Typical Behavior or Bipolar Disorder Episode?

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Hi,

How’s it going? Hope all is well with you.

I got a very interesting email from someone that
said:

“I am wondering if anyone can help me
distinguish between a bipolar episode and
typical behavior?

Any advice and or suggestions would be
appreciated.”

I get this email a lot. I am actually
going to record a podcast about it
but in the meantime, I wanted to write
an email about it.

Now I will be the first to say, this is
a VERY complicated thing to explain
via email but I will try to do my best.

First let’s take a look at some of the
things that I have learned:

-People with bipolar disorder are allowed to have
emotions (anger, sadness, happiness, etc.)

-Everything isn’t bipolar disorder

-Some things are signs of a potential bipolar
episode and some things aren’t.

First I have found it takes time to figure out
what is bipolar and what is normal behavior.

The first step is to set a goal of trying to
figure out which is which. Some people, my dad
for many decades and currently my brother never
set this as a goal. As a result the struggled
to figure it out.

I set it as a goal about 3 months after my
mom was stable.

The second important point is to realize that
the longer you work on trying to figure this
out, the easier it is. So there is no instant
quick fix.

The next thing you do is when you have something
in question, you ask yourself:

What was the person like when you first met him/her
and how does this compare to what you are seeing
or hearing now.

How did the person act when you first met him/her and
how does this compare to what you are seeing or hearing
now.

How would you act in the situation you think may be
a sign of bipolar disorder.

In reference to the last point I just made, I remember
a few years ago when my brother’s wife’s brother
said something really stupid at Thanksgiving. He said
that people with bipolar disorder “have their wires
crossed.” He then went on to say other stupid
things.

My mom got mad but didn’t say anything at all. I was
SUPER MAD about it. I wanted to confront him but
my mom made me promise that I wouldn’t ruin Thanksgiving.

So after Thanksgiving, my mom got home and called her
sister (my aunt) to vent about it. My aunt called me
to ask if I thought my mom was going into another
episode and was this a sign.

I said no because a normal person without bipolar
disorder would have done the same thing. She agreed.
Make sense?

I remember this other time that someone cut
my mom off on the highway. And I guess the
person screamed at her as well and made
mean hand gestures. My mom told my dad and
myself about it and she was mad.

My dad asked if I thought she was going
into an episode. I then reminded him that
he gets mad at people if they don’t use
their blinker and he goes on and on and on
and on and on about it. My point to him
was, if you get cut off, screamed at, and
someone makes weird hand gestures at you,
it will probably make you mad. That’s normal.

Now if my mom had day after day of getting
into conflict or having these situations occur,
I might think that is an episode.

It’s really hard to write how I figure this all
out but I tried. I hope it makes sense.

In all my courses/systems, I talk about this at
length and go into it from a to z.

SUPPORTING AN ADULT WITH BIPOLAR DISORDER?
Visit:
http://www.bipolarsupporter.com/report11

SUPPORTING A CHILD/TEEN WITH BIPOLAR DISORDER?
Visit:
http://www.bipolarparenting.com

HAVE BIPOLAR DISORDER?
Visit:
http://www.survivebipolar.net

For me, after several years of supporting
my mom it’s rather easy for me to know
which is which these days.

But for my dad, it’s still difficult. I am not
sure why it’s so hard for him. Actually
I don’t think he really has made a commitment
to determine which is which. I think he just
figures he can ask me 🙂

Now another point. When people with bipolar
disorder go into episodes they may misperceive
what is going on and relay things that are not
true…otherwise known as lie.

Now if a person is normally honest but starts lying
then that means that probably is related to bipolar
disorder.

But on the flip side, if someone lies all the time,
then that’s their personality and is not bipolar
disorder.

The final thing you can consider is the bipolar
stability equation. If you look and see if all
the variables in the equation are okay and if
they are, and you are questioning a behavior,
it’s probably NOT related to bipolar disorder.

I hope this all make sense. I spent more than 1
hour trying to relay this in the best possible
way. I hope I didn’t confuse you.

I have to run.

Catch you tomorrow.

