What is Bipolar Type 1?  

We talked about general bipolar disorder (formerly known as manic depression) in a recent post, but we  need to narrow down the types of bipolar disorder and describe each of them. There are 4 kinds of  bipolar disorder. Some sources say there are 3 kinds, but research is progressing, and we want to be as  specific as we can to cover our bases.  

Today, we’d like to talk more about bipolar disorder, which we’ll call BD. In general, BD is characterized  by unpredictable periods of mania and depressive periods, or highs and lows. Each type of BD is  different. BD type 1 is the most common. Type 1 is characterized by periods of mania that can last for  weeks and sometimes requires hospitalization. There can be lows, but they are usually not severe and  don’t last long. The symptoms of Type 1 mania include:  

Excessive energy, sometimes to the point of being uncontrollable 

Racing thoughts and difficulty focusing 


Poor impulse control, which can lead to risky behavior 

Delusions and sometimes even hallucinations  

Irritability and anger  

We always recommend therapy for patients with BD of any kind. Medication can be a good choice too,  but always start by seeing your GP. At this time, we can’t offer TMS (transcranial magnetic stimulation)  for BD, but we have high hopes and regularly offer psychiatric services to patients with BD. A question  we often get from our BD patients is, what can I do on my own? We’ve got some answers.  

People often say we can control our emotions, but that’s a nuanced thing. We might not be able to  control whether or not emotions and urges happen, but we can decide what to do with it. Emotions and  urges are information. Try comparing decisions you want to make while manic with ones you’d make  while feeling more stable. It’s a great idea to keep a journal. Track your feelings, your urges, your  decisions, and the effects of those decisions. You can show your therapist and/or doctor your records or  keep them to yourself. Identify the patterns and where the sharp changes occur. If you’re normally a  careful person and feel like doing risky things, take notice. If you’re normally a calm person, take note of  when you get angry and why. Be open with people you trust. Thousands of people know how you feel  and are on this same journey of achieving a better quality of life.  

If you or a loved one are struggling with BD or signs of it, contact us on our website or call (585) 442- 6960.