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Bipolar Disorder: Multiple Mood Episodes, but where is the Solution?

Written by
Dr. Alok Vinod Kulkarni
and medically reviewed by iCliniq medical review team.

Published on May 04, 2015 and last reviewed on Oct 18, 2021   -  4 min read


Bipolar disorder is characterized by bouts of depression and spells of intense happiness. This article focuses on the clinical features of this disorder and the available treatment options.

Bipolar Disorder: Multiple Mood Episodes, but where is the Solution?

What Is Bipolar Disorder?

Bipolar disorder was previously called manic-depressive psychosis, or MDP. There has been a paradigm shift in the understanding of this complex brain disorder.

What Are the Inheritance and Perpetuation of Manic Episodes?

Those afflicted with bipolar disorder are prone to a lot of mood changes, sometimes on a day-to-day basis. This disorder runs in families, and research has identified many loci for its inheritance.

The various facets of this disorder include hypomania, mania, and depression. Each of these phases can be debilitating. The majority of those suffering from bipolar disorder spend their time being depressed rather than in mania or hypomania.

What Are Behavioral Disturbances?

Mood episodes are intense, and people are prone to have behavioral disturbances during such episodes. It is imperative to seek professional help from a psychiatrist.

If left untreated, there will be serious socioeconomic implications with resultant loss of functioning capacity, quality of life, pay, and absence from work.

What Are the Symptoms of People with a Manic Episode?

What Are the Symptoms of People with a Depressive Spell?

On the other hand, those having a depressive spell will experience symptoms that are poles apart from that of a manic episode.

What Are the Risk Factors of Bipolar Disorder?

Factors increasing the risk of developing bipolar disorders are,

What Are the Complications of Bipolar Disorder?

When bipolar disorder is left untreated, it can result in serious problems affecting every day of your life, such as:

How Is Bipolar Disorder Diagnosed?

How Is Bipolar Disorder Prevented?

Bipolar disorder cannot be prevented. But getting treatment at the earliest can help prevent bipolar disorder or any other mental health conditions from getting worsened.

When you have been diagnosed with bipolar disorder, following some strategies can help to prevent minor symptoms from becoming full-blown episodes. They are,

How Is Bipolar Disorder Treated?

A host of options exist for the treatment of bipolar disorders. The current philosophy of treating bipolar disorder lies in symptom control and prophylaxis.

Risk for recurrent episodes exists throughout one's life, and one school of thought says that prophylaxis should be for a lifetime. Again, there are differing schools of thought, as there is none to fit all treatment.


These are referred to as mood stabilizers. Those with euphoric (intense sense of happiness) mania are treated with Lithium, and those with dysphoric or irritable mania are treated with Valproate.

Those who have a preponderance of repeated depressive spells in their course of this disorder are treated with Olanzapine-Fluoxetine combination, Quetiapine, or Lamotrigine. All atypical antipsychotics serve as antimanic agents.


''Talk'' therapy can help clients change their behavior and manage their lives. Therapy should also include family members, and they should be educated about the illness, its natural course, prognosis, and treatment options.

A specialized form of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), exists for clients with bipolar disorder. All psychiatrists undergo training to administer this form of therapy.


Last reviewed at:
18 Oct 2021  -  4 min read




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