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“Day-to-Day” Bipolar Disorder Before Diagnosis

 Living with Bipolar disorder before diagnosisThe internet is filled with articles about living with bipolar disorder. There are scientific articles written by medical professionals, but the most common examples are the “lived experience” articles, written by people living with the disorder — people like me.

The lived experience articles typically cover two viewpoints:

  1. After diagnosis, but before recovery. These are written by people who are aware they have bipolar disorder, but haven’t yet received the right combination of medication, coping skills, and experience to properly manage the disorder. In other words, they spend more time worrying about the disorder than they do on other pursuits.
  2. Life in recovery with bipolar disorder. These are written by people who are doing well managing the symptoms and essentially living a “normal” life. In other words, they spend more time living their lives than they do worrying about bipolar disorder.

But what about the experiences of people who are unknowingly living with bipolar disorder? There are some articles about this, but generally they focus on the extreme outcomes and/or crisis points. There is a lot writing about what it feels like to be suicidal or what mania feels like. These are all very important viewpoints, but they don’t answer the question of what it’s like to live day-to-day with bipolar disorder without knowing it.

I Was Unaware I Had Bipolar Disorder

Given society’s lack of knowledge surrounding mental illness, it isn’t a surprise that I didn’t know something was wrong. I suspected, a little, that I might have depression, but I assumed the treatment for that was to “man up” and get over it.

The idea that I could have a severe mental illness like bipolar disorder didn’t even cross my mind. People with mental illness were violent and spit on strangers. They rocked back and forth, screaming nonsense. I knew what crazy looked like. I had a television after all.

Realistically, there were days I acted almost as I described above. While I never laid my hands on another person, I was certainly angry. I yelled at people, especially those closest to me. I kicked and punched doors and walls, and I did so with a loss of control that still haunts me.

In my opinion, one of the cruelest things about bipolar disorder is that it exists on a spectrum. Some days I’d be “normal,” without a care in the world. I was intelligent, charismatic, and engaging. I had a great job, was married, and — from the outside looking in — was a regular guy.

Other days, though, I was wild. The highs of mania were intoxicating and I followed every rabbit I could down every rabbit hole. I was the real life Mad Hatter chasing Alice – who was always one step ahead. There was no limit to what I could accomplish during those episodes, and mania feels good, at least for the moment.

Other days, I wasn’t so lucky. Suicidal depression would grip my entire body. These episodes would take over every area of my life. I couldn’t move, couldn’t think, and just wanted to go to sleep and never, ever wake up. The numbness was horrific.

Most days, though, I was somewhere in between — not quite manic and not quite depressed, swinging back and forth like a pendulum. And, to complicate matters further, I had different friends for different moods. I never called my family when I was depressed or manic. I only called them when I was in the middle.

My family always thought I was moody, sure, but they never saw the extremes and therefore saw no reason for special worry. Besides, I had a job and a house. Mentally ill people don’t have jobs and houses. Crazy people can’t work. So life moved forward, each episode of depression or mania drawing me closer and closer to the edge.

And no one, not even me, was aware anything at all was wrong.

Talking About Bipolar Disorder Is a Good Thing

The reality is that I should have known something was wrong. To what extent I should have been aware is still something I struggle with. It’s frightening to me that I thought what I was going through was normal. If my circumstances had turned out even slightly differently, I could be homeless, dead, or still suffering the whiplash effects of a cruel disorder.

We must talk about bipolar disorder in its entirety. Yes, mania is interesting and depression has been romanticized into some twisted parody of what it is actually is, but in between, there are numerous symptoms we seldom hear about.

The problem with only teaching people about the extremes of illnesses such as bipolar disorder is that it is much harder to recover after a crisis. And there are some things a person can never recover from. The suicide rate for a person living with bipolar disorder is 15% — and that number is far too high.

“Day-to-Day” Bipolar Disorder Before Diagnosis


Gabe Howard

Gabe Howard is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, Mental Illness is an Asshole and other Observations, available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, please visit his website, gabehoward.com.


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APA Reference
Howard, G. (2018). “Day-to-Day” Bipolar Disorder Before Diagnosis. Psych Central. Retrieved on September 22, 2019, from https://psychcentral.com/blog/day-to-day-bipolar-disorder-before-diagnosis/
Scientifically Reviewed
Last updated: 8 Jul 2018
Last reviewed: By a member of our scientific advisory board on 8 Jul 2018
Published on Psych Central.com. All rights reserved.