Your Friend,

Dave

P.S. Don’t forget to take a look through the
different programs I’ve put together… each one is designed
to help you with a different area of bipolar disorder whether
you have it or you are supporting someone with it.
You can see them all and get the details by visiting:
http://www.bipolarcentral.com/catalog.asp

P.P.S. Check out my F.ree blog with copies of emails
that I have sent in the past and lots of great
information for you:
http://www.bipolarcentral.com/supporterblog/

P.P.P.S Check out my F.ree podcast. Hear me give
mini seminars designed to teach you information
you can’t learn anywhere else.
http://bipolarcentral.libsyn.com

  1. Yes, great e-mail. Thank you for confirming that everyone gets angry and that our loved ones can be “Normal” also. Everyone around always thinks “Oh no, here we go again” every time my son gets angry. But, I usually can tell if he is just Angry or if he is going to have a Bipolar Fit. Thank you very much for all your information and support with this Disorder. It is a very hard one to deal with. Lisa

  2. You did great at explaining something difficult in simple terms.

    How do you get someone (28-year-old son living with us) to go to the doctor for diagnosis when they are opposed and don’t think they have a problem?

  3. Thanks David, for your time and advice.
    The person I know with the disorder, I only met about a year ago. She has had the disorder for about 6 years. At first I didn’t really believe that she was effected that much. Now there are so many things she does or says that don’t make sense to me.
    Your e-mails are letting me see things that I need to know if I want to understand. I’m not close a enough to really “help”, but if I understand you never know
    Thanks again’
    Don

  4. Yes, Great email! Because I am so well aware of myself, my moods, and my body, I can usually feel “something coming on”, like a cold, or a panic attack. But most of the time, an episode coming on for me is much more subtle. My mother knows me very well too, so if she is at all alarmed by something I say or do, she checks it out with me. Usually my reaction says it all. My mom and I have an agreement about her asking if I am OK, and about going to the hospital if she asks me to. Something my mom and I have also found helpful is for her to ask me when I am stable. If I have seen anything lately in myself that could be triggers and so on. I think these things work, because my mother and I have both moved on to the acceptance part of my diagnosis. We work together better this way. Kari

  5. I feel that someone who has a bipolar disorder keeps making the same mistakes over and over again. They think there is nothing wrong with them, it is everyone else that are mentaly unstable. They endanger themselves as well as family in order to get a wrong relationship started in the first place. A lot of this isn’t good as the decisions made are always questionable.

  6. Dear David:
    Loved today’s subject. It is so frustrating when I act or react just as a “normal” person would if provoked or angry, and get accused of being “sick again”.
    I appreciate so much the effort you take to write to “us” everyday.
    And I admire your devotion to your mom. I have unfortunately “lost” an adult son because of my illness, and I battle depression daily because of it. It’s a loss I can’t bear, and there’s nothing I can do about it. He’s not interested in learning about my illness. He only knows how it has affected him, and there’s nothing I can do about that now. I love him so much. Bipolar people love, too, just like everyone else…
    Hey, I tried to click on the link at the top of your page (bipolarcentral.com/catalog – or something like that), but I can’t read anything that came up because of blue writing from the left of the page that covered over the writing in the body of the page. Am I the only one who’s had this problem?
    Thank you, again. You are a good and compassionate person.
    Sue

  7. Hey, that would be a great addition to your emails! A trigger topic of the day to ponder or comment about!!!! 🙂 Just an idea that came flying at me out of nowhere. Sometimes good things come of BPD too. K

  8. Dave,
    I am struggling even though I feel like I should see the difference in my husbands bahaviors but what I don’t understand is why he still wants to drink even though he is on the proper meds now and is as stable as I’ve seen him in three years. But, drinking is the time when the worst of him comes out. We can’t go on if he is going to drink. He has PTSD and is bipolar. The Dr. has told me I should leave him because of his potential for violence against me. He hasn’t hurt me physically. But, I am an emotional wreck since trying to get him to go back into treatment since after we started our life together he decided he was not bipolar. For three years he has been in one long episode. But it was the drinking that made everyone afraid of him. He still thinks he can be social drinker. But that is an error in perception that hasn’t gone away even with all the counseling and meds. It may be a personality trait that just isn’t going to change. The only think that keeps me hopeful is that he was not drinking when we met and had not been drinking for two years. I just don’t get why it is so important to him. maryann

  9. Why are the line lenghths so short. I cut, paste and enlarge the font for a visually needs person and have to also lengthen the lines. Is there a quick fix to this? Thanks

  10. I have been saying this for a while to my faily who anytime I feel anything they think it is the bipolar. Is it really so hard to realize people will have normal human feelings about things?

  11. Thank you so much for all your information,it has helped me so much. I have been looking for 16 years for information to help me since I found out I am bipolar.

