During a bipolar manic episode, a person's core values and beliefs may become significantly altered or distorted due to the intense and extreme changes in mood, thoughts, and behaviors. The severity of these changes can vary from person to person and may depend on the intensity of the manic episode. Some ways in which core values may be affected during a manic episode include:
Impulsivity and Risk-taking: Mania can lead to impulsive behaviors and decision-making, causing the person to engage in activities that they might not have considered or approved of under normal circumstances. This can include excessive spending, substance abuse, reckless driving, or engaging in risky sexual behaviors.
Grandiosity and Narcissism: Manic individuals may experience a heightened sense of self-importance and believe they possess special abilities or talents. This grandiose thinking can lead them to disregard others' opinions or needs and act in a self-centered manner.
Decreased Inhibition: During a manic episode, individuals may lose their usual inhibitions, leading them to act in ways they might find morally or socially unacceptable when they are not manic.
Difficulty in Sustaining Relationships: The intense mood swings and changes in behavior during a manic episode can strain relationships with family, friends, and colleagues. This can lead to conflicts and emotional distance, possibly challenging the person's core values about relationships and social interactions.
Altered Perception of Reality: Delusional thinking is not uncommon during manic episodes. A person might experience distorted beliefs or ideas about themselves, others, or the world around them, which can significantly impact their core values and sense of reality.
Once the manic episode is over and the individual stabilizes, they may regain insight into their changed behavior and beliefs. However, it is essential to understand that some residual effects may persist. After the manic episode subsides, the person may experience feelings of guilt, shame, or regret for their actions and decisions during the episode. This can potentially impact their core values, leading them to reflect on their behaviors and make efforts to reconcile with their actions and beliefs.
With proper treatment, therapy, and support, individuals with bipolar disorder can work towards maintaining stability and aligning their behavior with their core values even after a manic episode. It is crucial for them to engage in self-reflection, practice coping strategies, and develop a support system to manage the effects of the illness and maintain a sense of self-consistency in the long term. A comprehensive treatment plan can help individuals with bipolar disorder lead fulfilling lives while managing the challenges associated with their condition.