Bp Harmony

Save up to 8% on joining our Community for personalized support & expert guidance.

Bipolar Types

bipolar vs unipolar depression
Understanding Bipolar Disorder

The Difference Between Bipolar Disorder and Unipolar Depression

The Difference Between Bipolar Disorder and Unipolar Depression Bipolar disorder and unipolar depression share many similarities, but they are fundamentally different in how they affect mood, the approach to treatment, and the role lifestyle plays in managing symptoms. Understanding these differences clarifies and helps people seek the right support. Let’s explore how these two conditions diverge in symptoms, treatment, and the potential for healing through lifestyle changes. Symptoms: Distinguishing the Two Conditions Bipolar and unipolar depression affect mood similarly in some ways and differently in key areas. Recognizing these distinct symptoms can lead to quicker, more accurate diagnoses and effective treatment. As we have discussed in previous posts, bipolar disorder presents itself as extreme fluctuations between emotional highs (mania or hypomania) and lows (depression), varying in frequency and intensity. These mood swings make it far more complex than unipolar depression though we are not discounting the severity and life-threatening nature of depression.  Unipolar Depression, on the other hand, is defined solely by persistent depressive symptoms. Unlike bipolar disorder, it does not involve manic or hypomanic episodes. Depressive episodes in unipolar depression are characterized by deep feelings of sadness, hopelessness, and a lack of energy. Physical symptoms like sleep and appetite changes often accompany these emotional lows. Another common characteristic is anhedonia, or the inability to experience pleasure. Those with unipolar depression may struggle to find joy in activities they once enjoyed, often feeling trapped in a low mood for extended periods like weeks, months, or even years. Treatment: Tailored Approaches for Bipolar And Unipolar Depression The difference between bipolar and unipolar disorder lies in the treatment path too. The focus for bipolar disorder is on stabilizing mood between two extremes, while treatment for unipolar depression centers on lifting the persistent feelings of sadness. Bipolar disorder requires a careful balancing act to manage both mania and depression. You can learn more about various treatment strategies in a previous post, but it is always recommended to work with a licensed health professional to get specific treatment advice. The general medication categories for bipolar disorder are mood stabilizers, antipsychotics, and sometimes antidepressants because of the risk of triggering hypomania or mania.  Unipolar Depression treatment focuses on alleviating depressive symptoms only. The absence of manic episodes means fewer variables to manage that are no less severe and challenging.Antidepressants are commonly prescribed to regulate mood by balancing neurotransmitters in the brain, lifting the cloud of depression. The Power of Lifestyle Changes A common thread and place for communal collaboration between the two patient communities is lifestyle. Lifestyle changes can have a profound impact on both bipolar disorder and unipolar depression. While these conditions may not be “curable,” individuals can achieve a “reversal” to the extent that the symptoms no longer exist.  In summary, bipolar disorder involves the complex interplay between mania and depression, requiring careful monitoring and stabilization. Unipolar depression focuses on lifting individuals from a persistent low mood. At BP Harmony, we have worked with Unipolar Depression clients by modifying the Five Pillars of Bipolar Disorder Recovery model: Sleep, Nutrition, Movement, Mindfulness, and Community. These five pillars are a recipe for good health for anyone, but when catered specially for people dealing with the extreme states of bipolar and unipolar depression, it can offer a significant decrease in suffering and the possibility of living full lives again.

