In bipolar I disorder, a person has experienced one or more manic episodes. In most cases of bipolar I, episodes of major depression are a central aspect of the overall course of the illness. In bipolar II disorder, hypomanic episodes have been experienced but not manic episodes. In addition, to be diagnosed with bipolar II disorder, a person needs to have also experienced a major depressive episode In fact, people with bipolar disorder have been found to be at high risk for developing a number of other mental health disorders. One such disorder that co-occurs with bipolar disorder at high rates is post-traumatic stress disorder (PTSD).
Bipolar Disorder and PTSD
A review published in 2017 concluded that up to 40% of people with bipolar disorder also meet criteria for PTSD. It is not entirely surprising that high rates of PTSD are found among people with bipolar disorder, as many people with bipolar also have a history of traumatic exposure. Traumatic exposure may be more likely to occur during a manic episode when a person with bipolar disorder is more likely to make risky or impulsive decisions. In addition to being a risk factor for the development of PTSD, traumatic exposure during childhood, such as childhood physical or sexual abuse, may also be risk factors for the development of bipolar disorder.
Impact of PTSD on Bipolar Disorder
Having PTSD along with bipolar disorder can have a major negative impact on your life. People with PTSD and bipolar disorder appear to have more problems across a number of different areas in their lives. For example, PTSD has been found to worsen the quality of life for people with bipolar disorder. A 2010 study found that patients with co-occurring bipolar disorder and PTSD experienced more rapid cycling periods and increased risk for suicide attempts. Finally, PTSD has also been found to be associated with greater levels of depression among people with bipolar disorder, according to a 2013 study. For more mental health resources, see our National Helpline Database.
How to Find Help
If you have PTSD and bipolar disorder, it is very important to take steps to manage both conditions. There are a number of healthy coping strategies for managing your symptoms as well as effective treatments for bipolar disorder and PTSD. Check websites to help you find treatment providers in your area who specialize in PTSD and/or bipolar disorder.
