Manic Episodes: Trademarks of Bipolar Disorder

By: Tanner Manwaring, DNP

4/12/2025

Living with bipolar disorder can feel like riding a rollercoaster without a seatbelt. One moment, you’re energized, creative, confident, and maybe even euphoric. But just as quickly, that emotional high can spiral into reckless decisions, racing thoughts, sleepless nights, or a sense that you’re completely out of control. Then comes the crash: a deep, lingering low where nothing feels possible, and every step feels heavy. This isn’t just a shift in mood; it’s a mental health condition that can affect every aspect of your life. But no matter how chaotic things may feel right now, there is a path back to balance. We’re here to help you down that path.

Serenity Mental Health Centers specializes in helping people navigate the complexities of bipolar disorder. With compassionate psychiatrists, evidence-based treatments, and advanced therapies like TMS, we provide care designed to help you take back your life. Whether you’ve been recently diagnosed or have been living with bipolar symptoms for years, our providers are here to help you understand your condition and treat it with precision and heart. We’ve helped thousands of people across the country find real relief, and we want to help you, too.

What is Bipolar Disorder?

Bipolar disorder is a mental health condition marked by extreme shifts in mood, energy, and behavior. These shifts typically alternate between two poles: mania (or hypomania) and depression. During a manic episode, a person might feel invincible, energized, or hyper productive. During a depressive episode, they might feel hopeless, unmotivated, or emotionally numb. The intensity of these episodes can vary, but for many, they are severe enough to interfere with work, relationships, and daily responsibilities.

Bipolar disorder symptoms can be difficult to detect at first, especially when periods of mania feel productive or even enjoyable. But over time, the instability in mood can lead to serious emotional, financial, social, and physical consequences. That’s why getting a proper diagnosis and seeking treatment early is so important. At a dedicated bipolar disorder clinic like Serenity, the goal is to help you understand your specific pattern of symptoms and build a treatment plan around your needs. This all begins with defining your specific condition.

Bipolar I vs Bipolar II

Understanding the difference between Bipolar I and Bipolar II can be confusing, but knowing where you fall on this spectrum is essential to finding the right form of bipolar disorder treatment.

Bipolar I disorder is defined by the presence of at least one full manic episode, which may or may not be followed by depressive episodes. These manic episodes are typically more severe and may involve hospitalization, psychosis, or dangerous behaviors. People with Bipolar I often swing more dramatically between high and low mood states.

Bipolar II disorder, on the other hand, involves at least one hypomanic episode and one major depressive episode. Hypomania is a less intense version of mania; it doesn’t typically lead to hospitalization or psychosis, but it still causes noticeable shifts in mood, behavior, and energy. People with Bipolar II often spend more time in the depressive phase, which is why the condition is sometimes harder to detect.

Both forms of bipolar disorder are serious, both can be debilitating, and both deserve real, sustained treatment. Whether you’re navigating Bipolar I or seeking TMS for bipolar II, Serenity’s psychiatrists will help you find clarity and stability.

What is Mania?

Mania is a state of elevated mood, often characterized by unusually high energy, inflated self-esteem, racing thoughts, impulsive behavior, and a reduced need for sleep. It’s not just “feeling good” or “having a lot of energy.” A manic episode can make it nearly impossible to think clearly, set boundaries, or make safe decisions.

Some common signs of a manic episode include:

  • Excessive talking or rapid speech
  • Jumping from one idea to another
  • Engaging in risky behavior (spending sprees, unsafe sex, impulsive travel)
  • Insomnia or dramatically reduced sleep
  • Irritability or aggression
  • Grandiose ideas or unrealistic beliefs about abilities
  • Difficulty concentrating

In severe cases, mania can lead to delusions or hallucinations. Many people in the middle of a manic episode don’t realize anything is wrong. This lack of insight can make it hard to seek help until the situation escalates.

At our bipolar disorder clinic, we recognize the urgency of treating mania and work to intervene before it becomes dangerous.

How Do Manic Episodes Start?

Manic episodes can be triggered by a number of factors, and they often develop gradually. Sometimes, there’s a clear external stressor like a life event, sleep disruption, or substance abuse. Other times, episodes emerge without any obvious cause.

