How to sleep during a manic bipolar episode

How Bipolar Disorder Affects Sleep: Get Better Sleep With Bipolar Disorder

Changes in sleep that last for more than two weeks or interfere with your life can point to an underlying condition. Of course, many things may contribute to sleep problems. Here’s what you need to know about the many connections between bipolar disorder and sleep and what you can do to improve your sleep.

How Bipolar Disorder Affects Sleep

Bipolar disorder may affect sleep in many ways. For example, it can lead to:

    , the inability to fall asleep or remain asleep long enough to feel rested (resulting in feeling tired the next day).
  • Hypersomnia, or over-sleeping, which is sometimes even more common than insomnia during periods of depression in bipolar disorder.
  • Decreased need for sleep, in which (unlike insomnia) someone can get by with little or no sleep and not feel tired as a result the next day.
  • Delayed sleep phase syndrome, a circadian-rhythm sleep disorder resulting in insomnia and daytime sleepiness.
  • REM (rapid eye movement) sleep abnormalities, which may make dreams very vivid or bizarre.
  • Irregular sleep-wake schedules, which sometimes result from a lifestyle that involves excessive activity at night.
  • Co-occurring drug addictions, which may disrupt sleep and intensify pre-existing symptoms of bipolar disorder.
  • Co-occurring sleep apnea, which may affect up to a third of people with bipolar disorder, which can cause excessive daytime sleepiness and fatigue.

During the highs of bipolar disorder (periods of mania), you may be so aroused that you can go for days without sleep without feeling tired the next day. For three out of four people with bipolar disorder, sleep problems are the most common signal that a period of mania is about to occur. Sleep deprivation, as well as jet lag, can also trigger manic or hypomanic episodes for some people with bipolar disorder.

When sleep is in short supply, someone with bipolar disorder may not miss it the way other people would. But even though you seem to get by on so little sleep, lack of sleep can take quite a toll. For example, you may:

  • Be extremely moody
  • Feel sick, tired, depressed, or worried
  • Have trouble concentrating or making decisions
  • Be at higher risk for an accidental death

You may already know the ups and downs of how bipolar disorder affects sleep. But even between acute episodes of bipolar disorder, sleep may still be affected. You may have:

  • Heightened anxiety
  • Worries about not sleeping well
  • Sluggishness during the day
  • A tendency to have misperceptions about sleep

Get Better Sleep With Bipolar Disorder

Disrupted sleep can really aggravate a mood disorder. A first step may be figuring out all the factors that may be affecting sleep and discussing them with your doctor. Keeping a sleep diary may help. Include information about:

  • How long it takes to go to sleep
  • How many times you wake up during the night
  • How long you sleep all night
  • When you take medication or use caffeine, alcohol, or nicotine
  • When you exercise and for how long

Certain bipolar medications may also affect sleep as a side effect. For example, they may disrupt the sleep-wake cycle. One way to address this is to move bedtime and waking time later and later each day until you reach your desired goal. Two other ways to handle this situation are bright light therapy in the morning and use of the hormone melatonin at bedtime, as well as to avoid bright light or over-stimulating activity near bedtime. This can include exercise and TV, phone, and computer screens.

Of course, your doctor may recommend a change in medication if needed. Be sure to discuss any other drugs or medical conditions that may be affecting your sleep, such as arthritis, migraines, or a back injury.

Restoring a regular schedule of daily activities and sleep — perhaps with the help of cognitive behavioral therapy — can go a long way toward helping restore more even moods.

Steps like these may also help restore sleep:

  • Eliminate alcohol and caffeine late in the day.
  • Keep the bedroom as dark and quiet as possible and maintain a temperature that is not too hot or cold. Use fans, heaters, blinds, earplugs, or sleep masks, as needed.
  • Talk with your partner about ways to minimize snoring or other sleep habits that may be affecting your sleep. , but not too late in the day.
  • Try visualization and other relaxation techniques.
  • Try to unplug from the TV, laptop or your phone earlier.

