Understanding Manic Depression: A Guide to Bipolar Disorder
Living with manic depression can be challenging. By understanding this disorder, we increase awareness for individuals facing its impact.
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Updated on January 8, 2026 — Editorial Policy | Research Policy

If you or someone close to you feels the heavy weight of extreme mood swings. Those wild highs where energy explodes and ideas race nonstop, followed by crushing lows that make even getting out of bed feel impossible. We call this manic depression, but today doctors use the term bipolar disorder. You feel scared, confused, or even hopeless right now, and that’s okay.
Many people live full, happy lives with this condition. We’ll cover what it is, why it happens, signs to watch for, and depression treatment to feel better. You’re not alone, and real help waits for you.
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What Manic Depression Really Means Today
People often call it manic depression because of the dramatic swings between mania and depression, but clinicians now use bipolar disorder to describe the same condition more accurately and reduce stigma. This brain-based illness causes extreme shifts in mood, energy, and ability to function.
According to the National Institute of Mental Health, bipolar disorder involves episodes of mania or hypomania alternating with depression, often with periods of stability in between. Many individuals seeking clarity at this stage start group therapy, which helps guide accurate diagnosis and next steps.
In medical coding, doctors worldwide recognize manic depression icd 10 as F31 (Bipolar Affective Disorder). Specific codes break it down further—for example:
- F31.0 for current hypomanic episode
- F31.1 for manic episodes
- F31.3 for depressive episodes
- F31.9 when unspecified
The ICD 10 manic depressive disorder code F31 helps ensure consistent diagnosis and insurance coverage globally.
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Different Types of Bipolar Disorder
Bipolar shows up in a few ways. Doctors sort them like this:
- Bipolar I: You go through at least one full manic episode that lasts a week or more. It might need hospital care. Depression often follows, but it’s not always required for diagnosis.
- Bipolar II: You face hypomania (a milder high that feels good but causes trouble) plus major depression. Many call this 2bipolar because the highs don’t get as wild, but the lows hurt deeply.
- Cyclothymia: Mood swings happen often, some high and some low, but they stay milder. They last at least two years and disrupt life without full episodes.
- Rapid Cycling Manic Depression: You experience four or more episodes in one year. Shifts feel like a nonstop rollercoaster, and it makes everything harder.
No matter the type, you can manage it well with the right support.
Signs You Might Notice
Mood episodes build slowly or hit fast. Racing thoughts often signal the start – your mind jumps so quickly you can’t keep up. Let’s break down what happens in each phase.
During a Manic or Hypomanic Episode
You feel on top of the world, full of energy and big ideas. It seems great at first, but it leads to problems.
Common signs include:
- Feeling super happy, wired, or angry for days
- Talking fast and jumping from topic to topic
- Needing little sleep but still feeling energized
- Taking big risks, like spending too much money or driving recklessly
- Manic depression paranoia, where you feel people watch or plot against you
Understanding these symptoms early helps you reach out sooner for mental health treatment at We Level Up WA, which can prevent episodes from escalating.
During a Depressive Episode
The crash comes hard. Everything feels gray and heavy.
You might deal with:
- Deep sadness or emptiness that won’t lift
- No interest in hobbies or people you love
- Feeling tired all the time, even after rest
- Trouble focusing, remembering, or deciding simple things
- Changes in eating or sleeping too much or too little
- Thoughts of death or hurting yourself
Family members often spot these shifts first. They see you pull away or struggle.
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FREE 24/7 Dual Diagnosis Mental Health Services HotlineWhy Does This Happen to Good People?
No one chooses manic depression, and it’s not your fault. Several things play a role together.
Your genes matter a lot. If a close family member has bipolar disorder, your chances go up. Brain chemicals like serotonin and dopamine get out of balance too. Stress, trauma, lack of sleep, or substance use can trigger episodes.
The National Institute of Mental Health says bipolar often starts in the late teens or early 20s, but it can show up later.
How Manic Depression Touches Every Part of Life
These mood swings don’t stay in one corner. They affect work, friendships, and family. During highs, you might make promises you can’t keep or push people away with irritability. Lows make you withdraw, leaving loved ones worried and confused.
In tough cases, symptoms stop you from holding a job. Bipolar manic depression disability can qualify you for help like Social Security benefits if it impacts daily life a lot.

Real Ways to Feel Better: Your Treatment Plan
for bipolar disorder responds well to treatment. Most people find steady ground with a mix of tools. Your doctor builds a custom treatment plan just for you.
Medications That Help Balance Moods
Meds level things out so episodes happen less often.
Doctors often use:
- Mood stabilizers like lithium to prevent highs and lows
- Antipsychotics for mania or manic depression paranoia
- Antidepressants carefully, always with a stabilizer to avoid triggering mania
Finding the right combo takes time, but stick with it. Regular blood tests keep things safe.
Therapy That Builds Strength
Talking with a counselor changes everything. You learn skills to spot early signs and handle stress.
Great options include:
- Cognitive behavioral therapy (CBT) to change negative thoughts
- Family-focused therapy so loved ones understand and support you
- Interpersonal and social rhythm therapy to keep sleep and routines steady – this cuts episodes big time
Everyday Habits That Make a Big Difference
Small changes add up fast.
Try these:
- Stick to a sleep schedule – even one bad night can spark trouble
- Exercise regularly, eat healthy foods, and limit caffeine
- Avoid alcohol and drugs – they worsen swings
- Track moods in a journal or app to see patterns
- Build a strong support team of family members and friends
In severe moments, a short hospital stay or intensive program gives safety and quick stability.
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Good Books About Manic Depression to Read
Learning from others who walk this path brings comfort. These books share real stories and tips:
- Madness: A Bipolar Life by Marya Hornbacher – honest look at the ups and downs
- An Unquiet Mind by Kay Redfield Jamison – a doctor shares her own journey
- The Bipolar Disorder Survival Guide” by David J. Miklowitz – practical advice for daily life

Frequently Asked Questions (FAQs)
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Where in Spokane Valley, Washington, can you find treatment for manic depression?
We Level Up Washington in Spokane Valley offers comprehensive, compassionate bipolar care—evidence-based therapy, medication management, and holistic support tailored to you.
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Where near Coeur d’Alene or Post Falls can you find treatment for manic depression?
We Level Up Washington serves the entire Inland Northwest and welcomes clients from Idaho for residential or outpatient programs focused on lasting stability.
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What is the difference between manic depression and regular mood changes?
Everyone feels happy or sad sometimes, but manic depression brings extreme shifts that last days or weeks and disrupt life. Normal moods don’t need hospital care or cause big risks.
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Can kids or teens get manic depression?
Yes, it starts as early as childhood. Signs look like big energy bursts or deep sadness. Early help makes a huge difference.
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Does bipolar disorder ever go away completely?
It stays lifelong, but treatment keeps most people stable for long stretches. Many live full lives with few episodes.
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How can family members support someone with manic depression?
Listen without judgment, encourage treatment, learn the signs, and take care of yourself too. Family therapy helps everyone.
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Is rapid cycling manic depression harder to treat?
It feels more intense with frequent shifts, but the same tools often work well with closer doctor visits at first.
A Final Word of Hope
Manic depression brings real challenges, but it doesn’t have the final say in your story. With the right treatment plan, support from people who care, and small daily steps, you build a life full of joy, steady relationships, and real purpose. Thousands manage this every day and come out stronger.
Call We Level Up Washington at (509) 348-4077 today to get compassionate, specialized bipolar disorder care and start building the stability and peace you deserve.