Bipolar II is related to Bipolar I, but it differs in one major aspect. While Bipolar I has extreme manic and depressive states, Bipolar II has the deep depression, but never goes into full-blown mania. The highs of this type of bipolar disorder aren't quite as high, but they are high enough to make the individual notice the downswings more. This form of bipolar disorder can be just as trying on the individual as Bipolar I.
The highs of bipolar two are called a hypomanic manic episode. Hypomania is essentially a very revved up state of great productivity and quickness. When hypomanic, you talk fast, walk fast, think fast, pretty much do everything else fast. You become upbeat, enthusiastic, relentlessly optimistic and confident.
Major depressive episode is essentially just a fancy word for depression. When you have a major depressive episode, you're severely depressed. The symptoms are the same as they are for clinical depression. These symptoms are:
- Decreased interest in life.
- Feelings of sadness, tension, or irritability.
- Loss of energy.
- Change in appetite.
- Change in sleeping patterns.
- Feeling restless.
- Feeling slowed down.
- Decreased ability to make decisions.
- Lack of concentration.
- Feelings of worthlessness or guilt.
- Feelings of hopelessness.
- Thoughts of suicide or death.
The major depressive episode is the downside of Bipolar II in more ways than one. Not only is it the mood downswing, it's the cost of having such great productive ups. Although you can get a lot accomplished when in the up phase of Bipolar II and you can also feel wonderful, you pay a high price for these benefits. You pay with a major depressive episode. Coming down off of a glorious, ecstatic high into a place of hopelessness can be devastating.