Sources

Depression and Bipolar Support Alliance: “Sleepless in America: Are You Moody or Irritable?;” “Sleepless in America: Information for Families;” and “Sleepless in America: What’s Keeping You Up All Night?”

Fieve, R. Bipolar II:Enhance Your Highs, Boost Your Creativity, and Escape the Cycles of Recurrent Depression–The Essential Guide to Recognize and Treat the Mood Swings of This Increasingly Common Disorder, Rodale Books, 2006.

Hello I’m newly diagnosed schizoaffective bipolar type. I have ptsd and anxiety as well. I’m on meds but still working on the right combo. Unfortunately no sleep meds seem to work (minipress, trazodone, temazepam, lunesta). It often has the opposite effect leaving me anxious, agitated, and unable to sleep. I’ve told my provider and I’m waiting on her response.

Last night was my second night of 1mg lunesta and when I realized I wouldn’t be getting rest I went to the living room so i could turn on a light without bothering my husband. I stayed up for hours with racing thoughts and a pervasive feeling I was being watched. I tried to journal but that set me off writing a bunch of repetitive, paranoid ramblings occasionally getting stuck on rhyming certain words or using too much alliteration in my sentences. I got even more paranoid and felt unreal like the world was fake and I was dead only living in a hell realm or simulation. This has been an ongoing belief usually when I get overwhelmed by crowds at work (retail).

I couldn’t ground myself, I felt too watched to feel comfortable with reading or watching a familiar show/ movie. I’ve posted similar questions on reddit but the answer is always get your meds checked and talk to your doctor. I’m still searching for a therapist so I have no professional help navigating my recent diagnosis or growing paranoia/delusions. Hallucinations aren’t bad usually knocking/tapping and occasionally some visual stuff like people without faces or eyes on things that shouldn’t have eyes.

Basically does anyone else have the opposite reaction to sleep meds? Is that a manic thing? I’m on lamictal 75mg but we’re still working up to a therapuetic dose so I’m not sure it’s helping yet. Or is it a psychotic thing? I’m on 10mg of Zyprexa too. And 40mg propranolol for anxiety twice daily.

Aside from sleep I really need coping tools for these episodes. They’re very distressing and impact my work and sleep.

ADVERTISEMENT

Re: Sleep Issues (mania or psychotic episodes?) And coping skils

by Snaga » Mon Oct 25, 2021 9:47 pm

Hello and welcome to the forums!

I’ve heard of people having opposite effects to over-the-counter stuff, mostly feelings of restlessness and/or quickened heart rate. I know I can’t take Valerian Root; and I know people who react badly to Benadryl.

I take half a Trazodone at bedtime and it only rarely makes me sleepy- so that if I have a restless mind it does me no good- but it does help me sleep sounder, when I do fall asleep.

As far as I know I don’t have a psychotic disorder, however. I do have bad OCD, which can sometimes get a bit on the delusional side. I only take the trazadone, and escitalopram for general anxiety.

If you’ve taken so wide a range of meds to help with sleep, I’m guessing it has more to do with mania or psychosis, however again, at least with over-the-counter sleep aids, yes I know of people that it has the opposite or at least, an agitating effect. Sure, Valerian Root made me sleepy, but it’s hard to sleep when your heart is pounding.

Tell someone today you love them, for Life is short. But scream it at them in Klingon, for Life is also confusing and terrifying.

The more you know about bipolar disorder, the better you will be able to cope with this lifelong illness. There are many steps that you can take—or help a loved one take—to recognize and better manage manic episodes.

  • Learn the warning signs of a manic episode, and get early treatment to avoid disruption in your life.
  • At the same time each day, record your mood and any symptoms.
  • Take medicines as instructed by your doctor to help reduce the number of manic episodes.
  • To help prevent a manic episode, avoid triggers such as caffeine, alcohol or drug use, and stress.
  • Exercise, eat a balanced diet, get a good night’s sleep, and keep a consistent schedule. This can help reduce minor mood swings that can lead to more severe episodes of mania.
  • Have an action plan in place so that if you do have a manic episode, those who support you can follow the plan and keep you safe.

How do I manage a manic episode?

