What to know about bipolar disorder

Written in association with: Dr Pravir Sharma
Published: | Updated: 13/10/2024
Edited by: Conor Lynch

Bipolar disorder is a complex mental health condition characterised by extreme mood swings that include emotional highs, known as mania or hypomania, and lows, or depression. These shifts in mood can significantly affect a person's ability to function in daily life.

 

People with bipolar disorder often experience periods of intense energy, activity, and euphoria during manic episodes, followed by feelings of hopelessness, fatigue, and sadness during depressive episodes. These mood changes are more severe than typical mood fluctuations and can last for days, weeks, or even months.

Types of bipolar disorder

There are several types of bipolar disorder, each with its own set of symptoms. Bipolar I disorder is defined by episodes of full-blown mania lasting at least a week, which may be severe enough to require hospitalisation. Bipolar II disorder involves hypomania, which is a milder form of mania, paired with major depressive episodes.

 

Cyclothymic disorder is characterised by chronic, fluctuating mood swings that are less severe but more persistent. These mood patterns often continue for at least two years in adults or one year in children and adolescents. Regardless of the type, bipolar disorder significantly impacts relationships, work, and overall quality of life.

 

Treatment

Effective treatment for bipolar disorder often includes a combination of medication, therapy, and lifestyle adjustments. Mood stabilisers, such as lithium, and antipsychotic medications are commonly prescribed to help manage the extreme highs and lows. In some cases, antidepressants may be used during depressive episodes, but these are typically combined with other medications to prevent triggering a manic episode.

 

Psychotherapy, including cognitive behavioral therapy (CBT), can help individuals develop coping strategies, understand their condition, and recognise early signs of mood changes. Additionally, maintaining a stable routine, getting regular exercise, and ensuring adequate sleep are crucial in managing symptoms.

 

Bipolar disorder is a lifelong condition, but with the right treatment plan, many people are able to manage their symptoms and lead fulfilling lives. Early diagnosis and continuous care are key to reducing the severity of mood swings and improving long-term outcomes.

By Dr Pravir Sharma
Psychiatry

Dr Pravir Sharma is a highly-trained consultant psychiatrist in Birmingham, the West Midlands, and specialises in mental health issues in the elderly and general adult psychiatry. His focus also includes depression, dementia and anxiety disorders alongside post-traumatic stress disorder (PTSD), and bipolar disorder. He is also renowned for his expertise in obsessive compulsive disorder (OCD), panic disorders, schizophrenia and mood disorders. Dr Sharma sees patients at Sutton Medical Consulting in Sutton-Coldfield and also provides e-Consultations for international and UK patients.

He completed his basic and postgraduate training at the well-regarded National Institute of Mental Health Neurosciences, Bangalore, India, before moving to the UK to specialise in old-age psychiatry. Dr Sharma worked in a full-time substantive post with Birmingham and Solihull Mental Health NHS Trust for more than 18 years retiring from his post in June 2021. He is currently working as a Locum Consultant in a NHS Trust in West Midlands and has also been appointed by the Care Quality Commission as a second opinion doctor. 

Dr Sharma has dedicated his years' training and professional years in psychiatry to treat his patients to the best of his ability. Beyond his full-time work for the NHS and his time with his private clinics, he is also active in medico-legal work. He can act as an expert witness, prepare medico-legal reports, appear in court, and has experience in personal injury, mental capacity and clinical negligence cases relating to his area of expertise. Additionally, he is skilled in acting as an expert witness in cases relating to immigration as well as employment tribunals, the preparation of occupational health or psychiatric reports, including those relating to road traffic accidents, PTSD or industrial or workplace injuries. Dr Sharma is Section 12(2) Approved for the use of Mental Health Act. 

Additionally, Dr Sharma has conducted research and appeared in multiple publications in national and international journals over the years. Keeping his involvement in his field well-rounded, he was also an active member of groups and associations in roles such as medical appraiser, educational supervisor and examiner. He also does home visits around Birmingham. 

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