Bipolar Beat

Loved ones often wonder how long a manic episode can last if it remains untreated. Generally speaking, an episode can last several weeks to several months. A visitor to the Bipolar Blog posted a comment indicating that her husband was experiencing a manic episode that lasted eight months and was still ongoing.

20 Comments to
How Long Can a Manic Episode Last?

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  • I went through a period of hypo mania for 5 mos. I slept 2-3 hours a night & had so much energy & enthusiasm & felt so good. I had confidence & felt high self esteem (which is unusual for me). I actually felt like I had adrenaline rushes coursing through my body. It felt like a drug was tingling all my nerve-endings–hard to explain. I did not report it to my doctor as I did not realize it was so dangerous. I have bipolar 1 & had been stable for 5 years previous to this on a cocktail of 5 medications.

    SUDDENLY I crashed & did an overdose. My husband found me & took me to the ER. That was 2 1/2 years ago & I still haven’t recovered from the experience emotionally. I am so scared that I could do something like that. I had suicide attempts in the past (1st one at 15), but after my 1st child at 22 promised myself I would not do that as my mother committed suicide (she was bipolar also) & I knew how devastating that is on a child. So despite STRONG urges to do so over the years I have restrained myself until that episode 2 1/2 years ago.

    My daughter is 31 now & I am 54 so I was shocked that I had broken my vow after all these years. Since that overdose my doc has listed my dx as mixed–moderate & has been adjusting my meds & wants to add Seroquel to help me to sleep (sleeping a little better; maybe 4 sometimes 5 hours a night despite taking some sedating meds), but I am resisting taking more meds.

    I am also doing individual therapy & DBT (which is helping immensely). But is it possible to be in a mixed state for so long (2 1/2 YEARS)??

  • Hi Suzanne -
    The depressive episodes are typically much longer than the manic or hypomanic ones. And a mixed state by definition is a full depressive episode – so likely to last longer than mania.
    Hang in there – you are doing so much to help yourself – i think DBT is a terrific treatment option. And remember that it was not you who chose to break your promise not to hurt yourself – it was your illness. Try to be gentle on yourself – because you are doing battle with this might enemy – but you have been winning the war even though that battle was so overwhelming.

  • Thank you for your kind words. It means a lot to hear that breaking that important vow was not a result of my weakness of character. Sometimes I just wonder if I am doing all this to myself; am I somehow causing these feeling to occur through my negative thinking? Am I just following what my mother modeled for me (she committed suicide when I was 15) because I am too weak to break the patterns? All these thoughts swirl around after a relapse.

    Thanks for your response.

  • How does one measure whether the symptoms are severe, chronic, diabilitating?
    I know–If it is distressing and interfers with your job, school, or relationships.
    Well, what if you don’t have a job, go to school or have a relationship? Or, what if you do have them and you aren’t fired, kicked out of school, or your relationship doesn’t bail? What if you, yourself decide to quit all of the above? So, how do you know if you quit because of bipolar or because you are a lazy coward????

  • Hello,
    My sig other. Has been displaying classic signs of mania for the last 2 months. The thing is he also has end stage liver disease and was hospitalized in October for it and for his extreme mood swings. His liver specialist put him on Trazadone, because he said he couldn’t sleep and his pcp had him on gabapentin for pain. His liver specialist said he had hepatic encepalapathy and left it at that. But I am seeing all the signs of manic depression and they don’t fit with the first diagnosis. I have called 911 on him twice, the first was because he said the message light on our cable box was a camera and was taking pictures of what was going on in the house and he called his brother and said he was there dad and that he was going to get him because he stole money from the estate after their dad died (needless to say his brother also called the cops and got a restraining order), the second time was yesterday as he called his ex in Fl at 5 am and told her to call 911 for him. He wanted me to as well and when I finally did (after talking to his ex)he was furious with me but calm with the police and said I was the one who needed the help (I am bi-polar too but am pretty stable right now just slightly depressed from the stress of all this but I am getting help). I don’t know where to turn anymore and am afraid to leave him alone as I don’t know what he will do. He spends money like it is water and thinks he is God and that God sent him here to finish what Jesus didn’t get done. He also thinks he is John Lennon and Darwin. Can anyone give me info on what I can do. His sister just puts her head in the sand so to speak and his ex is trying to help but has her own family in Florida to take care of. What can I do? I am at my wits end and it seems like no one really listens.

