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Sudden Extreme Tiredness

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Dear therapist, I have type 1 Bipolar disorder and have been fairly stable lately. My mood swings have been fairly mild, but I have been bothered by this sudden extreme tiredness that overwhelms me every now and then. I was just sitting at work when, within half an hour I suddenly feel like I can’t keep my eyes open let alone function! The tiredness seems to be accompanied by a listlessness and hopelessness, but not as bad as when I’m depressed. Is this normal? What can I do to prevent these episodes?

Sudden Extreme Tiredness

Answered by on -


Thank you so much for asking this question. While there is too little here to know exactly what to recommend, there is enough to suggest you tell your general practitioner. This time of year is hallmarked by a change in the available light, a release of pollens from the budding vegetation, and changes in the academic calendar. Often this can be accompanied by changes in available energy; changes in sleep patterns; and fluctuations in anxiety levels.

The first place to check is with your physician to see if everything checks out medically. If it does, then it may be time to explore when the fatigue began and what changes took place in your life. This can help identify the causes.

Wishing you patience and peace,
Dr. Dan
Proof Positive Blog @ PsychCentral

Sudden Extreme Tiredness

Daniel J. Tomasulo, PhD, TEP, MFA, MAPP

Dan Tomasulo Ph.D., TEP, MFA, MAPP teaches Positive Psychology in the graduate program of Counseling and Clinical Psychology at Columbia University, Teachers College and works with Martin Seligman, the Father of Positive Psychology in the Masters of Applied Positive Psychology (MAPP) program at the University of Pennsylvania. He is Director of the New York Certification in Positive Psychology for the Open Center in New York City and on faculty at New Jersey City University. Sharecare has honored him as one of the top 10 online influencers on the topic of depression. For more information go to: He also writes for Psych Central's Ask the Therapist column and the Proof Positive blog.

APA Reference
Tomasulo, D. (2018). Sudden Extreme Tiredness. Psych Central. Retrieved on February 22, 2019, from
Scientifically Reviewed
Last updated: 8 May 2018
Last reviewed: By a member of our scientific advisory board on 8 May 2018
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