Depression In Bipolar Disorder: What You Should Know

Source – Cerebral

Bipolar disorder brings along with it a host of symptoms, ranging from very high ecstatic moods to very low depressive episodes. How do you deal with the lows – depression?

Medically Reviewed by Dr. K on 17 Dec 2021.

Depression In Bipolar Disorder: What You Should Know

Adequate treatment may make a significant impact. There are a variety of effective treatments for bipolar depression. What else can you do? Keeping note of your symptoms over time is a good idea. This may help you recognise when a mood shift is approaching, so you can intervene sooner.


You may experience the following symptoms during the depressive phase of bipolar disorder:

  • Feeling down, anxious, or emptied.,
  • Have a low to no energy level
  • Feel as though you won’t be able to appreciate anything?
  • Too little or too much sleep
  • Have trouble getting out of bed?
  • Too little or too much food
  • Has difficulty concentrating or remembering things?
  • Have trouble making decisions?
  • Consider the possibility of suicide or death.

You may experience all or any of these symptoms. Bipolar disorder may make a person feel both melancholy and energised at the same time. The most telling indicator of a depressive episode is that you’ve been down for an extended period, generally at least two weeks. These episodes may occur just a few times a year or numerous times a year.

What to Do When You’re Depressed

Starting and sticking to a bipolar treatment plan is the most crucial move you can take. A combination of medications and talk therapy is used in the majority of cases.

Stabilisers, antidepressants, and antipsychotic meds are among the medications that your doctor may prescribe. Talk therapy may also assist you in managing stress and recognising symptoms earlier. Cognitive behavioural therapy (CBT) is another treatment that teaches you how to deal with the negative thoughts that arise with depression.

You may also take various measures to combat depression:

  • Don’t drink alcohol or use drugs. They may worsen your mood and prevent your meds from functioning correctly.
  • Stick to a routine. Every day, try to go to bed, get up, exercise, and take your medicines regularly.
  • Don’t make major life changes while you’re depressed. If you need to take time off from work, your doctor or therapist may assist you.
  • Ask a family member or friend for support. They may be able to assist you in keeping track of your appointments and meds.

If you’re considering suicide or self-harm, consider the following:

  • Please inform someone who can assist you right now.
  • Make an appointment with a mental health expert.
  • Make an appointment with your doctor.
  • Call 911 or proceed to the nearest hospital emergency department.
  • Call the SAMHSA National Helpline at 1-800-662-HELP (Substance Abuse and Mental Health Services Administration) (4357).

Recognise and Prevent Depression

Bipolar disorder’s manic and depressed stages don’t always follow a predictable pattern. Before you enter a manic period, you may have a few spells of depression.

However, items that cause changes in your mood and warning signals that depression may be developing may become apparent over time. You may typically prevent significant depression if you identify those signs early.

Maintain a mood chart to track how you’re feeling, your treatments, your sleep, and other activities. Make a list of occasions when you’re stressed, such as when you’re around particular individuals or in a given location. The earliest indicators of depression may be fatigue and inability to sleep. Short bouts of depression may signal the onset of a more severe phase.

People around you might also assist you in recognising trends. Request that your family and mental health professional keep an eye out for any changes in your conduct that may indicate an approaching problem. They could be able to see things you don’t.

Even when you’re feeling fantastic, maintaining your treatment may help you avoid a return of depression. To relieve stress and control your emotions, eat a balanced diet, exercise, and try new things: Join a support group, start a hobby, or use relaxation techniques such as meditation, yoga, or massage.


  2. Cleveland Clinic: “Bipolar Disorder.”
  3. National Alliance on Mental Illness: “Bipolar Disorder.”
  4. National Institute of Mental Health: “Bipolar Disorder.”
  5. Mayo Clinic: “Bipolar Disorder.”
  6. American Psychiatric Association: “Practice Guideline for the Treatment of Patients With Bipolar Disorder.”

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