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Depressed mood, such as feeling sad, empty, hopeless or tearful (in children and teens, depressed mood can appear as irritability).

An episode includes five or more of these symptoms:

Poor decision-making - for example, going on buying sprees, taking sexual risks or making foolish investmentsĪ major depressive episode includes symptoms that are severe enough to cause noticeable difficulty in day-to-day activities, such as work, school, social activities or relationships.

Exaggerated sense of well-being and self-confidence (euphoria).

Increased activity, energy or agitation.

Mania may also trigger a break from reality (psychosis) and require hospitalization.īoth a manic and a hypomanic episode include three or more of these symptoms: Mania is more severe than hypomania and causes more noticeable problems at work, school and social activities, as well as relationship difficulties. Mania and hypomania are two distinct types of episodes, but they have the same symptoms.

Symptoms can vary from person to person, and symptoms may vary over time. While the manic episodes of bipolar I disorder can be severe and dangerous, individuals with bipolar II disorder can be depressed for longer periods, which can cause significant impairment.Īlthough bipolar disorder can occur at any age, typically it's diagnosed in the teenage years or early 20s. These include, for example, bipolar and related disorders induced by certain drugs or alcohol or due to a medical condition, such as Cushing's disease, multiple sclerosis or stroke.īipolar II disorder is not a milder form of bipolar I disorder, but a separate diagnosis. You've had at least two years - or one year in children and teenagers - of many periods of hypomania symptoms and periods of depressive symptoms (though less severe than major depression). You've had at least one major depressive episode and at least one hypomanic episode, but you've never had a manic episode. In some cases, mania may trigger a break from reality (psychosis). You've had at least one manic episode that may be preceded or followed by hypomanic or major depressive episodes. Symptoms can cause unpredictable changes in mood and behavior, resulting in significant distress and difficulty in life. They may include mania or hypomania and depression. There are several types of bipolar and related disorders.