Know the warning signs

Learn to recognize your early warning signs. One of the most important ways to avoid a manic episode is to identify early signs and seek treatment.

Common early warning signs of a manic episode include:

  • Needing less sleep.
  • Being more active.
  • Feeling unusually happy, irritable, or energetic.
  • Making unrealistic plans or focusing intensely on a goal.
  • Being easily distracted and having racing thoughts.
  • Having unrealistic feelings of self-importance.
  • Becoming more talkative.

The best way to manage bipolar disorder is to prevent manic episodes. Although that is not always possible, you can identify and try to avoid the triggers that may lead to a mood swing. One of the most important aspects of managing your illness is to stay on a routine, particularly keeping a stable sleep pattern.

Managing a manic episode

  • Maintain a stable sleep pattern. Go to bed about the same time each night, and wake up around the same time each morning. Too much or too little sleep or changes in your normal sleep patterns can alter the chemicals in your body. And this can trigger mood changes or make your symptoms worse.
  • Stay on a daily routine. Plan your day around a fairly predictable routine. For example, eat meals at regular times, and make exercise or other physical activity a part of your daily schedule. You might also practice meditation or another relaxation technique each night before bed.
  • Set realistic goals. Having unrealistic goals can set you up for disappointment and frustration, which can trigger a manic episode. Do the best you can to manage your illness. But expect and be prepared for occasional setbacks.
  • Do not use alcohol or illegal drugs. It may be tempting to use alcohol or drugs to help you get through a manic episode. But this can make symptoms worse. Even one drink can interfere with sleep, mood, or medicines used to treat bipolar disorder.
  • Get help from family and friends. You may need help from your family or friends during a manic episode, especially if you have trouble telling the difference between what is real and what is not real (psychosis). Having a plan in place before any mood changes occur will help your support network help you make good decisions.
  • Reduce stress at home and at work. Try to keep regular hours at work or at school. Doing a good job is important, but avoiding a depressive or manic mood episode is more important. If stress at work, school, or home is a problem, counseling may help improve the situation and decrease stress.
  • Keep track of your mood every day. After you know your early warning signs, check your mood daily to see whether you may be heading for a mood swing. Write down your symptoms in a journal. Or record them on a chart or a calendar. When you see a pattern or warning signs of a mood swing, seek treatment.
  • Continue treatment. It can be tempting to stop treatment during a manic episode because the symptoms feel good. But it is important to continue treatment as prescribed to avoid taking risks or having unpleasant consequences from a manic episode. If you have concerns about treatment or the side effects of medicines, talk with your doctor. Do not adjust the medicines on your own.

Credits

Current as of: September 23, 2020

Author: Healthwise Staff
Medical Review:
Patrice Burgess MD – Family Medicine
Kathleen Romito MD – Family Medicine
Christine R. Maldonado PhD – Behavioral Health

Current as of: September 23, 2020

Medical Review: Patrice Burgess MD – Family Medicine & Kathleen Romito MD – Family Medicine & Christine R. Maldonado PhD – Behavioral Health

This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

To learn more about Healthwise, visit Healthwise.org.

© 1995-2021 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

NOTICE: This health information was not created by the University of Michigan Health System (UMHS) and may not necessarily reflect specific UMHS practices. For medical advice relating to your personal condition, please consult your doctor. Complete disclaimer

How to sleep during a manic bipolar episode

Alongside the extreme highs and lows that are part of having bipolar disorder, sleep issues also pop up. Unfortunately, these problems don’t make the disorder any easier to manage. In fact, they can complicate the illness and even trigger episodes in people who are, otherwise, following their doctor’s orders.

Sleep and Mania

One of the poles of bipolar disorder, the manic phase, is closely tied to sleep. Mania is characterized by high levels of energy and activity, restlessness, optimism even in the face of dire circumstances, an increased desire to take risks, and more. A decreased need for sleep is also one significant marker of a manic episode.

It seems that sleep and mania are more closely tied than that, though. Getting less sleep, either because of sleep deprivation or jet lag, can trigger a manic episode. In fact, total sleep time is a predictor of future manic episodes. Also, raising total sleep time can be a goal for treatment of mania, and a longer sleep time often indicates that a particular treatment is working.

