Many people seek help during depression, when energy, interest and hope have faded. Earlier periods of unusually increased activity may have been overlooked, particularly if they felt positive at the time. Asking about past hypomania or mania is therefore an essential part of assessment. [1]

Bipolar depression can resemble other depressive episodes. The main difference lies in the overall course of illness. Family history, changes in sleep, medicines, substance use and previous treatment all deserve attention. Other conditions, including ADHD, may complicate the picture. [2]

Accurate diagnosis matters because treatment and follow-up may differ. Antidepressants should not automatically be managed in the same way for bipolar disorder as for depression without manic episodes. An individual psychiatric assessment and a long-term plan are important for reducing the risk of further episodes. [3]

References

1. NIMH. Bipolar disorder: mania, hypomania and depression.
2. NICE. Bipolar disorder: assessment and management. CG185.
3. Keramatian K, et al. CANMAT and ISBD Guidelines: 2023 evidence update for bipolar disorder.

This information does not replace an individual medical assessment. Seek urgent assistance in an emergency.