Bipolar disorder, formerly known as manic-depressive illness, is a mental health condition characterized by significant shifts in mood, energy levels, and behavior. These shifts are far more intense than typical mood fluctuations experienced by most people.

The Ups and Downs of Bipolar Disorder

Bipolar disorder involves distinct periods called mood episodes. These episodes fall into two main categories:

  • Manic/Hypomanic Episodes: Periods of unusually elevated, expansive, or irritable mood. These episodes also involve increased energy, hyperactivity, racing thoughts, and potentially impulsive or risky behaviors.
  • Depressive Episodes: Periods of profound sadness, loss of interest in usual activities, fatigue, changes in sleep or appetite, and difficulty concentrating. In bipolar disorder, depression can include feelings of hopelessness and worthlessness.

Types of Bipolar Disorder

There are several types of bipolar disorder, primarily classified by the severity and pattern of mood episodes. Although the difference between types is less important for non-clinicians, if you or a loved one has ever been diagnosed with bipolar disorder, you have probably heard these terms.

  • Bipolar I Disorder: Defined by the occurrence of full-blown manic episodes lasting at least a week, often requiring hospitalization. Depressive episodes are also common.
  • Bipolar II Disorder: Involves hypomanic episodes (less severe than mania) and significant depressive episodes.
  • Cyclothymia (Cyclothmic Disorder): A milder form with less intense mood swings that do not fully meet the criteria for mania, hypomania, or major depressive episodes.

Bipolar Disorder vs. Unipolar Depression

It’s important to distinguish bipolar disorder from major depressive disorder (sometimes called unipolar depression). While both involve depressive episodes, bipolar disorder is uniquely marked by the presence of manic or hypomanic episodes.

Who Does Bipolar Disorder Affect?

Bipolar disorder can affect anyone, regardless of age, gender, race, or socioeconomic background. Symptoms often emerge in late adolescence or early adulthood, but it can develop at any point in life.

If you think you or a loved one may be experiencing bipolar disorder, please consult a mental health professional for proper diagnosis and treatment.

Clinically reviewed by Pete Vernig, PhD, MBA, ABPP
Originally published: August 4, 2024
Last reviewed: August 23, 2026

This page provides general behavioral health information for educational purposes and is not a substitute for individualized medical or mental health advice, diagnosis, or treatment. Using this site does not establish a healthcare professional relationship with Dr. Vernig. Read the full Disclaimer or visit Get Help Now if you need immediate support.