Published On: September 22, 2021
Reviewed On: September 22, 2021
Updated On: November 2, 2023
Updated on 5/16/2022
Bipolar disorder and depression are similar in a number of ways, including several shared symptoms. In fact, some symptoms are so closely related, they may be confused by those not clinically trained to make a psychiatric diagnosis.
As you might imagine, although some symptoms may overlap, there are many differences between these two conditions as well. In order to get the appropriate treatment you’re seeking, it’s essential to understand what bipolar vs. depression can look like.
Bipolar disorder, sometimes referred to as manic depression, is a disorder that causes intense, often uncontrollable mood swings. Someone with bipolar disorder will experience extreme “highs,” (also called mania) where everything, from energy to agitation, is intensified. During a manic episode, you might feel incredible energy, happiness, impulsivity, or even restlessness.
At the other end of the scale, the depressive state, you can feel exhausted or irritable, have difficulty making decisions, or even have suicidal thoughts.
Wondering how to know if you are bipolar? Signs and symptoms of bipolar disorder in men or women can range, depending on the state they’re in. Symptoms, when someone is in a manic state, can widely vary from what they experience when they’re in a depressive state. Severity of bipolar symptoms (how bad they are) in either state can differ as well.
In a manic state, manic symptoms may include:
In a depressive state, depressive symptoms may include:
Expert Insight“Since bipolar disorder has a wide range of symptoms, it can be an overwhelming diagnosis at first given that there is a lot of misinformation out in the world. It is crucial to remember that with good care, bipolar disorder can be well managed. Don’t hesitate to reach out if you have concerns about any of these symptoms.”
Depression (also known as major depressive disorder when talking about severe depression) is a mood disorder that can cause near-constant tiredness, sadness, difficulty dealing with daily life and responsibilities, despair, and sleep and appetite disruption. Most often, depression is the result of a combination of factors and events, not just one event.
When it’s severe, depression can interfere with just about every aspect of your life. It can make simple things like showering and getting dressed feel overwhelming. It can cause you to lose interest in things you enjoyed doing at one time.
Signs and symptoms of depression can vary from mild to severe. You can have some days where symptoms are more intense than others. A depressive episode generally has at least 5 or more symptoms, and they can last most of the day for weeks at a time (or longer). If you’re depressed, you may experience feelings of:
Expert Insight“I would encourage anyone who is wondering whether they are experiencing depression to reach out. Don’t wait until it gets harder — the earlier you are able to get help, the easier it can be to treat depression. I say to my patients: ‘you don’t have to wait until the house is on fire to ask for help.”
The most important thing to remember when it comes to treating bipolar vs depression is that the earlier you start and the more consistent you are, the more effective your treatment will generally be. In both cases, medication and therapy are common treatment options.
Bipolar disorder treatments often include a mood stabilizer and/or one of the many newer antipsychotic drugs that are available and approved for use. Most often, a combination of the two treatments is the go-to. Today, mental health care providers are able to help you find the right combo of medications that can help the symptoms of bipolar depression and bipolar disorder overall, without triggering a swing into a manic state.
On that note, it’s important to keep in mind that a careful treatment plan will monitor your symptoms and make sure one medication isn’t affecting other areas of your bipolar disorder.
For example, although an antidepressant can be an effective form of treatment for someone with a major depressive disorder, they’re typically not the first line of treatment for bipolar depression. And they’re almost never given as a sole treatment as it may worsen the rapid cycling for those with bipolar disorder.
Some options for medication and treatment that can be prescribed for the different types of bipolar disorder may include:
*NOTE: Professional treatment and guidance are important, and you should ask your doctor or licensed therapist about ways you can best manage any mental health diagnosis.
Treating depression can include a combination of medication — like an antidepressant or anti anxiety medication — and therapy (such as talk therapy). In the event of a diagnosis of seasonal affective disorder (now more commonly known as major depressive disorder with seasonal pattern), some have even found successful treatment using light therapy, where doses of exposure to white light can help improve and regulate a depressed mood.
Other options that many people have found success with (in addition to medication and therapy) include integrating some alternative therapies into your treatment plan. Some of these options might include:
*NOTE: Professional treatment and guidance are important, and you should ask your doctor or therapist about ways you can best manage any mental health diagnosis.
Expert Insight“Reaching out for help can make such a difference when someone is experiencing symptoms of bipolar disorder or depression. No one has to struggle alone — help is available.”
If you’ve ever wondered: Am I bipolar or depressed?, you should absolutely find someone to talk to. Your doctor or mental health care provider is your first line of defense when it comes to correctly diagnosing, and then treating, the symptoms most people experience with either bipolar disorder or depression.
Because these two are so closely related in terms of symptoms, it’s important that you seek out professional help with someone clinically trained and licensed in how to best set up a treatment plan. The first step to finding help is getting the right diagnosis.
Dealing with any mental health condition can feel overwhelming in the beginning. Dealing with bipolar disorder versus depression can be challenging to navigate, but there is help out there. Remember that you have resources available and access to the help you’re looking for. Any time you’re struggling with your mental health, you can:
For more information on bipolar disorders, contact Talkspace today. You can get common questions answered around bipolar relationships or the difference between depression vs. bipolar. Connecting with a licensed therapist can help you determine a diagnosis and treatment plan that’s right for you.
American Psychiatric Association. Published 2020. Accessed August 15, 2021.
Stanford Medicine. Accessed August 13, 2021.
Baldessarini, Ross J et al. International journal of bipolar disorders vol. 8,1 1. 6 Jan. 2020, doi:10.1186/s40345-019-0160-1
Rollin, Donna et al. Journal of the American Association of Nurse Practitioners 32(10):p 703-713, October 2020. | DOI: 10.1097/JXX.0000000000000499. Accessed August 15, 2021.
Mental Health Foundation. Accessed August 15, 2021.
Ashley Ertel, LCSW, is a Nationally Board Certified Licensed Clinical Social Worker. She has over a decade of experience specializing in trauma and depression, working primarily with first responders, military personnel, and veterans, and sexual assault survivors.