Trust Jack Foundation

                                            putting mental heath first


We aim to raise awareness of mental health issues to young people and parents and to raise funds to support young people in their recovery


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What is Bipolar Affective Disorder

What is Bipolar Affective Disorder?

The word bipolar (also known as manic depressive) means 2 opposite poles, the 2 poles of bipolar are depression and mania. If you have bipolar affective disorder you will have periods of elation and seem to have endless energy and also periods of depression where you have no energy and barely able to complete simple tasks.

You can have any number of episodes of highs and lows throughout your life and in between them there may be gaps of weeks, months or years when your mood is normal. However, some people swing from highs to lows quite quickly without a period of normal mood in between. This is called rapid cycling. (If you have the rapid cycling form of the condition you have at least four mood swings per year.)

What Causes Bipolar Affective Disorder?

The exact cause is not known. However, your genetic 'makeup' seems to play a part, as your chance of developing this condition is higher than average if other members of your family are affected. Stressful situations may trigger an episode of mania or depression in people prone to this condition. It is thought that an imbalance of some chemicals in the brain may also be present in people with bipolar disorder.



Mania causes an abnormally high or irritable mood which lasts at least one week - but usually lasts much longer than this. It can develop quite quickly - over a few days or so. When you are high you will usually have at least three or four of the following:

Severe mania may also cause psychotic symptoms where you lose touch with reality. For example, you may hear voices which are not real (hallucinations), or have false beliefs (delusions). These tend to be delusions of importance (such as believing that you are a famous celebrity).

Usually, you do not realise that you have a problem when you are high. But, as the illness develops, to others your behaviour can be bizarre. Family and friends tend to be the ones who realise that there is a problem. But, if someone tries to point out that you are behaving oddly, you tend to become irritated as you can feel really good.

If mania is not treated, the bizarre and uninhibited behaviour may cause great damage to your relationships, job, career and finances. When you recover from an episode of mania you often regret many of the things that you did when you were high.


With depression, you will have a low mood and other symptoms each day for at least two weeks. Symptoms also become severe enough to interfere with day-to-day functions. The following is a list of common symptoms of depression. You may not have them all but you usually develop several if you have depression:

Some people do not realise when they develop depression. They may know that they are not right and are not functioning well but don't know why. Some people think that they have a physical illness - for example, if they lose weight.

Self Help

There are a few things you can try to help your bipolar such as:

Medical Treatment

The first point of contact should be with your GP, they will be able to refer you to a psychiatrist for expert advice and help. The psychiatrist will do an initial assessment which usually last an hour. Support is also available from the local mental health team with ongoing contact. You also may be allocated a community psychiatric nurse who will keep a check on you to see that you are OK as they will be the first to notice a change in your behaviour.

The majority of treatment is done though outpatients appointments, however, if time in hospital is required this will be agreed by you and your family. Although sometimes admission under a section of the Mental Health Act requires you to be in hospital because your symptoms are severe and extreme.

Your GP may also prescribe medication to help however it isn't a cure.


There are many people living with bipolar affective disorder and some get a sense of achievement out of learning to recognise and control their symptoms. Many people lead a full life and have very successful careers, however not everyone is able to do so. You will work out what the best way is to cope with your own symptoms and, by making some adjustments, you can lead as fulfilling a life as possible.

NHS Choices - Bipolar Disorder

The Symptoms

What Causes Bipolar Affective Disorder

Self Help



Bipolar Affective  Disorder