bipolar disorder and spirituality
Understanding Bipolar Disorder

The Link Between Bipolar Disorder and Spirituality

The Link Between Bipolar Disorder and Spirituality Bipolar disorder (BPD) often feels like a force that pulls life apart. Yet, for those who face this challenge, there’s a possibility for deeper meaning and growth hidden within its chaos. Spirituality—whether through religious faith or personal practice—can offer not only solace but also a framework for understanding this unique experience. It is through this lens that many find hope and insight, transforming what is often viewed as suffering into a transformative journey. Spirituality: A Shelter Amidst the Storm Spirituality is more than just a set of beliefs or practices—it can be the ground beneath your feet when the world feels unsteady. Mental illness, particularly bipolar disorder, presents many trials, and spirituality can infuse these challenges with meaning.  This author was raised as a Muslim. It meant that connection to God became a source of strength, providing refuge through daily prayers and rituals and a sense that a Being, amidst the emotional turmoil, was listening with love and attention. Whether one believes in God as an external force or as an inner guide, faith can be an anchor. Even spiritual paths like Buddhism, which don’t center on a deity, offer deep practices of mindfulness and reflection.  The spiritual road begins by asking critical questions: Why is this happening? What does this moment seek to teach me? In facing mental illness, these questions can illuminate a path forward. The purpose of this struggle may not be immediately clear, but through reflection, it often becomes possible to transform pain into understanding. Trial as Purification Life’s trials have a way of shaping us, and few trials are as intense as navigating bipolar disorder. However, in many spiritual traditions, there’s a belief that trials are not random—they serve as opportunities for purification. In Islam, for example, hardship is seen as a test of character, a way to cleanse the soul and reconsider one’s choices. It’s a process of refinement, much like gold being purified by fire. The suffering brought on by bipolar disorder can be viewed through this lens—as a refining fire that burns away what no longer serves us. When health falters, it forces us to reevaluate the mundane and appreciate moments of peace we might otherwise take for granted. Spirituality reminds us that this world, with all its suffering and joys, is temporary. Both the highs and the lows are fleeting, but the lessons learned from them are enduring. When one reflects on their journey, there is an opportunity to see how the intense emotional pain can lead to a deeper appreciation—of life, of health, of simple pleasures. It is this perspective, gained through a spiritual framework, that transforms suffering into a process of refinement. Trial as Expansion Beyond purification, mental illness can also expand our capacity for empathy and compassion. When you’ve experienced the extreme emotions that come with bipolar disorder, you can’t help but feel a closer connection to the suffering of others. The moments of despair and elation widen the emotional bandwidth, creating space to understand the pain of those around us more profoundly. There is a TED Talk by Phil Borges that challenges listeners to think about mental illness differently. In his research, Borges spoke to shamans from different cultures—people who operate temporarily in heightened states of consciousness. What is striking is how many of these shamans first realized their calling through experiences we in the West would label as “mental illness.” These shamans, guided by elders, learned to ground their heightened awareness and use it in service to their communities. Borges asked a powerful question, “Are we, in the West, misdiagnosing people who are experiencing spiritual awakenings as mentally ill?” This reframing presents an empowering alternative to the narrative of bipolar disorder as an unchangeable affliction. What if, instead of merely managing symptoms, we could recognize the potential for awakening that this condition brings? The suffering that once seemed so isolating can become a bridge to something greater, a source of expanded understanding and awareness. The perspective shift from BPD as a disability to a potential awakening will take much advocacy, medical research, and courage. People like Phil Borges need the backing of BPD patients and medical experts to create research and writing to cause a shift in perspective. At BP Harmony, we believe that this diagnosis can be viewed the way Phil Borges presents.  Trial as Inspiration Mental illness has long been linked with creativity. Bipolar disorder, in particular, is known for inspiring great works of art, music, and literature. The emotional extremes of the condition allow those who live with it to access depths of feeling that others may not reach, and this wellspring of emotion often finds an outlet in creative expression. Vincent Van Gogh, for example, is one of the most famous artists whose work was deeply intertwined with his struggles with bipolar disorder. His paintings capture an intensity of emotion that resonates on a universal level. In the modern era, artists like Mariah Carey, Kanye West, and Demi Lovato have similarly channeled their own experiences of bipolar disorder into their art, offering the world a window into the depths of human experience. For this author, poetry became a lifeline during the healing journey. Writing helped make sense of the chaotic emotions. It became a way to transform the turmoil into something beautiful and meaningful. Through creativity, struggle was no longer just as a burden, but as a source of inspiration—a reminder that from suffering, something new and powerful can emerge. Conclusion Bipolar disorder is a profound and often difficult experience, but spirituality can offer a way to reframe it. Whether viewed as a path of purification, expansion, or inspiration, the link between bipolar disorder and spirituality is a powerful one. It allows us to find meaning where there might otherwise be only pain, and to see trials as opportunities for growth and transformation. When we engage with our mental illness from a spiritual perspective, we unlock the potential to transform suffering into something deeper—a

