Bipolar disorder involves changes in mood, energy and activity that can substantially affect daily life. Three points can help make sense of the diagnosis.
1. There are different types
Bipolar I involves manic episodes. Bipolar II involves hypomanic and depressive episodes. Cyclothymic disorder involves recurring hypomanic and depressive symptoms that do not meet the requirements for full episodes.
The diagnosis depends on the pattern, duration and severity of symptoms over time, not simply on having ordinary ups and downs.
2. Symptoms and diagnosis may begin at different times
Symptoms often start in late adolescence or early adulthood, but recognition can be delayed. Some people seek care during depression without realizing that earlier periods of increased energy or reduced need for sleep may also matter.
An evaluation should consider the person’s history, not only how they feel that day.
3. Family history increases risk but does not determine the outcome
Bipolar disorder can run in families. Many genes and other factors contribute; having a parent or sibling with bipolar disorder does not mean someone will necessarily develop it.
Sharing family mental health history can help your clinician understand the overall picture.
Care in Fort Worth
At the Institute for Advanced Psychiatry, we provide psychiatric evaluation and individualized treatment planning. Learn about bipolar disorder care or request an appointment.
If you may harm yourself or cannot stay safe, call 911 or go to the nearest emergency department.
Source
National Institute of Mental Health: Bipolar Disorder, revised 2025