RECOGNITION OF BIPOLAR SYMPTOMS

Bipolar disorder involves cycles of mania and depression.

Signs and symptoms of mania include discrete periods of:

* Increased energy, activity, restlessness, racing thoughts, and rapid talking

* Excessive "high" or euphoric feelings

* Extreme irritability and distractibility

* Decreased need for sleep

* Unrealistic beliefs in one's abilities and powers

* Uncharacteristically poor judgment

* A sustained period of behavior that is different from usual

* Increased sexual drive

* Abuse of drugs, particularly cocaine, alcohol, and sleeping medications

* Provocative, intrusive, or aggressive behavior

* Denial that anything is wrong

Signs and symptoms of depression include discrete periods of:

* Persistent sad, anxious, or empty mood

* Feelings of hopelessness or pessimism

* Feelings of guilt, worthlessness, or helplessness

* Loss of interest or pleasure in ordinary activities, including sex

* Decreased energy, a feeling of fatigue or of being "slowed down"

* Difficulty concentrating, remembering, making decisions

* Restlessness or irritability

* Sleep disturbances

* Loss of appetite and weight, or weight gain

* Chronic pain or other persistent bodily symptoms that are not caused by physical disease

* Thoughts of death or suicide; suicide attempts