Understanding Bipolar Disorder

Bipolar I Disorder with Rapid Cycling: A Closer Look

Bipolar I Disorder with Rapid Cycling: A Closer Look Imran Ghani Receiving a Bipolar Disorder diagnosis can be scary. What does it mean for one’s personal and professional life? Will the person be able to live fully again? While this is true, getting the right diagnosis can offer a framework to properly understand oneself and also chart a recovery plan after forming a proper conception of their mental illness. Generally speaking, bipolar disorder is a complex and often misunderstood mental health condition, characterized by extreme mood swings that can drastically alter a person’s behavior, energy levels, decision-making, and ability to function. In previous posts, we have discussed the types of diagnoses; today, we will dive deeper into a particularly challenging stage where Bipolar Disorder 1 (BPD1) combines with Rapid Cycling.  The experience of rapidly cycling between hypomania, depression, and mixed states where you experience both at the same time is termed Cyclothymic Disorder. However, someone with BPD1 can experience rapid fluctuations in a cyclical, yet unpredictable, manner as well. For those dealing with rapid cycling, life can feel like a relentless rollercoaster of highs and lows. Let us explore what it means to live with BPD1 and Rapid Cycling, dive into the symptoms of bipolar 1 in adults, and discuss how one can take steps toward breaking free from this exhausting pattern. What is Bipolar Disorder 1 with Rapid Cycling? A person can receive the BPD1 diagnosis during or after the occurrence of at least one manic episode, which may or may not be followed by depressive episodes. Rapid Cycling refers to the presence of four or more mood episodes (mania, hypomania, or depression) within 12 months. The combination of bipolar disorder with rapid cycling means one’s energy levels can vary from week to week or even day to day. The rapid transitions make it difficult for those affected to maintain stability in their personal, social, and professional lives. Unlike typical BPD, which can span months or even years, individuals with rapid cycling may experience abrupt and dramatic swings between emotional extremes. These shifts are not necessarily triggered by external circumstances, which makes rapid cycling both unpredictable and exhausting. This is why working with a licensed health professional is important to discuss medication options when lifestyle changes are not sufficient for regaining and maintaining balance. Mania & Depression: The Highs and Lows That Come at a Cost Everyone’s experience of bipolar 1 disorder with rapid cycling is unique; hence, it is difficult to make general statements about the personal experience. One person may feel a tingling euphoric sensation in their body that makes them feel social, powerful, and highly optimistic while another person may feel irritable by a flight of ideas, paranoid thoughts about some grand conspiracy, and working on several full-time projects. However, from the outside, mania has several noticeable characteristics: Lack of Sleep Racing Thoughts Shifting Eyes Rapid Speech Irascibility  Hyper-Sexuality Impulsive Behavior Excessive Spending Thoughts of Grandeur Delusional Thoughts The same can be said about the personal experience of Bipolar Depression. Each individual’s experience is different; however, there are some salient characteristics as well: Crying spells Pessimism, Indifference Lack of energy, Fatigue Excessive Sleep Insomnia Unexplained Aches and Pains Irritability, Anxiety, Agitation, Anger Feeling Worthless, Hopeless, or Guilty Lack of Concentration, Forgetfulness Lost Interest in things once enjoyed Withdrawal from Social Situations Thoughts of Death, Self-harm, or Suicide Dealing with any one of these issues can be daunting, now imagine trying to deal with several of these severe symptoms at the same time while trying to fulfill the responsibilities of school, work, and family life! Trying to Escape the Rapid Cycling Roller Coaster As intimidating as it can be to try to escape the chaos of BPD1 and rapid cycling, recovery is possible. The body has a miraculous ability to heal itself; one must orient it in such a way that will (1) lessen the severity of symptoms and (2) help one completely break free from severe mood instability. Here is what to consider: Slow down: the body rebels against a person who is living in a state of imbalance. Reduce the number of activities in life to help convince the body it is being given space to rest and recover.  Contact a psychiatrist immediately if one has not already to discuss if mood stabilizers, antipsychotics, and other medication types are temporarily the right course of action for stabilization.  Avoid all caffeine, alcohol, and recreational drugs, as these will very likely make matters worse Maintain a regular, daily routine – especially training the body to go to bed and wake up at the same time after 8 hours, even if one doesn’t sleep the whole time.  Eliminate processed foods (i.e. junk foods) from one’s diet. There is a direct correlation between poor diet and poor mental health. Grab a copy of the BPH e-book to receive three meal plans for free! Move the body with light exercise like walking 45 minutes to an hour in the morning. Confide in a close friend or family member when feeling unable to bear the intensity of rapid cycling.   Conclusion Living with Bipolar I Disorder with Rapid Cycling can be an overwhelming experience. The unpredictability of mood swings, the intensity of manic episodes, and the emotional fallout of depressive episodes create a perfect storm that can leave individuals feeling out of control. However, with the right treatment and support, it is possible to regain stability and lead a fulfilling life. Consider joining the BPH community for support.