Sleep During Depression

When people with bipolar disorder are in a depressed state, they act in ways that are largely opposed to the ways they act when they are manic. Their energy is drastically reduced, they become pessimistic and uninterested in life, and they often sleep more, too. In fact, depressed people, whether they are bipolar or not, often sleep excessively and may struggle to get out of bed even after quite a bit of rest.

Most doctors don’t treat depression via sleep deprivation simply because the treatment doesn’t seem to last. However, regulating the circadian rhythms and having patients wake up even when they don’t feel like it, does seem to help depression. Many people, though, relapse once they are out of clinical care and can, once again, sleep as much as they want to.

Rest and Emotional Regulation

Sleep is a key for affect, or emotional, regulation. When researchers reduced study participants’ sleep to 5 hours per night, the participants’ moods got worse each day. Other research found that participants who had less sleep had more brain activity in response to negative images than those who were well-rested.

Emotional regulation is key to psychological health, especially for those with bipolar disorder. To stay away from both the manic phase and the depressive phase, people with bipolar disorder need to be able to manage their emotions. If they lose this ability when they don’t sleep well, it makes sense that sleep deprivation could contribute to the severity of their symptoms.

Sleep and Impulsivity

People with bipolar disorder tend to struggle with impulsivity, especially during their manic phases. They make unplanned decisions without regard for the consequences, which can get them into all sorts of trouble.

Researchers have found correspondence between sleep deprivation and higher levels of impulsivity. In one study, people who were sleep deprived were willing to take more and greater risks while gambling than they were when they were well-rested. They have even tied this sort of behavior to a particular area of the brain, one associated with gain. When subjects are sleep-deprived, risky choices seem more likely to lead to massive gains than they do after normal sleep.

Given the close connection between impulsivity and sleep, it seems likely that people living with bipolar disorder will have a better chance of avoiding impulsive decisions if they are well-rested. While this may be true for everyone, it could be more significant for them, because they struggle so much with making risky choices during manic episodes.

Improving Sleep When You Have Bipolar Disorder

Since a lack of sleep seems to enhance the symptoms of bipolar disorder or make them more challenging to deal with, it is probably worth the effort to learn how to get the sleep needed. Here are some keys to managing sleep for those who struggle with bipolar disorder.

    , which means going to bed and getting up at the same time every day. Doing this may feel impossible when a person is in a manic or a depressive phase, so it’s important to begin this when a person is relatively stable. This routine will train the body to sleep and get up at certain times, which may help reduce the number of episodes they have or lower their severity when they do show up.
  • Establish a bedtime routine. When you always do things in a certain order, your body learns what comes next. After a while, it will know that you do particular things, then you fall asleep. A consistent routine can help people with bipolar disorder to fall asleep, even when they are in the middle of a manic episode.
  • Consider CBT-I (Cognitive Behavioral Therapy for Insomnia). This type of cognitive therapy is targeted to treat insomnia patients, but it may also help patients with bipolar disorder. This therapy trains people in how to arrange their lives and their minds for better sleep.

Living with bipolar disorder can be difficult, but regulating your sleep can help you get your life back. Begin by understanding how sleep interacts with the disorder. Then, implement the strategies to get the rest that will help regulate your mind and your life.

If you or someone you know experiences mental health issues, it is important to seek help from a qualified professional. Our Resource Specialist can help you find expert mental health resources to recover in your community. Contact us now for more information on this free service to our users.

Author Bio: Mary Lee is a researcher for the sleep science hub Tuck Sleep. She specializes in sleep’s role in mental and physical health and wellness. Mary lives in Olympia, Washington and shares her full-sized bed with a very noisy cat.

Ever since I was a teenager, for periods of months at a time, I have led an exhausting double life: My Life Awake and My Life Asleep. One of my lives makes no sense at all. And the other only occurs when I’m asleep.

