When you’re struggling with a condition that causes extreme swings and shifts in mood (and more), it’s logical to ask how long these episodes will last. That’s a common concern for anyone diagnosed with bipolar disorder. Fluctuating between moods of mania and depression is a major challenge to daily functioning. 

While there is no way to accurately predict the frequency or duration of bipolar cycles, as you’ll see below, certain patterns do exist. It is also important to bear in mind that some folks experience mania and depression symptoms at the same time. For the purposes of this post, we’ll focus on episodes that are more clearly delineated. 

What Are Bipolar Episodes?

Manic

You talk more but sleep and eat less. Your thoughts are racing, but, for the most part, they are all about perceived positivity. A manic bipolar episode can leave you feeling invulnerable, and thus, it’s not unusual for the person to engage in risky behaviors — but remember very little about these choices.

Depressive

Conversely, a depressive episode will appear like a rapid downward spiral that ends in a crash. Everything slows down, and the general vibe is that of sadness and hopelessness. Sleeping and eating habits swing back to the extreme while speech slows down and thoughts are the opposite of manic elation. The person is unmotivated to do anything and can eventually slip into a place of self-harm and suicidal ideation. 

How Long Do Bipolar Episodes Last?

We’re back to the question at hand. Here are just a few of the factors that can influence the duration of bipolar episodes:

• Specific diagnosis

• How engaged the person is with their treatment plan (someone diligently following the protocol can have shorter episodes) 

• Use of alcohol or drugs can induce mania 

• An inevitable variance between individuals 

That said, some general trends can be observed:

• Episodes can range from hours in length to, in rare cases, years

• If symptoms become severe, hospitalization is sometimes suggested 

• Depressive episodes tend to last longer than manic episodes across the board

• In some cases, the cycling can be quite rapid  

What is Rapid Cycling?

Anywhere from 10 to 20 percent of people with bipolar disorder will experience rapid cycling. This means the time between episodes is brief enough that they can experience at least four cycles in any 12-month period. Rapid cycling is not automatically an ongoing issue and can be transient. However, it could also transition into “ultra-rapid cycling.” This occurs when an individual cycles through manic and depressive episodes in a very short time period. How short? Typically, it would be one month, but it could take place within a 24-hour window. At that point, we’re talking about a very fine line of difference between ultra-rapid cycling and a mixed episode.

What Does All This Mean For Someone With Bipolar Disorder?

It may sound disheartening not to get a straight answer on the length of episodes. But the sobering news above can be viewed as a positive motivation. It aims a person in a new direction. They can focus primarily on connecting with a compatible therapist and dedicating themselves to following the treatment plan. This has been shown to be incredibly helpful.

In addition, basic self-care is a powerful supplementary tool. Healthy habits can work to counterbalance some of the bipolar symptoms. It’s also important to have a trusted friend, spouse, or other family member to advocate for you in all medical settings. 

Remember that while your symptoms — and thus, the specifics of your episodes — are unique to you, this doesn’t mean you are alone. Connecting with a bipolar disorder support group can be a powerful source of support and solace. 

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