the Cycle of Mania and Depression
Understanding Bipolar Disorder

Understanding the Cycle of Mania and Depression in Bipolar Disorder

Understanding the Cycle of Mania and Depression in Bipolar Disorder Living with Bipolar Disorder (BPD) can be understood as trying to achieve balance without falling into either extreme of mania or depression. However, for someone who is predisposed to this mood disorder, there are some key features to be aware of to understand and avoid the cyclical nature of uncontrolled mania and depression. Rapid Cycling One should be aware that there is a degree of severity of BPD called rapid cycling. Mayo Clinic defines it as when, “you have had four mood episodes in the past year where you switch between mania and hypomania and major depression.” If you identify this in yourself, talk to your doctor about manic depression and about taking correct medications to first stabilize before attempting to escape the vicious cycle and regaining balance. Know Your Triggers Previous posts have discussed such triggers of mania and depression as stress, insomnia, poor diet, trauma, substance abuse, alcohol, lack of exercise, isolation, hot weather, cold weather, lack of sun exposure, etc. Each one of these variables can trigger the cycle of mania and depression, so knowing yours will help you recall what set things out of control and to better deal with them in the future if not completely avoid. There is No Straight Path Everyone with BPD has a different experience in terms of the sequence, duration, and severity of manic and depressive symptoms. While one may start in hypomania another person may start with depression. Here are two sample pathways:  John experiences stress and insomnia, which leads to a hypomanic state for 1-month. This then elevates to mania for 4-months. Finally, in an act of self preservation to stop the unsustainable lifestyle, John’s body dramatically shifts him to major depression for 13-months. In this 13-month period of depressive symptoms, John is tipped into mixed states where he experiences hypomania and depression at the same time.  Jane has a poor diet. Bad calories lead to low energy, lack of motivation, bloating, moodiness, which then send Jane to depression. She cries motionless in her room and is unable to sleep due to the sinking feeling in her chest. This happens for 1-month until her spiraling thoughts and lack of sleep result in frantic activity. Jane thinks her depression has lifted and goes on a shopping spree, socializes excessively, and takes on many projects to make up for lost time. She does not realize she is hypomanic and falls into the manic state of bipolar disorder after 6-months of hyperactivity.  The cycle of bipolar disorder is unpredictable, confusing, and unique for every person. Each cycle can also have a unique pattern, so it takes incredible will and focus to regain balance.  How to Escape the Cycle of Mania and Depression Take your medication according to the prescribed dosage and frequency.  Prioritize sleep by being in bed for 8 hours every night. Go to sleep at the same time and wake up at the same time.  Eat healthy meals throughout the day and eat your last meal at least 4 hours before going to sleep. You can find the BPH nutritional guidance and sample meal plans in the book The Five Pillars of Bipolar Recovery which can help in shortening the bipolar disorder recovery time. Identify and remove the causes of stress in life. This is easier said than done as often the cause of stress is work or family. Consider temporarily finding work that is less stressful even if it pays less and to distance yourself from loved ones out of a desire to be better to them in the future.  Move your body everyday. This can be walking, Yoga, weight training, etc. Combined with proper sleep and healthy eating, this is a great way to recalibrate. Seek therapy to process painful experiences so they no longer trigger mania or depression after mania. Psychology Today is a great resource for finding therapists online and in your locality. The two scenarios John and Jane portray how a person can be stuck in this cycle for months or even years. However, follow the advice above and you are likely to find brief periods of stability, and with consistency and time those periods of stability will expand so much that stability becomes the norm. Talk to your doctor to see if you are rapid-cycling, know your trigger to avoid them, observe the nuanced differences of each cycle, and follow the tips above to find and maintain stability one day. Recovery is possible, so keep up the hard work!