Frequently, my friends and perfect strangers have startled me with far-fetched revelations of my secret nocturnal life. Like how I woke up my entire street at 3 a.m. on a Tuesday whacking a hockey stick against my neighbor’s metal grille front door – naked, of course, as if my actions weren’t embarrassing enough.

I have bipolar disorder and it’s widely accepted that insomnia is a common symptom of manic episodes. But for me, it’s much worse than that. If insomnia is natural to the manic individual, sleepwalking – or my experience of it – is its supernatural sister from Hell. At least, while you’re tossing and turning, you are still you. Whereas, when you’re sleepwalking, you’re somebody else entirely, with a brand new set of values and skewed morality.

For example, when I’m awake, I’m a vegetarian. When I’m asleep, I can most likely be found standing by the fridge scoffing slathers of raw bacon straight from the pack. What does raw bacon taste like? I couldn’t tell you. I was asleep. Chicken, probably – rooster testicles tartare.

My boyfriend, alerted by the fridge which was beeping warningly, attempted to tug what was left of the raw bacon away from my greasy trotters. Naturally, this led to an argument. You’d think that conversation would be limited when you’re in Nod, but I am quite the barrister in my sleep, lucid as Lucifer. I can hold detailed conversations on subjects I know nothing about – or assume I don’t when I’m awake. Quite often, it’s really hard to tell if I’m asleep, even to those who know me best. Confronted on the topic, I will vehemently deny that I’m asleep in my sleep.

I’ve ordered confused staff at hotels ‘Back to bed!’ after starting a minor fire in my sleep, driven a dinghy in my sleep, walked for miles around my own and alien cities in my sleep (always miraculously managing to find my way home, or even to an Air B&B I’d checked into hours earlier). Most memorably of all, I’ve woken on a 777 after a seemingly non-eventful flight, woozily congratulating myself on having slept the entire journey, to discover myself handcuffed and tightly strapped to an empty row of economy seats. My reaction was understandably furious. I had manically purchased a first-class ticket. And here I was, trussed up in economy, remembering nothing, cast adrift in a sea of open mouths and pointed fingers.

The cabin crew point-blank refused my pleading requests to return to my original seat. I’d apparently caused quite a rumpus, refusing to return to my seat during turbulence, taking childish delight in being thrown around the aircraft like a grenade. My sleeping maternal instincts had inadvertently caused me to sit on a sleeping child. The child woke up. I didn’t. I’d also repeatedly attempted to break into the cockpit, presumably to emergency land the plane myself.

Unbeknownst to me, one of my fellow passengers had accused me of taking cocaine in the aisles to the cabin crew. Now I’m no expert, but if I had wanted to snort cocaine on a plane in my sleep, and presuming that I’d been able to score in my sleep, I knew the aisles would be the last place I’d do it. So, when the police boarded the plane to arrest me at Heathrow, I was 80 percent certain I’d been wrongly accused.

After rigorously and painfully searching my belongings — and me — for evidence of smuggled cocaine, the police branded me a liability and released me without charge. The cabin crew kindly apologized for their part in my arrest – and being British, I replied that the pleasure was all mine. All I needed now was a cup of tea and a nice tube of hemorrhoid cream.

As two burly police officers escorted me outside the terminal building, presumably to be absolutely certain of my departure, the female officer released her monkey grip on my arm and confessed she’d never before arrested a passenger who’d reacted with such blasé indifference to drugs charges. I confessed that this sort of nightmare happened all the time. Sure enough, three weeks later, I was arrested at Malpensa Airport in Milan.

So, after rambling on for a while, possibly in some sleep-writing autopilot (it wouldn’t be the first time), what can I — or anyone affected by sleepwalking – realistically do to prevent ourselves doing it? Consume a milky drink at bedtime? (I hardly need more than one reason to get up in the night!) Go to sleep at the same time every day? (I’m not a machine!) Don’t work too late? (I’m only working late because I failed to accomplish what needed to be done during the day!) Never get stressed? (I never know I’m stressed until the stress has been magically removed.) Relax? (Boring!) Meditate? (This I do consciously find very stressful…)

My shrink (but he’s a liar) tells me that one of the most effective medications to reduce sleepwalking is lithium. I should probably mention that since I’ve been diagnosed with bipolar disorder and prescribed a small quantity of mood stabilizer, my sleepwalking misadventures have occurred less frequently (though just as severely when they do). Although I am, by now, an expert in (fake) laughing off my outrageous nocturnal meanderings, whenever I am forced to listen to someone’s excruciating account of My Life Asleep, the impact is mind-shattering.