  12. The main way that a bipolar episode might be distinguished from typical behaviour, for my dad was when logical question was asked. When a manic phase was setting in, no amount of reason would dissuade him, which meant that expensive property would be purchased even though he had no money. My sister attempted to get control by power of Attorney, but when episode set in, he could also become very hostile to those who questionned him. As children, we just knew when he did not make very much sense. And we also knew that in a few weeks, both bills and reality would set in, which usually resulted in depression for him, and austerity for the rest of him.Frequently it was grand mother.who helped out with day to day expenses. Ann: are you enabling him to avoid getting treatment by allowing him to stay with you?

  13. Dear David:
    Loved your “column” today. Many times I have just been angry (legitimatly) or something and someone will ask, “Are you getting sick again?” Which, of course, makes you mad. Then you can’t win. The best thing to do is say nothing, unless you have someone to advocate for you.

    Your mom is very fortunate to have a son like you. And the work you do for all of us, sharing all of your knowledge with us, is so helpful and so appreciated. You are just a really good human being.

    I’m pretty stable. My main problem is that I’ve “lost” my adult son due to my illness (esp. what he saw growing up with me). There’s no way I can educate him about my illness; he’s sort of like Tom Cruise – he already knows it all. He doesn’t believe in meds or therapists or psychiatrists. His attitude is “to blame your behavior on your illness
    isn’t true; you can control your behavior if you want to and not use your illness as an excuse.” God, I hope he never becomes ill. If he becomes depressed or bipolar, he’ll never seek the help he needs. He certainly won’t listen to me.

    Oh, well. It’s a heartbreak, and I battle depression every day because of it. I love him. Even bipolar people love, and do lots of good things in spite of their illness. My cousin, who grew up with a bipolar mother, said “Unfortunately, it’s the bad times that stand out in our minds the most.” At the time of her death, none of her four children were speaking to her.

    Anyway, thanks for your selfless work.

    Love, Susan H

  14. Dear Sir,

    I think I am, but I’ve never been diagnosed. Is it posibble to be bipolar due to abuse as a child? I remember trying to kill my mothers kitten, I was filled with so much hate. When I have approached my mother about tings that happened as a child, she blanked it all out, and says, “Oh, I don’t remember that”, starts crying and says, “I didn’t Know you hate me so much”. I always say I love her because she’s my mother but I hate her. We can’t be together for longer than 5 minutes, without starting to fight. She is very disrespectful of me, and told me as a child I couldn’t do anything right. Is there somewhere I can get help for free, I don’t have good insurance, plus I would probably lose my job if they found out I was being treated for it? I have had trouble holding a job, laid off, fired, eliminated etc. I’m afraid to put in for financial aid, because if they refuse, and job finds out, I’ll lose my job too. Where can I go, what do I do?

  15. what if you are doubting your diagnosis of bipolar spectrum? i am expected to taker medication indefinately, and i do not feel I fully understand or accept this in fact is what I have. i have not found enough info that resonates with my experience of life.

  16. Great email today! Understand it ALL too well! I know that when I get angry or if something upsets me and I get depressed everyone thinks…”Oh God, we’re in for it again.” When actually it’s just something that would upset anyone.

    Moods are hard to gauge at times. Even being bipolar myself, it’s hard for me to gauge! So, I think that if people including me need to make that goal it’s going to take a heck of a lot of commitment and a heck of a lot of work. I just hope that there are people out there (like you are for your mom) to support me with it.

    Thanks so much for all the support you provide too!!

    Nancy

  17. Thank you Dave for all the good info you post for all of us. I am dating a woman in her 50s who suffers from minor episodes due to bipolar disorder. I really care about this woman and it helps to understand what she is going through. She has been accusing me of being unfaithful even though throughout the summer I was with her all our waking hours, and occasionally she spent the weekends at my place. At first I thought it was just an issue of insecurity, but now in her episodes she makes very strong accusations which do not make sense in the type of relationship we share. She says very hurtful things, but I try to take those ocmments in stride in light of her disorder. After an episode which can last 10 days we quietly discuss what was going on and she often does not recall having said the things she said so I don’t make an issue of that. Sam Avalos

  18. I’m bipolar and I can so relate to those mindless and ignorant comments. My family tends to let me think that I need more of my medication or less by saying “have you taken your meds today”. I take my meds everyday @ 6:30 AM. So I am made to feel that my emotions are not valid. I go to a support group every week and that helps me discern what is valid when I get confused. Thank God for support groups.raven P.

