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The first time you had a manic or depressive episode, it was probably confusing or scary. You may have felt out of control. You didn’t know what was happening. Neither did your friends or family.

You may be feeling better now. But your bipolar disorder isn’t cured. Even when you treat it with medicine, you may still have some mood swings in the future.

The next time you have a mood swing, hopefully you’ll know what’s happening. You’ll be more prepared. You’ll know the signs of trouble. And, you may be able to get help before things get out of control.

Warning signs

Most people have warning signs for depression or mania. In general, you should look for changes in your:

  • Mood

  • Sleep

  • Energy

  • Self-esteem

  • Sex drive

  • Ability to focus

Try to be aware of your moods. Do you keep having negative thoughts? Or, have you suddenly felt super energized and happy? Keeping a Mood Chart (PDF Format) can help you catch changes in your feelings.

If you notice that your feelings may be getting out of balance, get help now. Don’t wait.

Your support team

Bipolar disorder can make it hard for you to see things clearly. That’s why you need to have people you trust to help you. They may catch changes in your mood that you don’t notice. It also helps to:

  • Keep appointments with your doctor and/or counselor. That way, he or she can assess how you’re doing.


  • Make sure that trusted family and close friends know the signs of a manic or depressive episode. And, make sure they know what to do in a crisis.


  • Visit a support group. Talk with other people with bipolar disorder. It may help you feel better. Also, people who have bipolar disorder may be good at spotting changes in your own behavior.


  • Make a list of people you can call if you need help.

Stay well

There’s plenty that you can do that may help. For instance, you should try to:

  • Avoid street drugs and alcohol.

  • Eat a well-balanced diet.

  • Get enough sleep.

  • Get regular exercise.

  • Do things that you enjoy.

  • Follow a regular schedule.

  • Keep in touch with family and friends.

Also of Interest

  The Your Next Appointment form (PDF Format) will help you and your doctor discuss your illness and its treatment.

  Stuart explains the impact of his bipolar disorder on friendships.


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