Although the exact cause of bipolar disorder is unknown, it is thought that several factors, such as genes, brain structure, and stress response and management, could play a role in how often symptoms occur, how severe they become, and how long they last, according to the National Alliance on Mental Illness (NAMI). Certain lifestyle and environmental factors can also trigger or aggravate the extreme highs and lows, known as bipolar episodes, which are a hallmark of the condition. Once you’re aware of these triggers, you can gain better control over your disorder. But bipolar mood swings are not always extreme, Dr. Anand notes. For instance, some people experience a less severe form of mania, known as hypomania. Those who are hypomanic may not feel anything is wrong, making diagnosis more difficult, he adds. Complicating matters is that it’s possible to experience both mania and depression at the same time, known as mixed features. When this happens, you may feel overly energized yet be extremely irritated, sad, hopeless, or empty.
Understanding and Managing Bipolar Triggers
Bipolar episodes can be triggered by lifestyle and environmental factors. Recognizing your triggers and avoiding them, Anand says, is often key to managing the condition. Factors that may worsen bipolar symptoms or trigger an episode include: While these culprits can lead to a bipolar episode, it’s also important to keep in mind that episodes can occur even without a trigger. “Bipolar episodes can come out of the blue,” Anand notes. Do what you can to manage your stress, get good sleep, and avoid using alcohol or any other substance, and work with your doctor to find the best strategies for you to manage your bipolar disorder. Additional Reporting by Jessica Migala
