Bipolar Disorder Symptoms Bipolar Disorder Symptoms in Women By Wendy Wisner Wendy Wisner Wendy Wisner is a health and parenting writer, lactation consultant (IBCLC), and mom to two awesome sons. Learn about our editorial process Published on April 28, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Akeem Marsh, MD Medically reviewed by Akeem Marsh, MD LinkedIn Twitter Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities. Learn about our Medical Review Board Print PonyWang / Getty Images Table of Contents View All Table of Contents What Is Bipolar Disorder? How Bipolar Disorder Is Different For Women How Are Bipolar Disorder Symptoms Different in Women? Bipolar Disorder Treatments in Women Bipolar disorder is a serious mental health condition characterized by intense mood swings. While it’s experienced in similar ways for both men and women, there are some distinct differences when it comes to symptoms. Let’s take a look at the unique ways that bipolar disorder affects women. Are There Different Types of Bipolar Disorder? What Is Bipolar Disorder? Bipolar disorder—sometimes referred to as manic depression—causes profound mood swings. People with the disorder usually swing between manic episodes and depressive episodes, though some people experience mixed episodes of both mania and depression. These mood swings can cause changes in behavior, and a decreased ability to cope with life, and can impact interpersonal relationships. Bipolar disorder can also cause a person to make irrational decisions and exhibit impetuous behavior. The depressive phase of bipolar disorder puts a person at increased risk of suicide. The precise causes of bipolar disorder are unknown and may vary from person to person. Genetics may be at play, brain, and chemical differences may also be a factor, and environmental triggers may contribute. Why Did Manic Depression Become Bipolar Disorder? How Bipolar Disorder Is Different For Women Bipolar disorder affects between 3.7% to 6.4% of the population, but it seems to affect men and women in equal amounts. However, the way that it affects women has some specific characteristics: Women are more likely to experience bipolar II (which is predominated by hypomania) than men Women are more likely to have episodes of mixed mania and rapid cycling than men Women are more prone to serious depression associated with bipolar disorder than men There may be a seasonal pattern for women, with women experiencing more bipolar episodes in the fall and winter Women are more likely to begin experiencing bipolar disorder symptoms at later ages than men An Overview of Bipolar Cycles How Are Bipolar Disorder Symptoms Different in Women? Just as it is for men, bipolar disorder for women is characterized by severe mood swings, including periods of mania (heightened mood) and depression. However, women are more likely to experience hypomania than men, which means that their experience of mania may be less pronounced and obvious to others. Hypomania is a more high-functioning form of mania, and has symptoms such as: Feeling “high” and full of energyFeeling like you don’t need to sleepHaving racing thoughts and making impulsive decisionsHypomanic episodes last fewer days than manic episodesAlthough the feelings are intense, they don’t usually impact your ability to functionHypomania doesn’t usually result in hospitalization Women who experience bipolar disorder are more likely to experience “mixed” episodes that have aspects of both mania/hypomania and depression. They are also more likely to experience “rapid cycling,” which means having four or more different episodes in one year. Women Are At a High Risk of Depressive Episodes & Suicide Perhaps the most concerning aspect of bipolar disorder symptoms in women is the fact that depressive episodes of bipolar disorder are more prominent in women than in men. Depressive episodes often dominate over manic episodes in women. In fact, women with bipolar disorder are often misdiagnosed as having major depression. Both mania and depression have risks, but the depressive episodes of bipolar disorder put people at high risk of suicide. Indeed, women with bipolar disorder are more likely to attempt suicide or die by suicide than men with bipolar disorder. This is one of many reasons why bipolar disorder needs to be taken seriously in women and needs to be properly diagnosed. If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. The Reproductive Cycle Impacts Symptoms The hormones associated with women’s reproductive cycles don’t cause bipolar disorder, but they can exacerbate symptoms. For example: Symptoms of bipolar disorder may intensify during PMS, perimenopause, and menopause Depression during PMS is experienced by about one-quarter of women who have bipolar disorder Pregnancy and childbirth may also exacerbate symptoms, with postpartum women experiencing higher rates of bipolar disorder onset or relapse Women with bipolar disorder are at higher risk of postpartum psychosis, a rare, but serious postpartum mood disorder characterized by mania and potential harm to one’s baby or one’s self Comorbidities There are certain comorbidities that are more common in women than men when it comes to bipolar disorder. For example, women with bipolar disorder are more likely to experience: Borderline personality disorderEating disorders, such as bulimiaThyroid conditionsMedication-induced obesityMigraines Coping With a Hypomanic or Manic Episode Bipolar Disorder Treatments in Women Bipolar disorder is serious, but it can be treated. With treatment, there is hope for living a full and healthy life. The treatments used to treat bipolar disorder are similar for both men and women, and usually involve a combination of therapy, medication, and lifestyle changes. Bipolar disorder is frequently misdiagnosed, and women are more likely to receive a diagnosis of depression before they are properly diagnosed with bipolar disorder. So it’s important to seek further evaluations if your symptoms involve symptoms of both mania and depression and you don’t seem to be getting better with traditional treatment for depression. Treatment for bipolar disorder in women is often complicated by the fact that women may spend time pregnant or lactating, and medications commonly prescribed for bipolar disorder may be contraindicated. Not only that, but pregnancy and postpartum can exacerbate bipolar symptoms. That’s why it’s important to work with a medical provider who understands the necessity for you to be properly treated, even during pregnancy and lactation, and to work with you to make a risk/benefit analysis when it comes to prescribing medications to treat your symptoms. Am I Bipolar or Depressed? A Word From Verywell Women experience bipolar disorder just as frequently as men, but because some of their symptoms may be more subtle, and because they are more likely to experience depression than mania, it can be more difficult for women to get a proper diagnosis. If you are a woman experiencing symptoms of bipolar disorder, it can be helpful to understand the distinctive ways that symptoms may present, so that you can seek the proper diagnosis and care that you need and deserve. Quiz for Bipolar Hypomania Episodes 5 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Library of Medicine. Bipolar Disorder. Sit D. Women and bipolar disorder across the life span. Journal of the American Medical Women’s Association. 2004;59(2):91-100. Parial S. Bipolar disorder in women. Indian Journal of Psychiatry. 2015;57(Suppl 2):S252-S263. doi:10.4103/0019-5545.161488 Cleveland Clinic. Bipolar Disorder. Cleveland Clinic. Hypomania. By Wendy Wisner Wendy Wisner is a health and parenting writer, lactation consultant (IBCLC), and mom to two awesome sons. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.