  • Lisa – I know exactly what you mean – I have asked the same question. For me it amounts to this, “how on earth can I tell which parts of my life are real and which are fuelled by bipolar disorder?!” xx

  • My wife’s manic episodes are never that long, although it’s so hard to tell because she goes into mixed states, where she’s manic and depressed at the same time. They are hell on me. Those states can last for a couple of months. The true manic states, though, they burn out quickly for her… a couple of weeks at most.

  • My wife is severely bi polar and she also has HIV, if it matters I do not have either condition. We lived together in Argentina until I simply could not take the situation any longer. I feel terribly guilty for leaving however the situation was quite severe and I believe dangerous. I have been gone 3 months. She has been on different medications for at least 10 years mainly benzodiazapines also she took Zoloft for about 18 months. She self medicates has never followed her dosage guidelines in Argentina you can get these medications without a prescription. My Mother in Law is a psychologist and arranged for delivery of the medications with no prescription. My wife also stops taking her HIV medication often because she gets sick from them. I spent the last 3 years handling every domestic responsibility trying to get her to take the meds she needed and stop with those she did not. It did not work. I have tried to be supportive from a distance but now I am “intruding” on her life she seems to be on a manic episode drinking and some other things and is quite aggressive towards keeping me at a distance. She has never been on a structured treatment program. Just meds. I Love my wife do not want to divorce I know she Loves me but seems to be avoiding anything that is emotional right now. This is so hard I am worried deeply for her. What can I should I do?

  • Hi all,
    Huge Sigh :/ Please Bare with me. Hard Times!

    my husband and I have been together for nearly 7 years. For the most part, it’s been h*ll. (and yes, I feel guilty for saying it).
    Husband has been suffering with emotional issues from childhood. He began consuming himself in Alcohol at an early age.
    Moving on:
    After nearing divorce and talking to his mother he decided to go for help, 3 years ago. Diagnosis~Bi polar manic. He was put on Zoloft which turned him into an even bigger Angry Monster. Currently on lamictal since August. I began to recognize the onset of a Manic/Mean Phase in September. Unforntunately, I recall the specific day-Sept 21.
    He got physical and I sent him packing. Well, actually I packed his things for him~all the while, feeling numb.”this isn’t right, I love him but he’s mean, cruel, he can’t help it, etc…”
    After a week he came to me apologizing/cring and said things would be different-he moved back in.
    I *think* this affects him more than myself.
    Each episode worsens slightly. This is by far the worst yet :/ In his eyes, I can not do or say anything RIGHT… SO CONFRONTATIONAL :/ !! lose – lose situation. I won’t discount how he must feel. As much as I love him I am not sure I can hang on much longer :/
    There’s so much more: the first 5 years of our relationship he led what I refer to as a double life.
    We began going to church regularly in 2004/2005,had a son in 2006, all the while husband was watching porn on internet, calling sex lines from cell,joined an online dating site, frequenting a Peep show where the girls strip and the man does “you know what to himself”. sorry (tmi)
    How I found out: he went through $5,000.00 cash in a week and had absolutely nothing to show for it and a female called his cell! Initially he contacted her “phone sex” sorry again, tmi.
    All the while, *WE* were taking Ministry classes at church.
    Enough for now- I feel nausea

    *L* in Ohio

  • I have been with my bipolar bf for almost five years now. He is 34. It seems in the past six months things have become much much worse. He wont take his meds, he changes the dosages all the time. Then when I ask him about it, he lies. He is manic right now, and has been for about two weeks. He just got kicked out of his nursing program and is convinced that it was the ‘schools’ fault for his failing, NOT his fault. He rarely accepts blame for anything that he does, or says.

