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Windermere Medical Group

Does Bipolar Disorder Get Worse with Age? Understanding the Progression

Does Bipolar Disorder Get Worse with Age?
Bipolar disorder is an illness that affects mood and behaviors of patients. Its symptoms include extreme mood swings,, which may include manic or hypomanic episodes whereby a person feels extremely energetic or impulsive and depressed episodes when they feel sad or hopeless. These changes might alter the way daily activities or interpersonal relationships are done. There is a need, therefore, to understand how bipolar disorder might change as individuals grow older in order to address the illness appropriately for treatment and management.
This blog shall explain if bipolar disorder worsens with age and how best to manage it as people grow older.

1. What is Bipolar Disorder?

Bipolar disorder is a form of psychological disorder that refers to abnormal alterations of mood states. The variations of bipolar disorders are:
Bipolar I

This is characterized by manic episodes that last at least seven days or are of such duration that someone advances to being in need of hospitalization. Depressive episodes are also present and may last several weeks.

Bipolar II

This disorder has relatively less severe manic episodes that is also referred to as hypomania, without depressive episodes.

Cyclothymic Disorder

This category includes features that qualify the condition as having hypomania associated with depressive symptoms, but doesn’t mee any of the requirements for either mania or depression.

The basic symptoms include episodes of mania or hypomania and episodes of depression. These episodes cause disruption of the social relationships of many and difficulties in the ordinary activities of daily life. Young adults form the main age population diagnosed with bipolar disorder but it can be diagnosed at any age.

Can Bipolar Disorder Get Worse with Age?

Understanding Bipolar Progression

Bipolar disorder is a lifelong affliction. However, the way it progresses differs from one person to another. For some, it means fewer episodes over time; for others, their symptoms can intensify over a long period of time.. Bipolar disorder can still be managed well by people even as they reach an elderly age.

Impact of Aging on Bipolar Symptoms

As an individual struggling with bipolar disorder gets older, sometimes the pattern or even the severity of mood episodes may shift. For instance, some elderly persons might have long periods of consistent moods while others may have experienced mood swings more often or even to a more severe level. Other conditions that might predispose to mental illness, such as anxiety disorder or substance use disorder, can also increase an individual’s vulnerability with age and management of comorbid conditions assumes special importance in old age.

2. Factors That May Influence the Progression of Bipolar Disorder

Several factors determine the course that bipolar disorders may take with age:
Untreated bipolar disorder tends to worsen over time. Proper treatment with medication and therapy is important for managing symptoms. Those who do not stick to their treatment plan might experience more severe episodes.
Other illnesses that elderly patients may be suffering from include dementia and heart disease. These comorbidities may complicate the management of a patient with bipolar disorder. Mental and physical illness problems must therefore be dealt with in order to restore the patient.
Major life events like retirement or loss of a loved one are common triggers for increased stress, hence affecting mental health. Since stress is a very probable trigger for mood episodes in bipolar disorder, appropriate coping strategies become a must.
The elderly might forget to take medication or even change the intake level without consulting their physician. Failure to adhere to drugs and doctor’s advice may result in severe symptoms.

3. The Role of Early Diagnosis and Effective Management

Importance of Early Intervention

The sooner the diagnosis and treatment of bipolar disorder occur, the better the outcome. Early intervention helps prevent future worse symptoms and minimizes complications.

Therapeutic Approaches

Other therapies include CBT, which assists a person in changing his thoughts and behaviors during episodes of mood. Psychoeducation and support groups are also very helpful in terms of understanding the illness and the ability to connect with other people.

Medication Management

Mood stabilizers or antipsychotic medications are a prescription to control the condition. A regular check-up with your doctor is important to note if the medication is working well and change anything accordingly.

4. How Aging May Positively Impact Bipolar Disorder

Not all aspects of aging are negative for the individual with bipolar disorder. Some research suggests that manic episodes occur less frequently as individuals age. Moreover, with age, individuals develop coping and resilience mechanisms. They become more cognizant of themselves, noticing early signs of a mood swing and taking action before the problem escalates.

5. Tips for Managing Bipolar Disorder as You Age

In advanced decades, as with other areas, the management of the bipolar disorder finally comes down to the systematic management of the condition. This can be achieved through a sequence of actions:
Prioritize Routine Mental Health Care

Scheduling visits with a psychiatrist or therapist could possibly help in mitigating the symptoms and avoid relapses.

Adopt a Healthy Lifestyle

Proper diets, exercises and having enough sleep contributes in making an individual saner.

Support System

Building good relations with family members, friends and engaging in the support groups may assist on emotional levels and help in such occasions.

Keep Informed of Changes in Medication

There is a possibility that with age certain aspects of an individual’s body may change thereby affecting the individual’s response to the medications. Any alterations have to be done in consultation with a physician.

Conclusion

Bipolar disorder is a complex condition that can change over time. While symptoms can change with age, effective management is still very important. Treatment, lifestyle changes, and a good support system help people live well with bipolar disorder at any age.

Navigating bipolar disorder involves meeting and consulting a mental health professional for the development of proper personal care, a major factor in managing the condition properly for quality of life.

The team at Windermere Medical Group provides full mental care, including tailored treatment plans and ongoing support for bipolar disorder. We are committed to helping individuals at any stage of life to ensure they receive the care necessary to manage their mental health.

Frequently Asked Questions (FAQ)

Yes, the frequency or intensity of episodes may change with age, but it can often be managed well.
There is no direct link between bipolar disorder and dementia, although some older adults with bipolar disorder may experience cognitive changes.
It can, especially when the person develops other comorbid health conditions. With continuous treatment and support, elderly patients can be controlled effectively for bipolar disorder.
In some older adults, fewer manic episodes may occur with enhanced coping mechanisms, and thereby, the management of symptoms can also improve.