Biologically, mania is believed to stem from irregularities in brain chemistry, especially involving dopamine, serotonin, and norepinephrine. These neurotransmitters influence mood, energy, and sleep cycles. When they fall out of balance, bipolar disorder symptoms can begin to surface.

Tracking your early warning signs (like reduced sleep, restlessness, or racing thoughts) can be a key part of managing your condition. Serenity’s bipolar psychiatrists will work with you to develop this kind of awareness and offer tools to keep episodes from spiraling.

How Can I Manage Mania?

Managing mania means addressing both the immediate symptoms and the underlying patterns that trigger them. The first step is building a relationship with a trusted psychiatrist who understands the nuances of bipolar disorder treatment. Together, you’ll create a plan that helps stabilize mood, reduce episode frequency, and prepare you for any setbacks.

Some tools for managing mania include:

  • Creating a consistent sleep schedule
  • Avoiding stimulants like caffeine or certain medications
  • Tracking mood changes with a journal or app
  • Having a support system that can identify early warning signs
  • Committing to treatment even when you're feeling “good”

At Serenity, we go beyond surface-level solutions. Our bipolar treatment center uses a combination of structured therapy, medication, and advanced neuromodulation to address the root of the disorder, rather than just the symptoms.

Medication Management

Medication is often a cornerstone of bipolar disorder treatment, especially for those experiencing frequent or intense manic episodes. Mood stabilizers, antipsychotics, and antidepressants are the most commonly prescribed medications. Each person’s brain chemistry is different, which is why we take a personalized approach to medication management.

Our psychiatrists for bipolar disorder monitor responses to medication closely. We track side effects, mood changes, and functional improvements to ensure the treatment is actually working for you. If something isn’t helping, we change course. You’ll never be left to figure it out on your own.

TMS for Bipolar Disorder

One of the most promising treatments for bipolar depression is Transcranial Magnetic Stimulation (TMS). TMS is a medication-free therapy that stimulates specific areas of the brain using magnetic pulses to regulate mood and improve emotional stability.

TMS is particularly helpful for patients with treatment-resistant bipolar depression, and it’s become a critical part of care at Serenity. Many of our patients turn to TMS for bipolar disorder after trying multiple medications without success.

TMS works by targeting the prefrontal cortex, a region involved in emotional regulation and executive function. Over time, this stimulation strengthens healthy neural pathways and quiets overactive regions associated with depressive symptoms. For those diagnosed with Bipolar II, TMS for bipolar II offers a chance to reduce depressive episodes without triggering mania.

If you’ve struggled with finding the right balance, TMS treatment for bipolar depression may be the missing piece. Our bipolar disorder clinic in Orlando offers state-of-the-art TMS technology and personalized protocols designed to deliver real, lasting relief.

How Serenity Can Help

When you walk through our doors, you’re not just getting access to treatment; you’re stepping into a place where people believe in your ability to heal. Our psychiatrists are more than prescribers; they’re partners in your journey. Whether you’re managing daily mood swings or navigating the highs and lows of full-blown episodes, our team will be with you every step of the way.

We don’t just treat bipolar disorder symptoms. We help you reclaim your confidence, rebuild relationships, and regain a sense of peace. We understand the science behind bipolar disorder, but we also understand the human experience that comes with it.

With specialized services like TMS for bipolar disorder, tailored medication management, and experienced bipolar psychiatrists who care deeply, our team at Serenity is ready to walk a path toward mental wellness with you.

Click or Call Today

If you’re living with bipolar disorder, you know it’s more than just a mood issue; it’s a mental health journey filled with real challenges and obstacles. But no matter where you are on that path, healing is possible. You don’t have to keep white-knuckling your way through manic episodes or hiding your bipolar disorder symptoms. There is help and there is hope.

Serenity Mental Health Centers is a leading bipolar disorder clinic offering personalized, science-backed solutions for patients who need more than quick fixes. Whether you’re looking for TMS treatment for bipolar depression, a trusted psychiatrist, or a compassionate team to stand with you, we’ll be here every step of the way. Click or call to book your appointment now!

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*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.