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

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site’s content were generated or assisted by AI and reviewed by Erik Romano, MD; however, errors or omissions may occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. "USMLE Step 1" and "USMLE Step 2 CK" are used only to identify the relevant examinations.