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Being bipolar can lead to episodes during which individuals may experience altered states of consciousness and engage in behaviors that are out of character. These episodes are typically associated with the manic phase of bipolar disorder, as depressive episodes are characterized by low mood and other symptoms.

Manic Episodes:

  1. Impaired Judgment: During manic episodes, individuals often experience impaired judgment and may not fully comprehend the consequences of their actions. This can lead to engaging in risky behaviors, impulsive decisions, and reckless activities that they wouldn't otherwise do.

  2. Increased Energy: Mania is characterized by increased energy levels, which can lead to a sense of restlessness and being "completely awake." Despite feeling less need for sleep, individuals might not feel tired or fatigued.

  3. Grandiosity: People in a manic state may experience grandiose thoughts, believing they possess special abilities, or that they are invincible. This can contribute to the sense of being disconnected from reality.

  4. Racing Thoughts: Manic episodes often involve racing thoughts, making it challenging to focus or stay on track. This, combined with the heightened energy, can lead to a feeling of being out of control.

  5. Increased Goal-Directed Activity: Individuals may take on numerous projects or activities simultaneously, driven by the heightened energy and enthusiasm characteristic of mania.

  6. Irritability or Euphoria: While some individuals might experience euphoria during mania, others may be more irritable and easily agitated.

Depressive Episodes:

Depressive episodes, on the other hand, are characterized by:

  1. Low Mood: A persistent feeling of sadness, hopelessness, and emptiness.

  2. Loss of Interest: Losing interest in previously enjoyable activities.

  3. Fatigue: Experiencing significant fatigue or loss of energy.

  4. Difficulty Concentrating: Trouble focusing, making decisions, or remembering things.

  5. Changes in Appetite and Sleep: Changes in eating and sleeping patterns, such as increased or decreased appetite and insomnia or hypersomnia.

  6. Feelings of Worthlessness or Guilt: Negative thoughts about oneself, feeling worthless, or excessive guilt.

It's important to remember that bipolar disorder affects individuals differently, and not everyone will experience all the symptoms mentioned above. Additionally, some individuals may have mixed episodes where symptoms of both mania and depression occur simultaneously.

The combination of altered consciousness, impulsive behaviors, and a sense of disconnection from reality during manic episodes can lead to actions that seem out of character. Understanding these symptoms is crucial in seeking appropriate treatment, which often involves a combination of medications, psychotherapy, and lifestyle adjustments to manage the condition effectively. If you or someone you know is experiencing symptoms of bipolar disorder, seeking help from a mental health professional is vital to receive an accurate diagnosis and create a comprehensive treatment plan.

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