Bipolar Disorders

Bipolar disorder is a lifelong mental health condition causing extreme mood swings between:

  • Manic/hypomanic episodes (intense emotional highs)

  • Depressive episodes (devastating lows)
    These fluctuations disrupt energy, decision-making, and daily life, but proper treatment helps manage symptoms effectively.

The Three Main Types

1. Bipolar I Disorder

Characterized by severe manic episodes lasting at least 7 days, often requiring hospitalization. Depressive episodes typically follow.

2. Bipolar II Disorder

Features hypomania (less intense highs) alternating with major depressive episodes. The highs never reach full mania.

3. Cyclothymic Disorder

Chronic mild mood swings (hypomania + mild depression) persisting for 2+ years without meeting full episode criteria.

Recognizing the Symptoms

Manic/Hypomanic Episodes

  • Hyperactivity with little need for sleep

  • Racing thoughts and rapid, incoherent speech

  • Grandiose ideas (unrealistic beliefs about abilities)

  • Impulsive risks (reckless spending, substance abuse)

Depressive Episodes

  • Overwhelming sadness or emotional numbness

  • Loss of interest in work, hobbies, or socializing

  • Physical slowdown or agitation

  • Suicidal thoughts in severe cases

Effective Treatment Approaches

Medication

  • Mood stabilizers (like Lithium) prevent extreme shifts

  • Antipsychotics manage manic symptoms

  • Antidepressants (used cautiously under supervision)

Therapy Options

  • Cognitive Behavioral Therapy (CBT): Changes harmful thought patterns

  • Family Therapy: Helps loved ones understand and support

  • Psychoeducation: Teaches patients to recognize early warning signs

Lifestyle Management

  • Regular sleep schedules are critical

  • Daily mood tracking helps identify triggers

  • Avoiding alcohol/drugs prevents symptom worsening

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Ramin Afshari

Ramin Afshari

Psychiatrist

Dr. Ramin Afshari is a distinguished psychiatrist and psychotherapist based in Shiraz, Iran, who has dedicated his career to helping […]

Iran, Shiraz
Ladan Alambeygi

Ladan Alambeygi

Psychiatrist

Dr. Ladan Alambeygi is a respected psychiatrist based in Tehran, Iran, known for her balanced and personalized approach to mental […]

Iran, Tehran
Maryam Alavirad

Maryam Alavirad

Psychiatrist

Dr. Maryam Alavirad is a skilled and compassionate psychiatrist based in Isfahan, Iran, with a diverse range of expertise covering […]

Iran, Isfahan
Samaneh Mousavinasab

Samaneh Mousavinasab

Psychiatrist

Dr. Samaneh Mousavinasab is a highly respected psychiatrist based in Tehran, known for her compassionate and evidence-based approach to mental […]

Iran, Tehran
Maryam Hejazi

Maryam Hejazi

Psychiatrist

Dr. Maryam Hejazi is a highly qualified and compassionate psychiatrist based in Tehran, Iran, with extensive experience in both pharmacological […]

Iran, Tehran