Bipolar Disorder is a mental illness formerly called Manic Depression. Bipolar people alternate between episodes of mania, characterized by high energy, little sleep, elation, excessive or frantic activity, wild spending, promiscuity, heavy alcohol and drug use along with aggression, rage, hostility, menacing behavior, extreme irritability, wild rages and temper tantrums, and even crimes, at times even violent crimes, as we shall see below.
The other periods are the down periods characterized by Depression. You all know what that entails so I won’t go into details.
In between, the manic is typically fine or at least goes back to their premorbid personality, whatever that was like. It’s as if the illness has vanished altogether.
The episodes can may occur within a day or be up to three years apart.
If untreated, there is a tendency to worsen over time. This is because untreated mania actually causes physical damage to your brain. Every time you have a manic episode, your brain gets damaged. Then when you have another one, it’s gets more damaged, and on and on, accumulating over time.
Then the illness worsens. The manic episodes last longer and seem to worsen in quality. The time between episodes shortens. Finally, they reach the point where they are no longer normal between episodes and instead they are mildly manic or hypomanic between episodes.
In my family’s case, the person went from 5 to 3 to 1 1/2 to now where they come only 6 months apart. 9-10 months of mania, 6 months of hypomania, and then another 9-10 months of mania. So they are literally spending a majority of their existence now in major manic episodes.
The drugs used are mood stabilizers between episodes, which seem to calm them down and prevent new major episodes, and antipsychotics for a Major Manic Episode because they’re so nuts that that’s the only thing that will bring them down.
The Angry, Aggressive, Irritable, and Violent Manic
Although the stereotype is of the happy manic on top of the world, that may not be typical. I heard a psychiatrist speak once and she said that among her male Bipolar patients, there were about 10 angry, irritable, etc. manics for every happy one. The women may be more of the happy manics.
I’m living with one of these monsters right now, and it’s pure Hell. When he goes manic he’s basically Charles Manson. Pure evil. It’s like paranoid schizophrenia in the sense that they’re not just nuts, but they’re also aggressive and dangerous. They’re angry, hostile, hateful, abusive, aggressive, menacing, destructive, and even violent assholes from Hell.
And of course when they go manic, they lose all insight. If you confront them and tell them they’re having an episode, they flip out, scream and yell like a maniac, throw things, and get very menacing like they’re going to hit you. And they may indeed hit you.
In addition, because of stigma, there is often a lot of resistance to accepting the fact that they are ill. Our family member denied that he was ill for 38 years, from age 17 to age 55. Even now, in the midst of an episode, I guarantee he will deny being ill. That’s just how the illness works and also this person has one of the most extreme Denial defenses I’ve ever seen built up.
We have a family member with this illness and he has had many manic episodes over the years. Every time he has an episode, I’ve always been around. And every time, we got into at least one fist fight. Plus I usually get into a fistfight a year or so even when he’s not manic, except he’s never not manic.
When he’s not having an episode, he’s hypomanic, or a little bit manic. He’s literally been manic all the time, either hypomanic or manic, for ~15 years now. This is not a pleasant person to be around.
If you criticize, correct, or attempt to enforce any rules on them, you get met with a wild, screaming, violent tantrum and possible violence of some sort.
Angry, irritable manics are the literally worst human beings on Earth. When they go manic they turn into narcissistic psychopaths.
Of course in our case, his worthless therapist and psychiatrist won’t listen to me to up his meds. I contacted them and told them that he’d gone into a major manic episode, and they blew me off, said I was incapable of diagnosing mental illness, called me paranoid, denied that he was ill, and made me out to be the bad guy.
They’re so stupid and incompetent they can’t even figure out he’s nuts, and they refuse to believe me.
This is a typical scenario. The therapist has little or no understanding of the illness – I know the disorder far better than he does (very common) – which is typical. The psychiatrist does worthless telemedicine, so I guarantee she won’t be able to diagnose him. Plus I’m not allowed to talk to her due to some crazy misinterpretation of the HIPAA law that was passed recently.
If you have this diabolical illness, for God’s sake, accept your illness, and get on meds right now. And listen to your loved ones when we tell you you’re going nuts because you won’t be able to tell. The worst thing about these satanic illnesses is not just that they make people dangerously insane, but they blind the sufferer to that fact.
Manics are dangerous as Hell. They often commit crimes in episodes, and they are commonly arrested and jailed, often many times, typically at least once per episode.
They are also extremely aggressive and, yes, violent.
They have a very high rate of being arrested for violent crimes, like 22%. I’m surprised it’s that low. And they have a very high homicide rate, vastly above average.