Each time it happens, it leaves a footprint on My Life Awake. Waking up with déjà vu, I become a bad impression of Sherlock Holmes, obsessively attempting to piece together the mystery of My Life Asleep. Why am I compelled by the impulse to wander? And what does it all mean? Is my subconscious mind smarter than my conscious mind? (I already know it’s got a vastly superior sense of direction.) Which is more powerful: instinct or rational thinking?

Sadie Kaye has since given up on the idea of being a vegetarian.

Follow this journey on Sadie’s website and upcoming bipolar disorder podcast.

You may feel frustrated around a person with bipolar disorder who is having a manic episode. The high energy level can be tiring or even frightening. The person may also actually enjoy the mania and may not take medicines, which can prolong the episode. Also, the person may say and do unusual or hurtful things. You can help during a manic episode by doing the following:

  • Spend time with the person, depending on his or her level of energy and how well you can keep up. People who are manic often feel isolated from other people. Spending even short periods of time with them helps them feel less isolated. If the person has a lot of energy, walk together, which allows the person to keep on the move but share your company.
  • Answer questions honestly. But do not argue or debate with a person during a manic episode. Avoid intense conversation.
  • Don’t take any comments personally. During periods of high energy, a person often says and does things that he or she would not usually say or do, including focusing on negative aspects of others. If needed, stay away from the person and avoid arguments.
  • Prepare easy-to-eat foods and drinks (such as peanut butter and jelly sandwiches, apples, cheese and crackers, and juices), because it is difficult for the person to sit down to a meal during periods of high energy.
  • Avoid subjecting the person to a lot of activity and stimulation. It is best to keep surroundings as quiet as possible.
  • Allow the person to sleep whenever possible. During periods of high energy, sleeping is difficult and short naps may be taken throughout the day. Sometimes the person feels rested after only 2 to 3 hours of sleep.

Call a health professional if you have questions or concerns about the person’s behavior. Always call a health professional (or 911 or other emergency services) if you think the person with bipolar disorder is in danger of causing any harm to himself or herself or others.

Related Information

Credits

Current as of: June 16, 2021

Author: Healthwise Staff
Medical Review: Patrice Burgess MD – Family Medicine
Kathleen Romito MD – Family Medicine
Christine R. Maldonado PhD – Behavioral Health

How to sleep during a manic bipolar episode

Bipolar disorder causes extreme shifts in mood, from very high manic episodes to very low periods of depression. Mania can happen frequently or very rarely, depending on the person. While mania may feel better to the person than the episodes of depression, the high is often beyond what is comfortable or easy to control, causing a new set of problems. Helping a loved one through a manic episode can be difficult and exhausting, but learning how to help calm a manic episode can make it a little easier. Remember that your support should never replace professional help from a mental health expert.

Understand Manic Episodes

Recognizing the symptoms of manic episodes and understanding how they work can help you better handle the situation. Mania presents differently in each person, so knowing how your loved one acts during a manic episode is important. You might notice the symptoms slowly increasing before the person reaches full mania, which can take anywhere from a couple days to several months.

A sudden improvement in your loved one’s mood can indicate that a manic episode is coming. Sleeping less without feeling tired the next day may be a sign in some people. Other potential signs include impatience, irritability, rapid speech, unrealistic ideas, poor decision-making, euphoria and behavior that disrupts everyday life or relationships with others.

Work With the Treatment Team

Working with your loved one’s treatment team helps him get the best care possible. If possible, create a plan before a manic episode begins. For example, the person’s mental health provider might decide you should call at the first signs of a manic episode to set up an appointment. If your loved one has a manic episode, support the treatment recommended by his care providers.

