Bipolar I
Overview
Plain-Language Overview
Bipolar I disorder is a mental health condition that affects the brain and mood regulation. It causes extreme changes in mood, energy, and activity levels, leading to episodes of mania and often depression. During manic episodes, a person may feel overly happy, energetic, or irritable, and may engage in risky behaviors. These mood swings can disrupt daily life, relationships, and work. The condition involves the nervous system and impacts emotional stability and decision-making. It is a lifelong disorder that requires medical diagnosis and management.
Clinical Definition
Bipolar I disorder is a chronic psychiatric illness characterized by the presence of at least one full manic episode, which may be preceded or followed by hypomanic or major depressive episodes. The core pathology involves dysregulation of mood due to altered neurotransmitter systems, including dopamine, serotonin, and norepinephrine pathways. Genetic factors, such as variants in ANK3 and CACNA1C, contribute to susceptibility. The disorder is clinically significant due to its association with impaired functioning, increased risk of suicide, and comorbid psychiatric conditions. Diagnosis relies on clinical history and symptomatology, with episodes lasting at least 7 days or requiring hospitalization. The manic phase is marked by elevated or irritable mood, increased goal-directed activity, and impaired judgment.
Inciting Event
Locked content
Latency Period
Locked content
Diagnostic Delay
Locked content
Clinical Presentation
Signs & Symptoms
Locked content
History of Present Illness
Locked content
Past Medical History
Locked content
Family History
Locked content
Physical Exam Findings
Locked content
Diagnostic Workup
Diagnostic Criteria
Locked content
Pathophysiology
Key Mechanisms
Locked content
Organs
Locked content
Tissues
Locked content
Cells
Locked content
Chemical Mediators
Locked content
Treatments
Pharmacological Treatments
Locked content
Non-pharmacological Treatments
Locked content
Prevention
Pharmacological Prevention
Locked content
Non-pharmacological Prevention
Locked content
Outcome & Complications
Complications
Locked content
Short-term Sequelae
Locked content
Long-term Sequelae
Locked content
Differential Diagnoses
Differentials
Locked content