Your depression is more than just a case of “feeling sad.” Bipolar depression manifests itself in a variety of ways for various people. It’s possible that you’re having problems sleeping. Alternatively, you may sleep excessively and find it difficult to wake up. Even the tiniest decisions might seem monumental. Suicidal thoughts need prompt professional or crisis support. Call local emergency services if there is immediate danger or inability to stay safe.
Other indications to keep an eye out for include:
- You don’t seem to be able to enjoy anything.
- It’s difficult for you to concentrate.
- You consume either too little or too much food.
- You’re tired, and your emotions appear to be slow.
- You have a bad memory.
Diagnosis of bipolar disorder requires clinical assessment of the full episode history. Bipolar I requires a manic episode; depression is not required. Bipolar II requires hypomania and major depression, with no history of mania.
Related: How to fix Bipolar Disorder without Meds
Mania involves a marked change in mood, energy and activity, not ordinary happiness or a brief burst of enthusiasm. Experiences and episode frequency vary.
Hypomania is a milder version of mania. Hypomania does not include psychosis (loss of contact with reality); psychosis during an elevated mood episode indicates mania and requires prompt assessment. This does not mean hypomania can never progress to mania. You may feel terrific and accomplish a lot, but those around you may notice variations in your attitude and level of activity.
A clinician distinguishes mania, hypomania and depression and excludes other causes. Hypomania alone does not establish bipolar I or II.
These signs may occur during mania, but this list is not a diagnostic test:
- You’re not in a good mood. It may feel fantastic at first, especially if you’ve been depressed. However, it swiftly becomes unpredictable and uncontrollable.
- Your judgment is completely erroneous. You take a lot of chances. You make poor decisions without considering the consequences. You might, for example, spend money irresponsibly or engage in unsafe sexual behavior.
- You get irritable and enraged.
- You’re tense or irritable.
- You need substantially less sleep without feeling tired, which differs from difficulty sleeping despite wanting rest.
- You have the impression that your mind is a motorway. You may speak quickly and switch topics, or you may believe you can do too many things at once.
Mania and despair can coexist in some periods. You might, for example, be both hyper-energetic and depressed at the same moment.


