Bipolar

Bipolar disorder typically most often begins during adolescence or early adulthood and continues throughout life. It is often not recognized as an illness and people who have it may suffer needlessly for years or even decades. This particular disorder is characterized by a variety of symptoms that can be broken into manic (excessive highs) and depressive (deep hopelessness) episodes with periods of normal mood in between. The manic episodes are characterized by discrete periods of: increased energy, activity, and restlessness; racing thoughts; rapid talking; excessive "high" or euphoric feelings; extreme irritability and distractibility; decreased need for sleep; unrealistic beliefs in one's abilities and powers; uncharacteristically poor judgment; a

sustained period of behavior that is different than usual; increased sexual drive; abuse of drugs (particularly cocaine, alcohol, and sleeping medications); provocative, intrusive, or aggressive behavior; and denial that anything is wrong (Griswald 7).

Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not, but most commonly, individuals with manic episodes experience a period of depression (Jamison 14). The depressive episodes are characterized by intense feelings of sadness and despair that can eventually grow into feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include: discrete periods of persistent sad, anxious, or empty feelings; mood swings; feelings of hopelessness or pessimism; feelings of guilt, worthlessness, or helplessness; loss of interest or pleasure in ordinary activities; decreased energy; a feeling of fatigue; difficulty concentrating, remembering, or making decisions; restlessness or irritability; sleep disturbances; loss of appetite and weight, or weight gain; chronic pain or other persistent bodily symptoms that are not caused by physical disease; anhedonia, psycomoter retardation; near inability to move; and thoughts of death or suicide (Griswald 8).

When both manic and depressive