Lifestyle Health

World Bipolar Awareness Day: Why we need to talk about this misunderstood condition

Vuyile Madwantsi|Published

As the world turns its gaze on mental health on March 30, we delve into the significance of World Bipolar Awareness Day.

Image: Pexels

March 30, marks World Bipolar Awareness Day, a day dedicated to shedding light on one of the most misunderstood mental health conditions.

Bipolar Disorder, often cloaked in stigma and misinformation, affects millions globally, including many in South Africa.

This year, the South African Depression and Anxiety Group (SADAG) takes the lead in championing awareness, urging us to challenge misconceptions, amplify understanding and foster a supportive environment for those living with this condition.

What is bipolar disorder?

At its core, bipolar disorder, formerly known as manic-depressive illness, is a brain condition characterised by extreme mood swings that range from manic highs (euphoric, irritable or overly energetic) to depressive lows (profound sadness, hopelessness or lack of energy).

These shifts are not your average mood changes, they are far more intense and can significantly impact daily life, relationships and work.

There are three primary types of bipolar disorder:

  • Bipolar I: Defined by at least one full manic episode, often accompanied by periods of major depression.
  • Bipolar II: Marked by hypomania (a milder form of mania) and major depressive episodes.
  • Cyclothymia: Features fluctuating periods of hypomania and mild depression lasting at least two years, without progressing to full manic or depressive episodes.

Recognising the symptoms

Symptoms of bipolar disorder vary depending on the type and severity but may include the following:

Manic or hypomanic episodes:

  • Excessive energy or restlessness.
  • Inflated self-esteem or a sense of invincibility.
  • Racing thoughts and rapid speech.
  • Decreased need for sleep.
  • Risky behaviours, such as impulsive spending or substance use.

Depressive episodes:

  • Prolonged sadness or hopelessness.
  • Loss of interest in activities once enjoyed.
  • Fatigue, difficulty sleeping or oversleeping.
  • Feelings of worthlessness or guilt.
  • Difficulty concentrating or making decisions.
  • Thoughts of self-harm or suicide.

Understanding these symptoms is vital, particularly because bipolar disorder often goes undiagnosed or misdiagnosed, leading to unnecessary suffering.

There are three primary types of Bipolar Disorder, each presenting unique challenges.

Image: Pexels.

Dispelling myths around Bipolar Disorder

Despite its prevalence, bipolar disorder is surrounded by myths that perpetuate stigma.

Myth: Bipolar disorder is just mood swings.

Fact: It is a medical condition that causes extreme, prolonged mood changes, requiring treatment.

Myth: People with bipolar disorder can’t lead normal lives.

Fact: Many individuals with bipolar disorder are thriving as professionals, parents and creatives with the right support and treatment.

Myth: Bipolar disorder is rare.

Fact: Globally, it affects up to 4% of the population. In South Africa, this translates to a substantial number of people, often living in silence.

Myth: People with bipolar disorder are dangerous.

Fact: Most are not violent or unpredictable. Stigma, not the condition itself, is more harmful.

Breaking these myths is not just about awareness, it’s about creating a culture that supports individuals living with bipolar disorder.

As SADAG’s support group leader Natasha highlights: “When we challenge these myths, we humanise the illness and help people feel less alone.”

Bipolar disorder is highly heritable, with genetic factors accounting for approximately 80% of cases. If one parent has the condition, there’s a 10% chance their child will develop it. This risk increases to 40% if both parents are diagnosed.

However, genetics is only part of the story.

Certain triggers, such as substance use (eg: cocaine and ecstasy), medications like corticosteroids, or even life events like pregnancy, can exacerbate symptoms or lead to a first episode.

Recognising these triggers and early warning signs is critical in managing the condition.

Dr Leverne Mountany, a leading psychiatrist, emphasises: “Education helps people feel safer to seek support and speak openly about their mental health.”

Support, treatment, and living with Bipolar Disorder

Living with bipolar disorder is not a life sentence, it’s a journey that, with the right tools, can be navigated successfully.

Treatment often includes:

  • Medication to stabilise mood.
  • Therapy to build coping strategies.
  • Lifestyle changes, such as maintaining a routine, exercising and managing stress.
  • Support groups, like those offered by SADAG, to foster connection and understanding.

SADAG is playing a pivotal role in this year’s World Bipolar Awareness Day by providing free resources, videos and support groups.

Visit their website for toolkits, webinars and expert insights designed to empower individuals and families.

For more information, visit the South African Depression and Anxiety Group (SADAG) at www.sadag.org. ​