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Signs and Symptoms of Bipolar Depression People suffering from bipolar disorder experience extreme mood swings and downs that affect their mood, energy, performance and behavior, judgment, and sleep. These changes can be debilitating and severe. Getting treatment and sticking with it is the key to feeling better. Keep a journal of your mood to help you identify warning signs and monitor the effect of your treatment. 1. Feelings of despair or hopelessness Bipolar disorder triggers extreme shifts in mood that may include highs (mania or hypomania) and lows (depression). They can cause disruption to your energy levels, sleep, activity levels and judgment. These changes can last for days, weeks or months and interfere with everyday activities. The depression often results in feelings of despair or hopelessness which can be difficult to get past. If you're experiencing these symptoms, talk to your health care provider. They'll examine you and discuss the options for treatment. They may suggest medication or psychotherapy or lifestyle changes. The use of medication can help stabilize your mood and prevent depressive or mania-like episodes. It can also reduce the severity and length of depressive episodes. Follow your doctor's treatment program and immediately report any adverse effects. You can also read the most current medication guides for patients and warnings on the Food and Drug Administration's website. There isn't a cure for bipolar depression, however treatments can help alleviate symptoms and improve your quality of life. Treatment is typically the first line of treatment. Your doctor may prescribe mood stabilizers, antidepressants or antipsychotics. These medications may take a while to work therefore don't stop taking them without consulting your doctor first. Keeping regular medical and therapy appointments is essential, particularly when you're depressed. You can also make lifestyle changes such as eating an appropriate diet and working out. Stress reduction and avoiding the use of alcohol or other drugs could be beneficial. Certain people have found that certain supplements can help, such as omega-3, which research suggests may reduce depression symptoms or Rhodiola rosea is a plant used to treat depression and anxiety. It's normal to be frustrated if treatments aren't working, but it's crucial to continue with your treatment. Combining therapies can bring lasting relief. It's important to keep in contact with family and friends, and seek out assistance from other bipolar disorder patients. You can also learn to recognize signs early and devise strategies to avoid triggers. For instance, keep journals. Self-compassion is another important aspect. Remember, your condition was not a result of your own choice. 2. Feelings of worthlessness or emptiness Emptiness or feeling of worthlessness are common signs and symptoms of bipolar depression. Bipolar disorder sufferers experience extreme mood swings that can cause mania or depression, or mixed symptoms (a combination of both). When they're experiencing an episode of depression they may feel hopeless and don't deserve to be alive. They might be unable to engage in many activities and have difficulty sleeping. During a manic phase, they may feel euphoric and energetic. They may have a hard time thinking clearly and may become a bit talkative or engage in risky behaviors such as drug misuse and unsafe sex. Bipolar disorder can lead to dangerous behavior because of an impulsive nature. They might have a difficult time controlling their behavior during an episode of depression or mania and can make risky decisions, such as leaving their job or engaging in reckless sexual activity. In the most severe instances they might have hallucinations or delusions. They are at greater chance of suicide during the course of a manic episode. Children who depend on their parents for stability may be confused and fearful of the erratic behavior of a person with bipolar disorder. Helping your partner obtain and maintain treatment to control their symptoms can help strengthen your relationship with them and help understand what triggers their erratic behavior. It is crucial for people suffering from bipolar disorder to get treatment even if they aren't feeling well. They should attend their therapy and medical sessions and work with their doctor to come up with a treatment plan that works for them. Keep a daily journal to track the way you feel. This will allow them to notice changes in their mood and behavior and alert their doctor in the event that they need to change their medication. A study that reviewed research on chronic feelings of emptyness among people with BPD discovered that it's among the most difficult symptoms to treat. This condition took longer to heal than other symptoms, and was more likely to recur. It's thought that this may be because it's an emotional symptom that lasts longer than others. 3. Feelings of guilt, shame or deprivation Bipolar depression is characterised by feelings of worthlessness and guilt. This may be because of the way a person feels about themselves or the things they've done or said, even things that are out of their control. People who have this symptom tend to dwell on it and expend a lot of energy trying to make up for the things they believe they've committed a mistake. People with bipolar disorder sometimes have a hard time connecting with others. They may not be able to enjoy the things that used to make them happy. In the process, they might lose interest in hobbies and other activities. They might also begin to believe that they don't deserve to be happy and that others are better off without them. If the thoughts are coupled with suicidal thoughts, it's important to seek immediate help. The good news is that there are solutions to deal with these emotions. The use of medication can help to prevent episodes and decrease the severity of them and psychotherapy — also referred to as talk therapy — can help someone recognize the causes of their distress and develop healthier strategies to cope with them. Antidepressants, SSRIs and ECT (electroconvulsive treatment) are a few medications that can aid in reducing mood swings. Always follow the instructions on a prescription. Stopping abruptly a medication could cause severe side consequences. It is also important to keep a regular schedule for sleep, exercise regularly and consume a balanced diet. Avoid caffeine and stimulants as they can interfere with sleep and increase the likelihood of suffering from an attack. You can also try dietary supplements to improve your mood. In a research from 2016 Omega-3 was proven to be effective. In a review from 2013, Rhodiola Rosea was also recommended as a possible alternative. It's best to consult your therapist or doctor prior to making any attempt at herbal remedies. They will be able to provide more information on what may work for you and answer any questions that you might have. 4. Feelings of inadequacy or worthlessness Bipolar depression can trigger feelings of emptiness, which can be distressing. It isn't easy to think clearly and to perform activities you enjoy, such as work or hobbies. You might also find it harder to feel happy when you do things that you used to find pleasurable which is a condition called anhedonia. Anhedonia is less likely to cause sadness, but more likely to trigger anger or irritability. If you are experiencing a manic episode or mixed feature episode (highs and lows simultaneously), you may feel a sense of utter emptiness. The highs might include a heightened mood, increased libido, or a faster-paced activity level. symptoms of anxiety and depression could be characterized by feeling depressed, hopeless, or crying. You might be agitated or restless, and you might also experience thoughts of suicide or self-harm. It is vital to seek help in the event that you are experiencing these kinds of intense, overwhelming feelings. If you feel suicidal contact 911 or the Suicide Prevention Hotline 1-800-273-8255. If you are worried about someone you love you can encourage them to seek help right away as well. You can help them by speaking to their doctor or therapist and by helping them with the daily necessities like eating, sleeping, and exercise. You can also use stress-reduction methods, such as yoga or meditation. Symptoms of depression and bipolar disorder can be seen as recurring. Keeping a mood journal might help you notice when you are starting to experience a depressive attack developing. It could also be helpful to keep your doctor updated in order to alter your medication to suit your needs. You should always take your symptoms of depression and other mental illnesses seriously. It is important to seek medical care for a thorough examination, including an examination for blood and a physical examination. This will help to determine the cause of the problem. You can then work with an expert in mental health to create a treatment plan that could include medication and psychotherapy, like cognitive therapy for behavioral disorders.