What it is
It usually starts between the ages of 15 and 25 and often runs in families. Stress, sleep loss and alcohol or drugs can set off episodes.
Treatment usually combines a mood stabiliser such as lithium, talking therapy, and learning to spot early warning signs. Some medicines need regular blood tests.
Common signs
- Periods of low mood, hopelessness and loss of interest
- Periods of feeling very happy, irritable or full of energy
- Needing much less sleep than usual
- Racing thoughts and fast speech
- Risky decisions, such as overspending
How it is usually diagnosed
- Assessment by a psychiatrist
- A detailed history of mood episodes, often with input from family
- Blood tests to rule out physical causes such as thyroid problems
Records worth keeping
Keeping these together makes each appointment easier, especially when you see a new doctor:
- Psychiatry letters and care plans
- Lithium levels, kidney and thyroid results if you take lithium
- A mood diary
- A crisis plan with contacts and early warning signs
Questions to ask your doctor
- Which medicine suits me, and what monitoring does it need?
- What are my early warning signs, and what should I do when I notice them?
- How does this affect pregnancy plans?
When to get help right away
Call 112 or go to the nearest emergency department if you have:
- Thoughts of suicide or self-harm, or behaviour that puts you or others at risk: call 112
This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.