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Severe bipolar episodes can profoundly impact a person’s ability to think clearly and make sound judgments. ... Many people with bipolar disorder have one or more other mental health disorders ...
People with bipolar disorder often experience a decline in cognitive functioning during (or possibly before) their first episode, after which a certain degree of cognitive dysfunction typically becomes permanent, with more severe impairment during acute phases and moderate impairment during periods of remission.
[1] [2] The course of BP-II is more chronic and consists of more frequent cycling than the course of BP-I. [1] [9] Finally, BP-II is associated with a greater risk of suicidal thoughts and behaviors than BP-I or unipolar depression. [1] [9] BP-II is no less severe than BP-I, and types I and II present equally severe burdens. [1] [10]
A manic episode can be so severe that it requires hospitalization. An estimated 63% of all BP-I related mania results in hospitalization. [26] The natural course of BP-I, if left untreated, leads to episodes becoming more frequent or severe over time. [27] But with proper treatment, individuals with BP-I can lead a healthy lifestyle. [28]
Bipolar I: People with bipolar I disorder have had at least one manic episode along with a period of major depression or less severe mania. People with bipolar I can also have an episode of ...
Mood swings in bipolar I: Episodic, [42] manic episodes (severe degree) occur continuously for 7 days, [30] depressive episodes for weeks, [45] [46] and sometimes erratic episodes at moderate degree in between episodes. [30] Alterations in bipolar I and II can be rapid cyclic, which means changes of mood happen 4 times or more within a year. [47]