    Right now, I dont want to come home and listen to him. He is like a broken record, repeating the same story line over and over and over. His school is monitoring his cell phone, his lap top, his credit cards and bank statements, etc. He believes that the ‘school’ is doing this because he is from another country and is believed to be a dangerous person. I cant decide anymore if he is dangerous or what this all means?

    I dont even want to take him out in public or around my friends anymore because all he does is talk about these conspiracy theories. And, not to be rude, but it is a real buzz kill, out at a bar or a party, and he starts telling people how the FBI and his college and monitoring his every move and are out to get him.

    Last year, his obessesion was that his work (which he now has quit and doesnt work at all) was drugging him and were monitoring him.

    This last episode scenario is, that now he has included me into it, and I now am ‘employed’ and are an ‘informer’ for his college and we are together as a ‘set up’ so I can feed information to them about him.

    He doesnt talk about anything else now. He is on lithium, buspar, depakote or some other anxiety pills (dont know the names)?? I dont feel that his meds are effective since he is in, in my unprofessional opinion, full blown bipolar.

    I came to this website looking for answers. I cant seem to find alot of answers. Is he going to recover from this last episode? Or has my bf gone into bipolar land is will never return to me? Will he get violent? Will he ever be able to work at a job? I am very scared about our future together and if I can handle this much longer. I love him, and I want to support him but I am not his caregiver nor am I responsible for his failures and hardships. His blame is too much for me to handle, it hurts me deeply and stresses me out so badly. Sometimes I think I have become a depressed person just because I have to deal with his bipolar 365/24/7. Its exhausting.

    I need answers and I dont know where to get them. I cant afford a shrink, even though now I feel I need one myself.

    Does he even know that he is being crazy? Does he even care? Is he capable of being anything other than full blown bipolar?

  • I just sat here reading all of these post. I am just overwhelmed with the simularaties to my 18 year old daughter. I have felt everything everyone here is feeling about caring for a BP person. We have been dealing with this for over 5 1/2 years. My husband is about to throw in the towel.

    We are blamed for everything. She never takes ownership of any of her actions. She is extremely intelligent but has no common sense. She has mixed severe episodes for an extended period of time. We would almost prefer the mania episodes where she is violent over the back and forth so much. That is aweful to say but at least we know what she is going to do and it ends pretty fast.

    I am emotionally drained and she has no idea why. I am told I am grouchy and can never understand what she is going through. We are told constantly that we do not love her and we would be better off if she was not around. She uses this to get what she wants. The other one we have noticed lately, if we ask her to do chores (which she hates) she will start crying and saying we are so mean. It is really hard to tell if it is BP or if she is just trying to get out of things.

    I tell myself daily God only gives me what I can handle. She is a great person and I love her greatly, I am just ready for some peace.

    I am greatful for everyone writing on her because it helped me to see we are not alone.

    Thank you and have a great holiday season. This can be a very trying time for all of us.

  • my husband is on seraquel for bipolar. i feel he is experiencing an episode. he thinks im plotting with his family against him. keep in mind i havent even spoken to them prior to seeing them a couple days ago. i feels the ppl at church were mean to him and owe him an apology. i attend every weekend with him and have never witnessed any rudeness.he compares anything anyone says to his life and i must have told them. how long can this go on, since medicated for a couple months now its been great. what caused this outburst.

  • My 27 yr old son is having a manic episode that is now going on 1 month. This time around he is not taking any medication, and worst, he’s fueling this condition by using steroid, recreational drugs and alcohol. He has cut-off communication with the family (in fear of being Baker Acted). I am very worried about his condition since he is already showing some signs of hallucinations. How long can this go on? What can I do to get him to a hospital. I am desperate.

  • my problem is slightly same as Lora.
    me and my bf are both medical students, he hd been studied in Ireland and I am studying in India now.
    he was warded from May this year till now , in Ireland St.Vincent Hospital
    We are both under Malaysia GovernmentScholarship
    because of his illness the scholarship is terminated

    I don’t want to give up on him.
    My question is will he able to continue his study to become a future doctor , i know this is awkward but i know this is his dream since young..

    another question is how am i going to face him , how do i suppose to communicate with him cause i really don’t want to make his condition worsen even though i know i should not blame myself somehow

    i think i hd overstress myself because of this , hope to get help desperately..

    thx a lots

  • My daughter left home seven months ago. She calls regularly and I can tell she is manic. She stopped taking her meds when she left. Will she come to some type of realization that she needs help and get back on her medication, or will she continue to live this life thinking she is happy and all is well with the world when it isn’t.
    She needs to come home and get help.

