top of page
Writer's pictureLife's Journey Counseling

What is Bipolar I? Understanding the Condition and Its Impact

Bipolar I disorder is a mental health condition characterized by extreme mood swings, which include emotional highs (mania or hypomania) and lows (depression). While these mood swings are common in many people, for those with Bipolar I, the shifts are more intense and can significantly affect daily life, relationships, and overall functioning. In this blog, we’ll break down the key aspects of Bipolar I, from its symptoms to treatment options, to help better understand the condition.


Mother and son laughing outside

What is Bipolar I?

Bipolar I disorder is one of the two main types of bipolar disorder (the other being Bipolar II). It is distinguished by manic episodes that last for at least seven days or by manic symptoms that are so severe they require immediate hospital care. Depressive episodes often occur as well, typically lasting for at least two weeks. The mood swings are much more extreme than what someone without the disorder would experience, and they can interfere with various aspects of life, including work, relationships, and physical health.

Symptoms of Bipolar I

The symptoms of Bipolar I can be divided into manic and depressive episodes. Understanding these symptoms is key to recognizing the disorder and seeking proper treatment.

Manic Episodes

A manic episode is a period of extremely elevated or irritable mood, lasting for at least one week. Symptoms during this phase may include:


  • Increased energy and restlessness

  • Racing thoughts or feeling like your thoughts are moving too quickly

  • Increased activity or engagement in high-risk behaviors (such as excessive spending, reckless driving, or unsafe sexual activity)

  • Grandiosity (having an inflated sense of self-importance or abilities)

  • Decreased need for sleep (feeling rested after just a few hours of sleep)

  • Irritability or agitation, especially if things don't go as planned

  • Distractibility or a lack of focus on tasks

Manic episodes can cause significant disruptions in daily life, making it difficult to complete regular tasks, maintain relationships, or hold down a job. In severe cases, the person may experience delusions or hallucinations, and hospitalization may be necessary to manage the symptoms.

Depressive Episodes The depressive phase of Bipolar I involves feelings of sadness, hopelessness, and lack of energy. Symptoms of a depressive episode may include:

  • Persistent sadness or feelings of emptiness

  • Loss of interest in activities that once brought pleasure

  • Fatigue or feeling physically drained

  • Difficulty concentrating or making decisions

  • Sleep disturbances, either sleeping too much or experiencing insomnia

  • Feelings of worthlessness or guilt

  • Thoughts of death or suicide

Depressive episodes are often the most difficult for those with Bipolar I to manage. They can last for weeks or even months, making it challenging to complete day-to-day activities.

Causes of Bipolar I

The exact cause of Bipolar I is not fully understood, but several factors are believed to contribute to the development of the condition:

  • Genetics: Bipolar I tends to run in families, suggesting a genetic component. If someone has a close relative with the disorder, they may be at a higher risk.

  • Brain structure and function: Some research indicates that differences in brain structure or chemical imbalances in the brain could play a role.

  • Environmental factors: Stress, traumatic events, and significant life changes can trigger or worsen bipolar episodes in people who are genetically predisposed.

Treatment for Bipolar I

While Bipolar I is a lifelong condition, it can be managed with the right treatment plan. The goal of treatment is to stabilize mood swings and minimize the impact of manic and depressive episodes. Common treatment options include:

  • Medication: Mood stabilizers, antipsychotics, and antidepressants are often prescribed to manage symptoms. These medications can help regulate mood and prevent extreme mood shifts.

  • Psychotherapy: Cognitive-behavioral therapy (CBT) or other types of therapy can help individuals understand their triggers, develop coping strategies, and manage stress. Therapy can also help people work through relationship issues and the emotional challenges of living with Bipolar I.

  • Lifestyle changes: Regular exercise, a healthy diet, and a consistent sleep schedule can help reduce the frequency and intensity of mood swings. Creating a routine and sticking to it can help those with Bipolar I maintain stability.

  • Support systems: Support from family, friends, and support groups is critical. Living with Bipolar I can be isolating, so having a strong network can help provide emotional support and encouragement.

Living with Bipolar I

Although Bipolar I can be a challenging condition to live with, many people are able to lead fulfilling and productive lives with proper treatment. It’s important for individuals with Bipolar I to work closely with their healthcare team to develop a personalized treatment plan and monitor their symptoms. With the right approach, people with Bipolar I can manage their condition and prevent extreme episodes, ultimately leading to a more stable, balanced life.


Bipolar I disorder is a serious mental health condition that involves extreme mood swings, from manic highs to depressive lows. Understanding the symptoms, causes, and treatment options for Bipolar I can help those affected by the disorder seek proper care and live a stable life. If you or someone you know is struggling with Bipolar I, seeking professional help is an important first step in managing the condition and finding the support needed to thrive.


If you or a loved one are dealing with symptoms of Bipolar I, consider reaching out to us at Life's Journey Counseling to meet with a mental health professional to explore treatment options and develop a personalized care plan.


bottom of page