Self-harm can occur in individuals with bipolar disorder during both depressive and manic episodes, although the reasons behind it may vary depending on the phase.
Depressive Episodes: During depressive episodes, individuals with bipolar disorder can experience intense feelings of sadness, hopelessness, and despair. Self-harm might be a way for them to cope with overwhelming emotions or to express their inner pain physically. It can also serve as a way to gain some sense of control when they feel powerless or numb.
Manic Episodes: During manic episodes, individuals may experience heightened energy, impulsivity, and a decreased need for sleep. In some cases, this can lead to reckless and risky behaviors, including self-harm. The increased impulsivity during manic episodes might drive them to engage in self-destructive actions without considering the consequences.
It's important to note that self-harm is a complex behavior, and not everyone with bipolar disorder will engage in it. Self-harm can be a sign of significant distress and emotional turmoil, and it is essential for individuals experiencing these thoughts or behaviors to seek professional help and support.
If you or someone you know is struggling with self-harm or mental health issues, it's crucial to reach out to a mental health professional or a helpline in your country for assistance and guidance.