  19. Thanks Dave,

    My problem is I have known my daughter all her life and I find it hard to know if she is having an episode or if it is her personality. It seems she is never happy with anything I do, and now she has said that I am bipolar. (I took that one with a grain of salt.) I know part of my reactions towards her are her wearing me down.

  20. hi dave,
    great information. i slowly understand what bipolar disorder is. though it is not in my family, it helps a lot. i always share this information to my friends as a reference in any aspect most important on how to understand a person with bipolar and how to distinguished which is which.
    thank for sharing your great experience..

  21. Hey Dave,I have enjoyed reading your sight. I have a 7yr old daughter that is adhd and bipolar and it has been ruff and yes i can rlate to some of the things that you talk about. Yes you are right there are not many people or councliers out there that can help they all say oh they are spoiled they need to be punished they need time out,etc. intell they walk a mile in your shoes they will never know. and now i have a concern my 7 yr old has said why cant i be with jesus were there is no furstration instead of being here to get angery. the only thing i could think of was well he knows that you are special and that is why me and daddy have you cause you are special to us. you have any thing that i can do for this i think that i am going to purchas one of your books. thanks for emailing me.

  22. You’ve done it AGAIN, Dave! Thanks for exploring the difficulties in determining what is inherent personality response, and what is a bipolar mood response.

    Although I did cheat on my boyfriend earlier in our relationship, and lied terriby to cover it up, he blames it on the “illness.” Since we’ve been back together from Easter of this year til now, there is the “trust” issue between us. I have terminated my former boyfriend, and eliminated going to online dating, but he STILL goes into my emails and checks my voicemail for what he thinks are “suspcious” communications.

    I do NOT believe I was anywhere CLOSE to a bipolar episode when I cheated – I just needed more sex than my boyfriend was able to give me. That affair was physical ONLY; my relationship with my boyfriend is turning into something resembling “love,” which he says is far more important.

    I have since lied to him about a friendship I have with a former member of my Lithium group, whom he has met. This friend came over last Wednesday, and because my boyfriend is EXTREMELY jealous of any attention I show to ANY other man, I told him I was out with my best girlfriend. He ALMOST caught me in THAT lie.

    I KNOW why I lie to my boyfriend, now – it’s to spare his feelings and not elicit jealousy from him. We are now having a fairly consistent sex life, but he has a low libido and I have a high libido (a symptom of bipolar disorder). Though he has said, “I’m trying to change, because I don’t want to lose you,” he sometimes forgets and we go whole weekends without intimacy. It sometimes drives me “crazy;” I’m 59 years old, in VERY good shape for my age, and I keep myself “up” for him. It’s frustrating to say the least.

    When he learned that I had bipolar disorder, he did a LOT of research and investigation into it, and is constantly asking me if I’ve taken my meds, or “how do I feel.” He doesn’t do this often, but when he does, it BOTHERS me something FIERCE. I have consistently taken my new meds for 7 years, not skipping even when I could. I KNOW if I DON’T take my meds, I WILL go into a manic episode – I CANNOT afford to, either financially or spiritually, as I have both a high mortgage and condo fee, and I have a reputation to maintain in my community. It is VERY important to me to stay WELL…

    How DO you distinguish between “normal” and “bipolar” behavior? As a bipolar sufferer, I CAN’T answer that question, because we DON’T actually KNOW when we’ve segued into an episode. It is really up to our supporters (of which I have none, except my therapist and shrink), to notice the difference.

    BIG HUGS and God’s blessing on each and every one of the supporters and survivors this day.

  23. Dave, re: distinguishing what is a bipolar disorder and what isn’t. Let’s take your ‘getting mad about someone cutting in on you on the road’ scenario.
    I know when I’m not in an episode that I get angry but then I quickly calm down, I go back to feeling relaxed inside.
    When I’m in an episode, or one is about to come on, I just can’t relax, I continue to feel ‘knotted up’ inside my stomach, and my head literally feels ‘black’—bad thoughts race in. Then I know it’s time to do breathing exercises, yoga etc, make sure I get some good night’s sleep. If this fails, I go to the doctor!
    So, you carers need to constantly ask: How does your stomach feel? Are you having ‘black’ thoughts?

