There are four types of “episode” experienced by those afflicted with this specific disorder. These emotional episodes include mania, hypomania, depression and mixed episodes. Mania is essentially the opposite of depression. Those who are experiencing a manic episode will experience lasting bursts of energy, grandiose feelings, erratic and delusional behavior and even hallucinations in some circumstances. Those in the midst of a hypomanic episode will experience similar symptoms, though they will usually be less intense. They will require less sleep, appear more talkative and outgoing and engage in risk-taking behaviors. However, symptoms of psychosis will not be present. Those experiencing a depressive episode will sleep more, socialize less, and generally feel an extreme lack of motivation coupled by intense fatigue and disinterest. During mixed episodes, individuals will present a combination of manic and depressive symptoms.
These episodes are extremely emotionally and physically draining, and both manic episodes and depressive episodes have been known to spurn substance abuse. Because engaging in risk-taking behaviors is so common during manic episodes, engaging in excessive alcohol consumption and drug use is likely. Similarly, those suffering from overwhelming feelings of depression will abuse substances in attempts to numb out the crushing sadness. Therefore, in the vast majority of cases, untreated bipolar disorder does in fact precede addiction.