Yes, it is possible for a woman with bipolar II disorder who primarily experiences depressive moods to start having numerous hypomanic episodes yearly. The course of bipolar disorder can vary significantly from person to person and can change over time.
Bipolar II disorder typically involves recurrent episodes of depression and hypomania. However, the frequency and intensity of these episodes can be influenced by various factors, including age, life events, hormonal changes, stress, medication, and other medical conditions.
As individuals with bipolar disorder age, the nature of their mood episodes can evolve. Some may experience more frequent or intense hypomanic episodes as time goes on. This phenomenon can be referred to as "kindling" or "cycling acceleration." It is essential to monitor mood changes and report any significant shifts to a healthcare provider to adjust the treatment plan accordingly.
Additionally, hormonal changes, such as those that occur during perimenopause and menopause, can influence mood stability and may lead to fluctuations in mood episodes in women. Hormonal shifts can interact with the underlying neurobiological factors of bipolar disorder and impact its expression.
If a person with bipolar II disorder starts experiencing more frequent hypomanic episodes or any significant changes in their mood patterns, it is essential to seek professional help. A mental health provider can evaluate the new symptoms, review the current treatment plan, and make any necessary adjustments to optimize mood stability and overall well-being. Managing bipolar disorder effectively often involves a combination of psychotherapy, medication, lifestyle adjustments, and regular monitoring by a healthcare team.