Bipolar Disorder: Knowledge, Experience, Triggers, Responses, Management and Future Support

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11. Unusually high energy or feeling much more excited or 'on top of the world' than normal for several days.

12. Needing much less sleep than usual without feeling tired.

13. Racing thoughts, or talking much faster or more than usual.

14. Impulsive spending, risky decisions, or reckless behaviour that was out of character.

15. Long periods of low mood, sadness, or feeling empty.

16. Loss of interest or motivation in usual activities.

17. Difficulty continuing school, work, or normal responsibilities because of mood changes.

18. Mood changes interfering with family life, friendships, or social activities.

Seasonal change (e.g., spring/summer or winter)

Physical illness or some medicines (e.g., steroids)