City Clinic - 14 GCP society, Opposite Shaukat Khanum Hospital, Lahore, Pakistan
Mon - Sat : 8.00 - 18.00 Sunday Closed



Generally it is considered that bipolar affective disorder is a condition in which there is ongoing mood swings. On the contrary, bipolar affective disorder, has an episodic course of illness in which there may be an episodes of mania/hypo-mania and/ or episodes of depression.
Patient with bipolar affective disorder treatment generally experience one to two episodes of either mania or depression in one year, each lasting for a minimal period of 1-2 weeks or it may persist for even longer period like 6 months. In few individual patient may experience 4 episode per year in which it is called as Rapid Cycles.


During Manic episode there is a change in a person thinking pattern and behavior which is noticed by people around him or by patient himself. Patient may experience following changes in behavior in episode of hypo/ mania.

  • Decreased sleep but still alert and active.
  • Excessive talk with loud volume
  • Increased planning and risky behavior
  • Dis inhibited & authoritative behavior increased sexual desire.
  • Increased socialization,
  • Increased spending & charity
  • Change in religiosity
  • Increased confidence and Grandiosity
  • Changes of increased smoking or use of street drugs

Above symptoms must last for at least 1 week to confirm diagnosis of Manic Episode

In depressive episode patient will experience totally opposite of above as mentioned already in depressive disorder.

Whenever a patient present with a specific episode, either mania or depression, first step is to manage that particular episode. Once that episode is over; depending on his previous episodes, medicines are adjusted in a manner that chances of further episodes are reduced.

Share this post

Related Post

Depressive Disorder

Depression can be a feeling which we all experience in our day to day life but if...

Leave a Reply