Dr. Marlene Michelle Pierantoni

Agitation or irritationElevated moodHyperactivityIncreased energyLack of self-controlRacing thoughtsInflated self-esteem (delusions of grandeur, false beliefs in special abilities)Little need for sleepOver-involvement in activitiesPoor temper controlReckless behaviorBinge eating, drinking, and/or drug useImpaired judgmentSexual promiscuitySpending spreesTendency to be easily distractedThese symptoms of mania are seen with bipolar disorder I. In people with bipolar disorder II, hypomanic episodes involve similar symptoms that are less intense.The depressed phase of both types of bipolar disorder involves very serious symptoms of major depression:Difficulty concentrating, remembering, or making decisionsEating disturbancesLoss of appetite and weight lossOvereating and weight gainFatigue or listlessnessFeelings of worthlessness, hopelessness and/or guiltLoss of self-esteemPersistent sadnessPersistent thoughts of deathSleep disturbancesExcessive sleepinessInability to sleepSuicidal thoughtsWithdrawal from activities that were once enjoyedWithdrawal from friendsThere is a high risk of suicide with bipolar disorder. While in either phase, patients may abuse alcohol or other substances, which can worsen the symptoms.Sometimes there is an overlap between the two phases. Manic and depressive symptoms may occur simultaneously or in quick succession in what is called a mixed state.