Hey! When I get manic episodes my sleep doesn’t change. I might sleep maybe an hour or two less but I’ve never had a problem with that. This makes me doubt whether or not I even have mania because I get tired and sleep fine :(

Hi anon!

Bipolarity cones in many flavours.

Bipolar I tends to involve actual manic episodes. These can include full-on delusions, hallucinations, and breaks with reality. Some people believe they are touched by a deity, or have superpowers. Sleep may not be possible.

Bipolar II is characterized by hypo-mania. The “high” phase expresses itself in feelings of confidence, energy, and racing thoughts. But without the disconnect. So I may feel I’m super good looking, or more capable than I am. But I don’t experience the belief that I am genuinely more than I am. Sleep may be hard to acquire or short in duration.

Cyclothymia delivers high phases that can be intense, but short-lived. They can also be quite spread out in occurrence. So while the sleep may not be good quality – or even possible – sleepless nights are less frequent.

And there’s no real boundary between these? It’s all experiential and your symptoms define the treatment. But it’s not to say that you can’t experience a mix of intensities. You can feel intense lows that would otherwise be categorized as Bipolar I but only experience a brief spurt of confidence/energy/anger similar to Cyclothymia.

Your labels matter because they help you put symptoms in a box. But what matters more is the quality of life you are able to experience around them.

If you are bipolar and don’t experience crazy highs, that’s okay! If you feel energetic AF but can still get a full eight hours a night, great! In my thoroughly un-medical view, if it doesn’t impact negatively on your quality of life, then you don’t need to take steps to fix it.

So anon, rest well when you can!

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