  • HI my daughter is 35 she has been smoking pot very heavy and taking her sons dex pills he has for adhd she has threatened all her family sees spirits i managed to get her into a mental health hospital she stayed there 4 days and they let her home un medicated i picked her up from the hospital and she was abusing me and spitting in my face for putting her in htere she is minipultaing her 17 year old son aainst all his family i really need some advice can anyone please help i dont know where to turn for help

  • My name is Siouxzen and I am a rapid-cycling bipolar with mixed episodes. First, my heart goes out to all of you who are confused and suffering because of a loved one’s mental illness. Always keep in mind that whatever suffering you have- it is multiplied 1,000 times over by the bipolar person. I am currently in a manic episode, but I am aware that I am. Those of you who have stated things such as- “loved one thinks conspiracy plot is going on, thinks he is God, thinks there is a camera in the house recording his every move, etc.” these are symptoms of psychosis. These bipolars need to be put on some type of anti-psychotic medication asap. (Psychotic episodes can occur in a bipolar mania and it does not mean the person is schizophrenic, but this should be ruled out by a competent pyschiatrist- although getting the person to see one or take the medication can be a whole other problem in itself). My current episode (although I am on the mood stabilizer lamictal) was kicked off from several factors- severe stress from the holidays (Xmas is the worst, my father commited suicide when I was 15- 30 years ago-he was an alcoholic and undiagnosed bipolar). I also am an alcoholic and have self-medicated my illness for years (did not get properly diagnosed until age 48- I am now 54)I am currently sober, but because I could not handle the stress of the holidays I started drinking heavily. This caused me to have a spike in my blood pressure and my heart was beating so hard I felt it would beat right out of my chest. This went on for a month straight (the heart and drinking) and I was give a blood pressure medication- atenolol- which is a beta-blocker). I was unaware, and apparently so is my doctor, that beta-blockers can cause pyschiatric symptoms. My symptoms started off with severe insomnia, a compulsion to drink to quell extreme anxiety, two major panic attacks where I almost had what is called a “pyschotic break” where the person is so stressed out that literally the mind can’t handle it and breaks from reality. Luckily, it didn’t come to that, but I went into the grocery store to buy food for Xmas, and had a panic attack where I suddenly felt 3 feet tall. Then I looked at my hands and they looked huge and very old to me and not my hands. Next I felt myself floating out of my body. I knew what was happening because it had happened to me before (the first time is the worst!) and ran out of the store, leaving my purse and coat in my grocery cart until a man ran to get me to tell me I left my things behind and it snapped me back into reality where I could get the cart and run to cash out and run to my car and rush back to the “safety” of my home. The blood pressure medicine also caused me to have horrific nightmares that increased in severity each day that I continued this medication. The lack of sleep (VERY triggering for bipolars to end up manic) and the severe stress (another trigger) caused me to go manic. The first sign for me is dilation of my pupils and my eyes seem to be hyper-focused, almost like they are bugging out of my head. The other sign is rapid speech, non-stop talking and pressure to do many things all at once. The worst for me is racing thoughts. I slept (after finally stopping that bp med yesterday, pretty well for about 5 hours last night out of sheer exhaustion of little sleep for last 2-3 weeks. I woke up like a shot with racing thoughts going through my head at the speed of light. Anything and everything from envisioning cavemen, atomic bombs, mathmatical equations (I hate math), to brightly colored flowers by streams, to flashes of evil faces- you name it. The pain from these racing thoughts cannot be described. It is as if your brain is going to blow up and you have all your energy to contain it (if you are lucky enough to actually realize what is happening). So I laid in bed for an hour trying to stop these thoughts, but I couldn’t. I said to myself that I know what they are and I will just have to tolerate them. It was at that point that my eyes just started welling up with tears and just streamed down my face. I was so angry and exhausted that I was cursed with such a terrible mental illness. I started to sob a little and this woke my husband up and he touched my face and felt it was wet (it was still dark out) and he hugged me and said it would be alright. No, it will not be alright. Maybe temporarily, but I will always have this illness. There will always be times that medication won’t control it. I have gone bankrupt twice for compulsive overspending while manic, and have done countless other crazy things. This was before I was diagnosed. The saddest part is that when I am not manic, I am usually in a constant state of low-grade depression (I have not had a full-blown depressive episode since being on lamictal.) I would say that I am actually “happy and normal” several days out of any given year. Pathetic. All I can do is keep trying. I would suggest Zyprexa (an anti-pyschotic) to snap someone out of a manic episode. There are also heavy-duty sedatives that can be given if hospitalized. I for one am very sensitive to medications (hence, my reaction to a blood pressure medication, of all things, but all medication has to be considered as a culprit in triggering mania, unless proven otherwise. Anything that causes insomnia for a period of just one week can trigger mania.)so I cannot take a lot of medications other bipolars can tolerate. I cannot tolerate any anti-depressants or anti-pyschotics. While manic I eat very little, which doesn’t help blood sugar levels which can also cause problems. I just thought I should write something on here to give you all the viewpoint from a bipolar person. It is literally a cross to bear and can be hell on earth. On behalf of my fellow bipolars, please believe we love you and recognize we are very lucky to have people trying to help us, understand our illness and stand by us. It is very important to us. More than you will ever know. Good luck to you all.

