Bipolar Disorder: Signs, Symptoms, and Seeking Help

Bipolar disorder, negative thoughts?

Hello Dr.
Chiu, I suspect that I might have bipolar disorder or intermittent explosive disorder.
I have been experiencing the following symptoms for over three years.
I have always wanted to seek a professional evaluation, but being a minor and fearing that I might be overthinking things, I have not dared to tell my parents that I want to see a doctor.
I would like to ask if I need to see a doctor or something like that...
The main reason I am afraid to talk to my parents is that I worry I might be overreacting, but I truly feel very distressed.
Firstly, I found some symptoms of bipolar disorder online that I seem to have:
Manic Symptoms:
- Getting angry over small things
- Excessive self-confidence (though I sometimes feel insecure)
- Poor sleep quality; I sleep little but still feel energetic (I want to sleep but often can't)
- Talking a lot and speaking quickly
- Difficulty concentrating and easily distracted
- I find it hard to control my anger every day, and I argue with my family without exception
- My mood can shift from being very positive to suddenly becoming negative
Depressive Symptoms:
- Frequently feeling low and very negative
- Fluctuating appetite; sometimes it's very good, but it can suddenly become poor
- Poor sleep quality; I sleep little but still feel energetic
- Sometimes I feel very tired and want to lie down and do nothing, feeling hopeless and worthless
- I feel like many people dislike me and experience inexplicable guilt
- Difficulty concentrating and easily distracted
- Indecisiveness and procrastination
Additionally, I have some symptoms that I feel are related:
- When I get angry, I lose control and break things (like throwing or hitting things), even items I care about, which has led to me damaging quite a few possessions.
- I sometimes hurt myself when angry, such as hitting myself or scratching myself with my nails, and I might even scream.
- My mood can be particularly good at times, but I can suddenly become angry over various issues, like seeing repeated system error notifications or failing a test with many wrong answers, which triggers uncontrollable anger.
- After an outburst, I often cry a lot, feel exhausted, and regret my actions (like breaking things or self-harm).
- Currently, my thoughts are entirely negative; I am not optimistic at all and always feel that others must dislike me.
No one likes me, and trying to please others seems ineffective.
Recently, I have been reading about bipolar disorder and feel very sad at the thought that I might actually have this condition...
It feels uncomfortable, as if I am an outcast.
After all, this condition seems more intense than depression, and I fear that people might be scared of me...
Although I may act destructively, I still have some rationality and do not intend to harm others or consider suicide, but sometimes when I am sad or angry, I think that it wouldn't matter if I were gone.
I have been experiencing this for over three years, and I get angry every day.
I really need answers, as I have been troubled for a long time.
Thank you.

Yu, 10~19 year old female. Ask Date: 2024/02/03

Dr. Qiu Junda reply Psychiatry

Hello.
You can first seek assistance from your school teacher or use the 1925 mental health hotline for online counseling.
You may also ask a family member to take you to a pediatric mental health clinic for a consultation (not for treatment) to help address your concerns.

Reply Date: 2024/02/03

More Info

Bipolar disorder, also known as manic-depressive illness, is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). Understanding the signs and symptoms of bipolar disorder is crucial, especially for individuals who suspect they may be experiencing this condition, as in your case.

Signs and Symptoms
1. Manic Episodes: During a manic phase, individuals may experience:
- Increased energy or activity levels.

- Heightened mood or irritability.

- Decreased need for sleep (e.g., feeling rested after only a few hours).

- Racing thoughts or rapid speech.

- Impulsivity or poor decision-making (e.g., spending sprees, risky behaviors).

- Increased self-esteem or grandiosity.

2. Depressive Episodes: In contrast, depressive episodes can include:
- Persistent feelings of sadness or hopelessness.

- Loss of interest in activities once enjoyed.

- Changes in appetite or weight (either increased or decreased).

- Sleep disturbances (insomnia or sleeping too much).

- Fatigue or loss of energy.

- Difficulty concentrating or making decisions.

- Feelings of worthlessness or excessive guilt.

3. Mixed Episodes: Some individuals may experience symptoms of both mania and depression simultaneously, leading to heightened emotional distress.

Seeking Help
Given the symptoms you've described, such as uncontrollable anger, mood swings, and feelings of worthlessness, it is essential to seek professional help. Here are some steps you can take:
1. Talk to a Trusted Adult: While it may be difficult to discuss your feelings with your parents, consider talking to a trusted adult, such as a teacher, school counselor, or another family member. They can help you navigate the process of seeking help.

2. Professional Evaluation: A mental health professional, such as a psychologist or psychiatrist, can provide a comprehensive evaluation. They will assess your symptoms, medical history, and any other relevant factors to determine if you have bipolar disorder or another mental health condition.

3. Therapy Options: Therapy, particularly cognitive-behavioral therapy (CBT), can be beneficial in managing symptoms. It helps individuals understand their thoughts and behaviors and develop coping strategies.

4. Medication: In some cases, medication may be prescribed to help stabilize mood swings and manage symptoms. This is typically determined by a psychiatrist.

5. Support Groups: Connecting with others who have similar experiences can provide emotional support and understanding. Look for local or online support groups for individuals with bipolar disorder.

Importance of Early Intervention
It's important to address these symptoms early on. Untreated bipolar disorder can lead to significant impairment in daily functioning, strained relationships, and increased risk of self-harm or suicide. By seeking help, you can gain a better understanding of your condition and learn effective strategies to manage your symptoms.

Conclusion
Your feelings and experiences are valid, and it’s commendable that you are seeking information and considering the possibility of professional help. Remember, you are not alone, and there are resources available to support you. Taking the first step to talk to someone about your feelings can be a significant move toward understanding and managing your mental health.

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