Fentanyl, the leading cause of drug overdose deaths in Cuyahoga County, is in powdered and crack cocaine, meth and heroin. Any Drug May Contain Fentanyl. Free fentanyl test strips are also available. People with bipolar experience high and low moods—known as mania and depression—which differ from the typical ups-and-downs most people experience. The average age-of-onset is about 25, but it can occur in the teens, or more uncommonly, in childhood. The condition affects men and women equally, with about 2. If left untreated, bipolar disorder usually worsens. However, with a good treatment plan including psychotherapy, medications, a healthy lifestyle, a regular schedule and early identification of symptoms, many people live well with the condition. Symptoms and their severity can vary. A person with bipolar disorder may have distinct manic or depressed states but may also have extended periods—sometimes years—without symptoms. A person can also experience both extremes simultaneously or in rapid sequence. Severe bipolar episodes of mania or depression may include psychotic symptoms such as hallucinations or delusions. People with bipolar disorder who have psychotic symptoms can be wrongly diagnosed as having schizophrenia. To be diagnosed with bipolar disorder, a person must have experienced at least one episode of mania or hypomania. People with hypomania can often function well in social situations or at work. Some people with bipolar disorder will have episodes of mania or hypomania many times throughout their life; others may experience them only rarely. Moods can rapidly become more irritable, behavior more unpredictable and judgment more impaired. During periods of mania, people frequently behave impulsively, make reckless decisions and take unusual risks. Most of the time, people in manic states are unaware of the negative consequences of their actions. With bipolar disorder, suicide is an ever-present danger because some people become suicidal even in manic states. The lows of bipolar depression are often so debilitating that people may be unable to get out of bed. Typically, people experiencing a depressive episode have difficulty falling and staying asleep, while others sleep far more than usual. When people are depressed, even minor decisions such as what to eat for dinner can be overwhelming. They may become obsessed with feelings of loss, personal failure, guilt or helplessness; this negative thinking can lead to thoughts of suicide. Depression associated with bipolar disorder may be more difficult to treat and require a customized treatment plan. NAMI is the reference for information on this page. If you or a family member is experiencing a mental health or an alcohol or other drug-related emergency, seek immediate assistance by calling thehour Suicide Prevention, Mental Health Crisis, Information and Referral Hotline: , or the United Way's First Call for Help, or Please enable JavaScript in your browser for a better user experience. Jump to subpage Symptoms Symptoms and their severity can vary. Mania: To be diagnosed with bipolar disorder, a person must have experienced at least one episode of mania or hypomania. Depression: The lows of bipolar depression are often so debilitating that people may be unable to get out of bed.

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