  24. When I met Marsha she was beautiful,kept a nice home,was outgoing,bought the best food,and was a young mother of two.Soon after we met I noticed her extreme desire for meth.When high she was very mean-spirited and could verbally tear you to shreds.When I returned from work each day I never new what to expect in her behavior.Sometimes [apparent]men drug dealers would be sitting on our couch and if I dare question what they were doing at our house,she would throw a fit and I normally was told to leave.In the last 9 years that we have been together I have counted at least 16 men she has slept with.I have literally turned into a shell of a man that can’t function normally or make any long-lasting decisions.She never says she is sorry and blames everything on me.She has put me in jail 17 times,called my bosses to get me fired,kept me from seeing my children from a previous marriage,vandalized my vehicles,told lies to my buddies that resulted in fist fights,etc.,etc.Trying to rationalize with her impossible as she interupts everything you say.It is as if she has her own version already made up and that is the way she wants to accept it.She stays in her apartment with covers on the windows,always keeping the doors locked and her two kids don’t dare sass back.Anyway I moved out two years ago bacause I could’nt stand it anymore;the problem is I love her but I am at a loss about what to do.Is this a bipolar case or is it meth abuse? Thanks,Ron

  25. Additional things I’ve noticed:

    Alcoholism -my sister even if she is on meds, use to self medicate herself with alcohol, or simply drink to not notice the mood instabilities. Or worse, tried to have drinks with friends just to have a good time and it would always get out of hand. She has been sober this time for 2 years now. Life long battle, and we all, including her, see how important it is for her to stay clean. We have a much better relationship, more open, more honest. And people are more inclined to help when someone is trying to help themselves. My sister says, if you keep trying to help someone, and they won’t even help themselves, then get away. You can’t do it for them. They have to want to be stable and clean. And when she wasn’t, there wasn’t anything anyone could say to change her mind. Patience, and a safe distance open door policy, and a lot of love are keys. A safe distance open door policy means, no matter how much you love them, don’t forget to protect yourself from the hurt.

  26. Safe Distance Open Door Policy -another thing that helps me is to remember when you’re dealing with someone who has bipolar -it is 2 people dealing with it. Yourself, and the diagnosed. So even when the diagnosed are doing abnormal behaviors, they’re dealing with it on their own level. I used to forget that, and think it was only myself affected and would be angry at them. Now I somewhat sypathise and level headedly look at the situation and ask myself first, what is this person going through right now? What might be causing this? And I talk to them. If they are in a state where that does no good, I get away, instead of fueling the fire by getting angry, scared, frustrated. My sister says she picks up on those negative emotions and it makes whatever she’s going through that much worse, because she really doesn’t want to hurt us, even if it seems like she does. So I try to make sure she’s in a safe environment (at home), and be firm and open with my decision not to help her at this time. She doesn’t like it, and she becomes very manipulative at times, so I tell her, you’re not getting what you want, can we talk about this together tomorrow? It usually works. IT’s still a tense situation, but I feel stronger for not caving in all the time.

  27. My daughter is 23, an addict, and is finally agreeing to go into treatment, after having no other options. I am getting her into a program in Califonia that treats dual disorders. She has been diagnosed bi polar several times but she says it is just the drugs. So I guess when we get her sober we can see. She is sweet, but has anger issues and makes disastrous choices and has lost custody of both children. The people she hangs out with are awful. ANy advice?

  28. Hey Dave, Commenting on “Typical Behavior…”. I have Bipolar, so thank you for clearing it up that we too can have a “normal” bad bay like eveyone else. Just because we have this disorder, now our bad moods seem to all be an episode…yeah right, they only wish it was that. Give me a break! I know they are hard to deal with not only for us, but for our families and loved ones and friends. And they only seem to be getting harde as they go.
    A quick question for you before i go, dave, how much longer before things ease up, do you think? I was clinically diagnosed back in, i think it was May of this year. But honestly, I think i’ve had this disease since at east middle school.

  29. Hi David
    You say that your mom’s mood is stable but, is she happy?
    Can she have a happy mood?
    My meds seem to make me dull or numb. It is have on a family when mom is just blank. So what i would like to know is are others stable and happy?

    Thanks
    Angela

  30. A few months ago my ex husband came to my house and assaulted me. As if that wasnt bad enough, after telling my son that I assaulted him, he then went to the police (different ones to those who came to my house on the day) and told them the same. They have now taken out a restraining order against me. His behaviour has got worse in the 5yrs since I left him, but this doesnt seem to worry the authorities, who are telling me to just forget about it and go away. I am taking it to court because I am worried about my safety, who knows what he will do next, and I’m fed up with letting it go. Louise.

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