Limit Triggers

Certain situations or external factors may make mania worse. For example, some people find that alcohol or other substances make the situation worse. Encourage the person to stay away from those triggers to help calm the mania faster. You might try to have the person enjoy a quiet evening at home with you instead of going out with friends where alcohol is served. Limiting activity and stimulation can help calm mania.

Do Damage Control

Mania often causes a person with bipolar disorder to make poor decisions. Poor financial decisions are very common. When possible, put limitations on what your loved one can do during a manic episode to cause damage. For example, you might lower the credit limit on her credit card, so she can’t charge large amounts. Look at the person’s usual destructive behaviors during mania, and determine what you can do to minimize those behaviors.

You can also help her think through her impulsive behaviors or at least try to delay them. If she wants to invest in a “get rich quick” scheme, suggest that she hold off to see if something better comes along, or ask her to run the idea by other financially responsible people to see what they think about the idea. If she wants to make a big life change that affects her stability, ask questions about things such as how she will finance her new life and what will happen to her current responsibilities.

Encourage Treatment

You can’t force a person to take medication or follow treatment protocols, but you can provide encouragement to do those things. Keep in mind that medicine isn’t always a cure-all. The person may have side effects he doesn’t like while on his medication, which may cause him to skip taking it. You can be supportive and encouraging when it comes to his treatment, but avoid arguing with him about it. Listening to him and simply being with him can help him feel less isolated.

Take Care of Yourself

Even though bipolar disorder is a mental health condition that the person can’t control, it’s still an exhausting situation for a loved one to handle. It’s important to take care of yourself while you’re helping someone through a manic episode. Don’t overlook your basic needs, and don’t take on too much responsibility or guilt about the person’s actions. If things get physical during a manic episode, you may need to call the police for help. You can also lean on the person’s mental health care team for support when you can’t handle the situation.

How to sleep during a manic bipolar episode

As evident, during a manic episode there is a reduced need for sleep in 69–99% of patients and longer sleep onset latency. The majority of sleep architecture findings during mania focus on rapid eye movement (REM) sleep, including shortened REM latency and increased REM density.

Can a person with bipolar disorder not sleep?

When sleep is in short supply, someone with bipolar disorder may not miss it the way other people would. But even though you seem to get by on so little sleep, lack of sleep can take quite a toll.

When are there no manic episodes to suggest bipolar disorder?

When there are no manic episodes to suggest bipolar disorder, the depressive symptoms become the focus. What are the symptoms of bipolar disorder? As mentioned above, bipolar 1 disorder causes mania and may cause depression, while bipolar 2 disorder causes hypomania and depression. Let’s learn more about what these symptoms mean.

What is it like to live with bipolar disorder?

This Is What It’s Actually Like to Live With Bipolar Disorder. Bipolar disorder, according to the National Institute of Mental Health (NIMH), is a brain disorder characterized by shifts in mood, energy, and activity levels. Typically these mood shifts range from highs (manic or hypomanic episodes) to lows (depressive episodes).

How does bipolar disorder affect the quality of sleep?

Between cycles, people with bipolar disorder also report lower-quality sleep in general, with more night waking, a general sense of less sleep, and, occasional insomnia.

When sleep is in short supply, someone with bipolar disorder may not miss it the way other people would. But even though you seem to get by on so little sleep, lack of sleep can take quite a toll.

When there are no manic episodes to suggest bipolar disorder, the depressive symptoms become the focus. What are the symptoms of bipolar disorder? As mentioned above, bipolar 1 disorder causes mania and may cause depression, while bipolar 2 disorder causes hypomania and depression. Let’s learn more about what these symptoms mean.

Are there any real people with bipolar disorder?

And most of the time, these are the only facets of their character; bipolar, and little else, defines them. But for real people living with bipolar disorder, their lives may or may not resemble those stereotypes.

Can a person with bipolar 1 have a depressive episode?

A person with bipolar 1 disorder may or may not have a major depressive episode. The symptoms of a manic episode may be so severe that you require hospital care. Manic episodes are usually characterized by the following: The symptoms of a manic episode tend to be so obvious and intrusive that there’s little doubt that something is wrong.