Bipolar disorder can start with either a depressive or a manic episode, and the initial episode type can vary from person to person. Bipolar disorder is a complex mental illness characterized by alternating periods of mania (or hypomania) and depression. There are several different types of bipolar disorder, including Bipolar I, Bipolar II, and cyclothymic disorder.
Bipolar I Disorder: In Bipolar I disorder, a person experiences manic episodes that can last for at least seven days or be so severe that hospitalization is necessary. Depressive episodes may also occur, but they are not required for the diagnosis of Bipolar I.
Bipolar II Disorder: Bipolar II disorder involves a pattern of depressive and hypomanic episodes. Hypomanic episodes are less severe than full-blown manic episodes and do not involve significant impairment in functioning. People with Bipolar II do not experience full manic episodes.
Cyclothymic Disorder: Cyclothymic disorder is a milder form of bipolar disorder characterized by periods of hypomania and mild depression that last for at least two years (one year in children and adolescents).
Sometimes, people with bipolar disorder may initially seek help during a depressive episode because the symptoms of depression can be more noticeable and distressing. However, it is also possible for someone to seek medical attention during a manic or hypomanic episode if the symptoms are causing significant disruption in their life or are identified by others around them.
It is important to remember that the diagnosis of bipolar disorder is made based on a comprehensive assessment by a mental health professional. They will consider the person's history, symptoms, and family history to determine the appropriate diagnosis and treatment plan. If you or someone you know is experiencing symptoms that may be indicative of bipolar disorder, seeking professional help is crucial for an accurate diagnosis and effective management of the condition.