Brian Jacobs, LPC

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How Does Bipolar Depression Differ From Traditional Depression?

In the age of search engines, the average person knows more about medical conditions than ever before. But things are not that simple. Even professionals can misdiagnose. A big reason for this is that some conditions are very similar. For example, the depressive episodes of bipolar disorder can easily be confused with traditional depression. 

Of course, it is essential that the correct diagnosis is found in every situation. In the case of bipolar depression and traditional depression, this begins with understanding the differences. A big part of this is accepting that the person in question may not be best positioned to perceive how the disorders diverge.

Let’s Start With The Basics

Bipolar Disorder

Known for its alternating extreme episodes of mania and depression, bipolar disorder can also include periods of no symptoms. These swings are typically not related to a life event and often interfere with one’s ability to function on a daily basis. The condition has two sets of symptoms: 

Mania Symptoms

  • Operating on very little sleep

  • High energy, high activity, general euphoria

  • Restlessness

  • Unrealistic ideas

  • Racing thoughts

  • Quick to anger

  • High sex drive

  • Poor judgment because you don’t recognize that you have a problem

Depression Symptoms 

  • Sadness and despair almost all the time

  • Losing interest in activities that once excited you (including sex)

  • Low energy 

  • Inability to concentrate 

  • Sleep disturbances 

  • Appetite changes

  • A general mood of hopelessness, pessimism, guilt, emptiness, or self-doubt

  • Unexplained aches and pains

  • Thoughts of self-harm or suicide 

Depression 

This is a mood disorder that does not have episodes of mania or symptomless periods. Its hallmark is despair and stifling sadness. To be diagnosed with depression, you must present with five or more of the following signs for at least two weeks:

  • Sadness and despair almost all the time

  • Losing interest in activities that once excited you (including sex)

  • Low energy 

  • Inability to concentrate 

  • Sleep disturbances 

  • Appetite changes

  • A general mood of hopelessness, pessimism, guilt, emptiness, or self-doubt

  • Unexplained aches and pains

  • Thoughts of self-harm or suicide

How Are Depression And Bipolar Disorder Diagnosed?

If someone is in the midst of a bipolar disorder depressive episode, it can be virtually impossible to distinguish it from traditional depression. Since people with bipolar disorder often cannot recognize mania in themselves, they may not report those symptoms. 

Therefore, an accurate diagnosis will require firsthand input from someone who has witnessed both types of episodes. From there, the medical profession can engage in further observation to make a determination. This will include taking a medical history and being made aware of any medications the persona may be taking. 

A treatment plan can only be chosen once a diagnosis is agreed upon.

Treating Bipolar Disorder or Depression 

Both conditions can be managed via talk therapy and medication. Typically, it would be mood stabilizers for bipolar disorder and antidepressants for depression. In both cases, the protocol is flexible and subject to change — based on results and response to the medications. Become active participants in your treatment and never underestimate the importance of your input when it comes to making decisions. 

Through it all, individuals with either disorder are encouraged to supplement treatment with self-care and the cultivation of a support system. 

Suggestions include: 

  • Diligent self-education 

  • Identifying your triggers and having a plan in place for extreme situations

  • Do not self-isolate 

  • Connect with support groups in person and/or online 

  • Avoid alcohol and other substances

  • Make healthy eating choices

  • Partake in daily exercise and physical activity 

  • Maintain regular sleep patterns 

Depression, in any of its forms, is nothing to tackle alone. If any of the above resonated with you, please reach out to get the help you need and deserve. 

Learn more about Depression Treatment