Bipolar disorder is a mood disorder marked by episodes of depression and episodes of mania or hypomania — periods of elevated or irritable mood, high energy, reduced need for sleep, racing thoughts, impulsive spending or risky behaviour. Between episodes, many people feel completely well. Because the depressive phase is often what brings people to a doctor, bipolar disorder can be mistaken for depression alone.
Why accurate diagnosis matters
Treating bipolar disorder as ordinary depression can sometimes trigger a high. Dr. Sneha Sharma takes a careful history of past mood episodes — often with input from family — before deciding on treatment.
Our approach
Treatment focuses on mood stabilisation and preventing future episodes. This usually includes a mood stabiliser, regular monitoring (including blood tests where needed), psychoeducation so you and your family can recognise early warning signs, a steady sleep routine, and therapy. Crisis plans are made in advance.
Common signs & symptoms
- Periods of very high energy or elation
- Needing much less sleep without feeling tired
- Racing thoughts and fast speech
- Impulsive spending or risky decisions
- Irritability or anger during highs
- Episodes of deep depression
- Difficulty functioning during episodes
- Family history of mood disorders
How bipolar disorder is treated
Mood stabilisers
Medicines that prevent both highs and lows, monitored regularly.
Psychoeducation
Learning your early warning signs and triggers.
Sleep & routine
Stable daily rhythms that protect against relapse.
Family therapy
Supporting the whole family through recovery.
When should you see a psychiatrist?
See a psychiatrist if you or your family notice distinct periods of unusually high energy and reduced sleep, or depression that keeps coming back. During a severe high, or if there are safety concerns, seek urgent care.
Frequently asked questions
How is bipolar disorder different from normal mood swings?
Bipolar disorder involves distinct episodes lasting days to weeks — periods of depression and periods of unusually high energy, reduced need for sleep or risky behaviour (mania or hypomania) — that clearly affect functioning. Everyday ups and downs do not follow this pattern.
Can a person with bipolar disorder live a normal life?
Yes. With the right mood stabiliser, regular follow-up, steady sleep and early recognition of warning signs, most people with bipolar disorder work, study and maintain relationships well.
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Medically reviewed by Dr. Sneha Sharma, MBBS, MD Psychiatry · Last updated 3 November 2026. This page is for information and does not replace a consultation.