"Sad to Glad" mood swings symptoms explained

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Posted on: 28th May 2025
The "sad to glad" mood swings of bipolar disorder refer to the intense shifts between depression ("sad") and mania or hypomania ("glad"). These swings go beyond ordinary emotional ups and downs — they are extreme, can be disruptive, and are often out of sync with what's happening in a person’s life. Here's a breakdown:
 
1. "Sad" – Depressive Episodes
These episodes mirror clinical depression and can last weeks or months. Symptoms include:
  • Persistent sadness or emptiness
  • Loss of interest in activities once enjoyed
  • Low energy, fatigue
  • Changes in sleep (insomnia or sleeping too much)
  • Appetite changes
  • Feelings of worthlessness, hopelessness, or guilt
  • Difficulty concentrating
  • Thoughts of death or suicide
Depressive episodes can feel crushing and make even simple daily tasks seem overwhelming.
 
2. "Glad" – Manic or Hypomanic Episodes
This is the "up" side of the swing, but it’s not just feeling happy — it's often an elevated, overly energized, or irritable state that can be destructive. The difference between mania and hypomania is mainly in severity and impact.
Mania (more severe):
  • Euphoric or irritable mood
  • Inflated self-esteem or grandiosity
  • Decreased need for sleep (e.g., feeling rested after 2 hours)
  • Racing thoughts, fast speech
  • Distractibility
  • Impulsive or risky behavior (e.g., spending sprees, reckless driving, hypersexuality)
  • Psychosis (delusions or hallucinations in extreme cases)
Hypomania (less severe, no psychosis):
  • Similar to mania but less intense
  • May still cause trouble, especially in judgment or relationships
  • Can feel productive, energetic, even enjoyable at first
 
The Swing
  • Rapid Cycling: Some people swing between moods quickly, even multiple times in a week or day.
  • Mixed Features: A person can feel depressed and manic at the same time — agitated but hopeless, or energized yet suicidal.
  • Triggers: Stress, sleep disruption, or even life events can trigger mood swings.
 
Impact
These swings can disrupt work, relationships, and health. People with bipolar disorder often struggle with understanding or predicting their own mood states, and those around them may feel confused or helpless.

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