bipolar 1 vs 2 banner
Understanding Bipolar Disorder

The Difference Between Bipolar 1 and 2

The Difference Between Bipolar 1 and 2 Blog posts and articles about the differences between Bipolar Disorder 1 and 2 (BPD) are among the most common types of content regarding BPD. At BP Harmony, BPD 1 and 2 are understood in a way that does not label a person with the diagnosis forever by defining them as “acute phases” of mental illness. By offering a brief history of the diagnosis and insider perspectives on a more empowering narrative, BP Harmony offers a path forward for recovery and moving away from making BPD a part of one’s identity. Brief History of the BPD Diagnosis Written records of symptoms related to what is termed bipolar disorder in the 21st century have existed in medical texts since Ancient Greece and Medieval Persia. However, in 1952 the Diagnostic and Statistical Manual of Mental Disorders (DSM) coined the term “Manic-Depression,” to form a conception that serves as the modern origin of BPD today. In 1968, the diagnosis evolved to “Manic-Depressive Illness,” and in 1980, it was again changed to bipolar disorder. In the 2023 version (DSM-5), there are three diagnoses: Bipolar I disorder: diagnosed after one manic episode Bipolar II disorder: diagnosed after one depressive episode and one hypomanic episode Cyclothymic disorder: diagnosed after shifting between hypomania and depressive symptoms more frequently, and with less intensity, than in bipolar I or II disorders To better understand the differences, it helps to know how the DSM-5 defines episodes. Manic episode: period of at least 1 week of extreme highs or irritability, in addition to other behavioral changes Hypomanic episode: less severe mania that need last at least 4 days Major depressive episode: period of at least 2 weeks with a set number of specific depression symptoms For a full breakdown of the history and understanding, search for a copy of the DSM-5 online. BP1 vs BP2: Breaking Down the Differences The Mayo Clinic offers a great chart that summarizes the DSM-5 presentation of BPD1 and BPD2 well. The BP Harmony Interpretation of BP1 and BP2 BP Harmony represents a collection of voices ranging from medical professionals, people who have received the diagnosis, and families who support loved ones who live with BPD. A few observations must be stated:  For the lay reader, texts on BP1 and BP2 can be misinterpreted. It is imperative to work with a licensed medical professional who is legally authorized to offer a diagnosis.  There are no quantitative measures to determine if one has BP1, BP2 or any diagnosis at all. Notice the chart above does not have any measurements from typical markers such as the blood, saliva, urine, fecal matter, tissues, bones, etc. Rather, a diagnosis depends on the training, experience, and biases of the medical professional who simply observes the behaviors and reports of the patient. Hence, it is advisable to get a variety of opinions.  Understanding the differences between BP1 and BP2 is useful to identify the stage of mental illness the individual is in and can help the individual craft a recovery plan with medical support, therapy, and mental health services like BP Harmony. However, the diagnoses are NOT the permanent station the person is stuck in forever. Individuals can receive a diagnosis of BP1 one year, BP2 another year, additional diagnoses another year, or even no mental health diagnoses in later years. In other words, one does not have to live with these labels forever.  Modern Psychiatry uses these distinctions to decide which medication and dosages to give the patient. One must take precautions in accepting a diagnosis as they nearly always come with highly addictive drugs that harbor strong side effects. Moreover, psychiatrists receive little to no training on how to get individuals off safely. More posts related to this challenge are coming soon.  In conclusion, The DSM-5 is an important resource for anyone trying to understand BPD; however, seeing that the diagnosis was coined only in 1980, there is much room to continue to evolve the understanding of BPD from medical professionals, wellness leaders, and the people who have intimately lived the acute phases of BP1 and BP2 and found their way out.

Scroll to Top