  • Hi everyone. Wow those are all quite the stories, and my heart goes out to each one of you with a loved one or that is experiening Bi-Polar disorder. I am Dxed with the disorder for going on 15 years now. I have a Masters degree and work in the field of mental health now 10 years. I am 42 years old and have a 17 year old daughter just accepted into a great state univeristy. I have been married three times, and currently married now seven years, been together 10.

    I still have reoccuring manic, then depressive episodes. Like in many of the accounts above, I get abusive, condesending, aggressive, threatening, and annoying on the way down from my mania, but on the way up, I’m funny, amusing, life of the party, hard working, intense, loyal, imaginitive, etc, etc.

    As you can tell the mania part is very intoxicating, and can be addictive. It also can be depended on. Employers love it. People of the opposite sex are attractied to it at first. It can be a very useful attribute, becaue it is enhancing so many of your charatersitics.

    However the down side, is simply horrible. Massive depressive episodes that can consume lives and loved ones.

    Although I have stayed married, and employed, that does mean there has not been major problems. I have had an affair, forced my loyal wife into her own depression at times, emotionally hurt my daughter and my wife, confused them, and berated them, etc. etc.

    I also am on Lemtictal, but stopped takiing it once again, because like so many bi-polars out there I am addicted to the mania, and I feel once it is under control, and my moods are “boring”, I can manage without the meds. I get tricked everytime by my own brain lusting after the manic feeling again.

    This is where all of you can help. The meds need to be taken daily. They can take months to build up in the system. And a bi-poler needs to be on the meds for life.

    I am again losing my wife due to my verbal abuse, and I deserve it. I should never have stopped taking my meds. My actions, although I am sick, are my own, and not the fault of my loved ones. I take full responsibliliy for my actions.

    Of course I ackowledge my disorder, and use CBT to talk myself down. This is another trick you can learn to help your loved ones or yourself. Cogntive bx therapy is an evidenced based tool to help use logic to self talk the brain into realizations that thier own thoughts are the ones that are problematic…and that new patterns of bx need to be employed to help in normalcy development.

    I also have limited my consumption of drugs or alcohol. This is another plus.

    If you cannot take anymore of the abuse. No one will fault you for leaving. The disease is like no other. You cannot help them if you are isolating yourself in fear. Leave the situation, and help when and where you can.

    I am telling you this, as one who has driven many relationships under because of my actions. I hate being left, and it has happened so very often, and again it will soon happen (part of my dillusion is that I am being left, so I sabatage a realtionship so I am not the one being hurt, but then I am the one that pushes them out with by Bx and vebal slams).

