by definition, is a mood disorder involving manic episodes, possibly alternating with major depressive episodes.

Although everybody cycles through mood swings, they are much more extreme for people with bipolar disorder. A person with bipolar disorder alternates between periods of mania where they become very agitated, along with being hyper-energetic, rarely getting any sleep, and have periods of depression.

In order to be diagnosed with bipolar disorder, an individual must experience at least one manic episode. A manic episode, by definition, is a period of euphoric mood with symptoms involving abnormally heightened levels of thinking, behavior, and emotionality.

This flow chart shows the characteristics of a manic episode, a depressive episode, and psychotic and cognitive symptoms.
This flow chart shows the characteristics of a manic episode, a depressive episode, and psychotic and cognitive symptoms. | Source

Criteria for a manic episode

There must be a distinct period of abnormally and persistently elevated or irritable mood and abnormally and persistently increased activity or energy that lasts 1 week and is present every day.

During the period of the mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a degree.

  • inflated self-esteem or grandiosity
  • decreased need for sleep
  • more talkative than usual or pressure to keep talking
  • flight of ideas or subjective experience that thoughts are racing
  • distractibility
  • increase in goal-directed activity or psychomotor agitation
  • excessive involvement in activities that have a high potential for painful consequences (ex: shopping sprees, sexual indiscretions, or foolish business investments)

During all this, the individual may experience a euphoric mood, which is a feeling state that is more cheerful and elated than average.

Hypomanic - a period of elated mood not as extreme as a manic episode.

Criteria for major depressive episodes

The symptoms have to be continuous for at least 2 weeks. At least one of the two symptoms below must be present.

  • Depressed mood, almost every day, during the minimum 2-week period. Feelings of sadness, emptiness, hopelessness or depression, or crying for no apparent reason
  • Loss of interest in most or all normally enjoyable activities, continuing for most of the day nearly every day

Now, 3 - 4 of the symptoms below must also be present. Altogether should be around 5 total symptoms.

  • Increase or decrease in appetite most days, or a significant increase or decrease in weight over a month (5%)
  • Insomnia or hypersomnia almost every day
  • Psychomotor agitation or psychomotor retardation
  • Fatigue or loss of energy almost every day
  • Feelings of worthlessness and/or feelings of guilt that are excessive or not related to anything a person who isn't depressed would feel guilty about -- must occur almost every day during a 2-week period
  • Trouble concentrating and/or making decisions nearly every day
  • Recurring thoughts of death or of being dead

Bipolar I and Bipolar II

Bipolar I Disorder causes the individual to experience one or more manic episodes that last for about a week. The manic episode cannot be better explained by another medical condition. Major depressive episodes can occur but aren’t necessary for the diagnosis of the disorder.

Bipolar II Disorder on the contrary causes the individual to experience one or more major depressive episodes. The individual may also experience at least one hypomanic episode but there has never been a full manic episode for this type of disorder.

Is bipolar disorder biological or environmental?

The current thinking is that bipolar disorder is a predominantly biological disorder that occurs in a specific part of the brain and is due to a malfunction of the neurotransmitters (chemical messengers in the brain).

Genetic Factors

  • It seems that bipolar disorder "runs in families". About half of the people who have bipolar disorder have a family member with some type of mood disorder.
  • A person with 1 parent with bipolar disorder has a 15 - 25% chance of having the condition.

Environmental Factors

  • A life event may trigger a mood episode in a person with a genetic disposition for bipolar disorder
  • Hormonal problems can also trigger an episode
  • Substance abuse can worsen the illness by interfering with recovery


  • "Abnormal Psychology: Clinical Perspectives on Psychological Disorders" 7th Edition by Susan Krauss Whitbourne
  • DSM-IV
  • "What Is a Major Depressive Episode?: The Low Side of Bipolar Disorder" by Marcia Purse
  • "The Causes of Bipolar Disorder (Manic Depression)" by Steve Bressert, PH.D


    0 of 8192 characters used
    Post Comment

    No comments yet.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)