Bipolar disorder

What is bipolar disorder?

Bipolar disorder is a complex illness which can vary a great deal in nature and severity between people.

People with bipolar disorder have problems with their moods, experiencing extreme highs and lows. If you have bipolar disorder you will experience periods or ‘episodes’ of highs known as mania or hypomania and usually, periods of depression.

You may also have problems with thinking and perception, which can include symptoms of psychosis. This can include thinking things that are not true (delusions) and seeing or hearing things that are not there (hallucinations).

Research suggests that bipolar disorder runs in families, and genes can influence whether someone develops the illness. We also know that the brain systems involved in controlling our moods work differently in people with bipolar disorder. Factors such as life stress, lack of sleep and recreational drugs can trigger mood episodes.

Bipolar disorder can cause a great deal of distress, but there is a lot that can be done to stay as well as possible. This includes lifestyle changes, medication and talking treatments.

Getting help

If you think you might have bipolar disorder you should first see your GP who will perform an initial assessment. Depending upon the outcome of this, your GP will decide whether you need a referral to a primary care mental health worker, your local Community Mental Health Team (CMHT) or another service, depending on your needs.

If you are referred to your local CMHT you will receive a further more detailed assessment, and they will work with you to plan the right treatments for you.

Treatments

For many people with bipolar disorder medication is a key part of staying well.

There are a large number of medications that can help. Some work by preventing the extreme highs or lows caused by the condition; these are known as mood stabilisers, and often need to be taken daily for long periods. Other medications may then be used to treat episodes of high or low moods when they happen.

Different medications suit different people, and finding the best medication for an individual can take time, and trials of different medications and doses.

Find out more about medication used to treat bipolar disorder, including how different drugs work, their potential side effects and the way that they interact with other drugs, food and drink.

Talking treatments such as psychoeducation can also be helpful. This approach helps people to understand their illness, learn to recognise early warning signs of highs and lows and develop the skills needed to stay as well as possible. Bipolar Education Programme Cymru, also known as BEPC, is one example.

A combination of medication and psychoeducation is often most effective.

Tips for people with bipolar disorder
  • The key things that are known to help in bipolar disorder are medications, education and following the right lifestyle.
  • It is crucial to take medication regularly as prescribed stopping and starting suddenly can make things worse.
  • There are many medications for bipolar and finding the one that works the best for you can take time – try to be patient.
  • Learn as much as you can about the condition and how to stay well. There are many bipolar disorder websites, selfhelp books and education groups.
  • Look after your physical health as well as your mental health. Getting enough sleep, eating healthily, avoiding recreational drugs and moderating your alcohol consumption can all help you to avoid becoming unwell.
  • Even if you are well now, you may have more episodes if low or high mood in the future. Try to have a plan in place in case you become unwell again.
  • Talk to other people who have bipolar disorder. Their knowledge and experience can be helpful. Organisations like Bipolar UK can help you to do this.
  • If you have bipolar, are female, and planning a family, you should discuss it with your doctor. There are many important issues to consider around bipolar disorder and pregnancy.
Tips for families, partners and carers
  • A loved one with bipolar disorder may need your help to stay well. Try to be open and understanding about their condition. Ask them about their concerns and how you can help.
  • Talk to the mental health professionals who are looking after them. Don’t be afraid to ask questions and for advice.
  • Don’t assume that every small mood change or disagreement is related to the illness. Have a plan for what to do if your relative becomes unwell in the future.
  • Learn as much as you can about bipolar disorder and possible treatments.
  • Talk to others who care for people with bipolar disorder They may have experienced similar situations and have useful tips. Organisations like Bipolar UK can help you to do this.

Resources

Bipolar Education Programme Cymru (BEPC)

Bipolar Education Programme Cymru (BEPC) is a group educational programme which aims to improve participants’ understanding of bipolar disorder and also aims to provide benefits in terms of quality of life and experience of symptoms.

Find out more about BEPC and how to access it.

Beating Bipolar

Beating Bipolar is an interactive internet based programme that aims to improve understanding of the condition. It includes video of professionals and people with lived experience of bipolar disorder and discuses various approaches that many have found to be beneficial.

Find out more about Beating Bipolar and how to access it.

Bipolar disorder, pregnancy and childbirth

Women with bipolar disorder are at a particularly high risk of becoming unwell following childbirth. We have produced this leaflet for women, their partners and their family to address some of the questions asked by women with bipolar disorder considering having a baby.

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