    I hope this has helped even just for the little bit of time you read it.

    We all have our lot in life. Where will yours take you?

    Take care all of you…

  • Im 20 engaged i have bi polar myself an so does my fiance. These last few weeks she had been manic like ive never seen. She hasnt been home in three weeks. She was almost completely ignoring me until i confronted her about everything. She is going out of her way now to tell me she does want to be with me we just have to make it through this and that she is trying to protect me and in the end all she wants is to be with me. Im trying to be as pacient as i can but sometimes my mind gets the better of me. I know she is truthful in saying what she saying but she has become completely obsessed with her job to the point where she has put everything she really loves and cares about to the side. Im completely unsure what to do in this situation. Do i continue to be patient or put my foot down and say enough is enough. It putting me through turmoil everyday and she thinks that we are perfectly fine. Life goes on i know regardless i understand that but at what point am i wasting my time? i understand how she feels i have been there im bipolar myself but i have overcome many obstacles in my life she has never had to face. Do i make her face them? I am so good with advice usually with things like this but it is different when you yourself are in the situation.

  • i have a quetion and comments, I was in a relationship with someone who was absolutly amazing, she really opend up to me about her having bipolar she also has ptsd. and hpv. her emotions were strong with me she really loved me she was extremely affectionate with me , she told me she was treated bad by her xs and that i was the sweetest and nicest boyfriend she ever had, she actually cried in my arms and said im really happy with you i dont want you to leave me and ihope you can except me for my disabilities i said i dont judge people you have been amazing to me and you have giving me no reason to not want to leave you, i told her i fell in love with her, she was really happy about it, always comming over to my house cuddling with me laughing having a good time, but she not on medications she refuses to take any meds, i have seen her act a bit strange she would black out for like a minut space out she may cry for a minut then she would snap out of it start laughing enjoy talking to me then say sorry that happend, but then just out of nowhere she tells me shes messed up in the head she wants to blow her brains out and she said she cant be with me no more she said friends for now im not burning the bridge, i knew this was the begining of her bipolar manic episode i tried to be supportive, to be there for her to help out but it was like talking to a brick wall, but before all that she was very open talkative honest she would talk about her feelings and everything, but when that day came she told me she cant be with me no more she completly shut me out she blocked me from my phone she changed her number she blocked my emails blocked my facebook as if i dont exist. strange this is last thing she told me a few days after she told me she couldnt be with me she said to please wait for me. she got extremly paranoid. i absolutly love this woman i really care about her what she did really hurt me and now i dont know what to do to help her out to get her to understand, she wont listen to me. i know a woman that shows so much care and love and then just drops you like nothing isnt normal and just shuts you out of your life. she takes axanax and klonopine but no meds for her bipolar disorder to help keep her balenced, she drinks beer alot to self medicate and i know thats making it worse and she doesnt understand that. but i do know deep down she has a big heart very sweet, but its been 3 months now and no word from her. how long does this episode last, will someone with an episode snap out of it and realize omg what in the world just happend? is this true? i have an uncle who also has bipolar and is ptsd, he was in relationship for about a year and half i think, both in love things were going great, then just out of the blue he told her to leave just for no reason told her to get the hell out, she cried, she left, but she called him texted him tried to be there for him but he just wouldnt respond back, but 5 months later he snapped out of it a suppose and he calls her like nothing happend and asked her to come back she said no after all the times i called you texted you wrote you letters you would not respond and now you are, im not comming back i cant trust you cause you may do it again and have another episode.. well im willing to take my x back because i understand bipolar, but what im not understanding is can bipolar trigger someones mind to just litarly walk out of your life for absolutly no reason.i sometimes think the person is immature cold hearted but in the real situation its just the bipolar disorder, she does live with her parents shes 24 and her parents are not doing anything to help her out at all and i cant go to her house i cant just go sit with her and talk to her about it try to help, what are my options to wait let her snap out of this manic episode????? what i just described above is this really bipolar disorder????

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