When academy award winning actress Catherine Zeta-Jones announced that she suffered from Bipolar II Disorder and checked into a mental health facility for a brief stay in 2011, it made celebrity news.

People wondered. What is Bipolar Disorder and how does that differ from depression? This weekend on our show, guest Christian psychiatrist Dr. Michael Lyles helps us better understand.

The National Institute of Mental Health estimates that 5.7 million people struggle with Bipolar Disorder, a disorder characterized by extreme shifts in mood.  Formerly known as manic-depressive disorder, it is important to understand what triggers mood swings, how it’s treated, and how to plan ahead.

Bipolar I and Bipolar II are similar in that they both involve mood swings and depression. Bipolar II has milder periods of both elation and depression. This means people with Bipolar II (Hypomania) still swing in their moods but the episodes are less severe, last for shorter periods of time and don’t have delusions or hallucinations (this can be part of Bipolar I). Typically, the elation also doesn’t interfere with work and social functioning as is the case in Bipolar I.

What to look for regarding mania:

1. Fast and racing thoughts and speech
2. Grandiose beliefs and inappropriate social behavior
3. Elation, euphoria
4. Poor judgement and impulsivity including increased sexual desire
5. Irritability and lots of energy
6. Decreased need for sleep

What to look for in terms of hypomania:

1. Reckless behavior and risky pleasure seeking behavior
2. Decreased need for sleep
3. Elated mood and increased confidence
4. Feeling creative, energetic, and extremely focused on home or work projects

If you suspect you may be bipolar, get a physical exam from your doctor and report your symptoms. There is no physical test for bipolar disorder, but you may need a mood stabilizing medication and psychotherapy. Treatment focuses on stabilizing mood so the person can function well. Get the help that is available.

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What is bipolar disorder and how should the church respond?