Skip to Content

Why is my bipolar getting worse?

Bipolar disorder is a mental health condition characterized by extreme mood swings, ranging from manic episodes of elevated energy and euphoria to depressive episodes of sadness and hopelessness. It affects millions of people around the world and can have significant impacts on individuals and their daily lives. While bipolar disorder can vary in severity and presentation from person to person, it is important to understand why the condition may worsen over time if left untreated.

Factors contributing to the worsening of bipolar disorder

Lack of treatment

One of the primary factors that can contribute to the worsening of bipolar disorder is the lack of appropriate treatment. This can occur in several ways:

  1. Failure to receive appropriate diagnosis and medication: Many individuals with bipolar disorder go undiagnosed or misdiagnosed, leading to delays in receiving appropriate treatment. Without the necessary medication to stabilize their moods, the condition can progressively worsen.
  2. Non-adherence to prescribed treatment: Even those who have been diagnosed with bipolar disorder may fail to follow their prescribed treatment plan. This may include skipping doses of medication or discontinuing treatment altogether. Non-adherence can lead to a recurrence of symptoms and an exacerbation of the condition.

Stressful life events

Stressful life events can also contribute to the worsening of bipolar disorder. Some common stressors include:

  1. Relationship problems: Difficulties or conflicts in personal relationships, such as romantic partnerships or family dynamics, can significantly impact the emotional wellbeing of individuals with bipolar disorder. These stressors can trigger episodes of mood swings and make the condition worse.
  2. Work-related stress: High-pressure work environments, job loss, or excessive workload can increase stress levels and exacerbate symptoms of bipolar disorder. Managing these stressors is crucial in maintaining stability and preventing the condition from worsening.
  3. Financial difficulties: Money problems, such as debt or financial instability, can lead to significant stress and anxiety. The added burden of financial struggles can impact the overall mental health of individuals with bipolar disorder and contribute to the progression of the condition.

Substance abuse

Substance abuse is a common issue among individuals with bipolar disorder. Unfortunately, the use of drugs or alcohol to cope with symptoms can worsen the condition in several ways:

  1. The use of drugs or alcohol to cope with symptoms: Some individuals with bipolar disorder turn to substances as a way to self-medicate and manage their mood swings. However, this can lead to a vicious cycle, as substance abuse can disrupt brain chemistry and exacerbate bipolar symptoms.
  2. Negative impact of substance abuse on treatment effectiveness: Substances can interact with medications prescribed for bipolar disorder, reducing their effectiveness. Additionally, substance abuse can interfere with therapy and make it more challenging to manage and stabilize the condition.

Medical comorbidities

Bipolar disorder can often coexist with other physical or mental health conditions, known as comorbidities. These comorbidities can contribute to the worsening of bipolar disorder in the following ways:

  1. Presence of other physical or mental health conditions: Conditions such as anxiety disorders, substance use disorders, or chronic medical conditions can interact with bipolar disorder, exacerbating symptoms and making their management more challenging.
  2. Interactions between bipolar disorder and comorbidities: The presence of comorbid conditions can impact the treatment of bipolar disorder, as medications may need to be adjusted or additional therapies may be required. Failure to address these comorbidities can lead to the progression of bipolar symptoms.

Progressive nature of bipolar disorder

Natural course of the disorder over time

Bipolar disorder tends to follow a progressive course over time. This means that if left untreated or poorly managed, the condition may worsen in several ways:

  1. Increase in frequency and severity of manic and depressive episodes: Over time, individuals with bipolar disorder may experience more frequent and intense episodes of mania and depression. These episodes can significantly impact their ability to function and may require more intensive treatment.
  2. Potential for longer duration of episodes: As the condition progresses, episodes of mania or depression may last longer, making it more challenging for individuals to maintain stability in their daily lives. This can further disrupt relationships, work, and overall quality of life.

Neurobiological changes

Researchers have also identified neurobiological changes associated with bipolar disorder that can contribute to its progressive nature:

  1. Alterations in brain structure and function: Studies have shown that individuals with bipolar disorder may have abnormalities in brain structure and functioning, particularly in regions involved in emotional regulation and mood control. These changes can contribute to the worsening of symptoms over time.
  2. Imbalances in neurotransmitters and hormones: Neurotransmitters, such as dopamine and serotonin, play a crucial role in mood regulation. Imbalances in these neurotransmitters, as well as hormonal imbalances, have been linked to bipolar disorder and can contribute to its worsening.

Importance of early intervention and treatment

Benefits of early diagnosis and timely treatment

Early intervention and timely treatment are essential in managing bipolar disorder and preventing its worsening:

  1. Management of symptoms: Proper diagnosis and treatment can help individuals manage their symptoms effectively. This includes reducing the frequency and severity of mood swings, improving overall mood stability, and enhancing overall functioning and quality of life.
  2. Prevention of complications and relapses: Early treatment can help prevent complications associated with untreated bipolar disorder, such as substance abuse, relationship difficulties, and the risk of self-harm or suicide. It can also reduce the likelihood of relapses and hospitalizations.

Effective treatment approaches

There are several treatment approaches for bipolar disorder that have shown effectiveness in managing and stabilizing the condition:

  1. Medication options: Medications, such as mood stabilizers, antipsychotics, and antidepressants, may be prescribed to help manage bipolar symptoms. It is important for individuals to work closely with their healthcare provider to find the most effective medication regimen for their specific needs.
  2. Psychotherapy and counseling: Therapeutic interventions, such as cognitive-behavioral therapy (CBT) or dialectical behavior therapy (DBT), can help individuals develop coping strategies, manage stress, and improve self-care. They can also provide support and guidance in navigating relationship and work-related stressors.

Lifestyle modifications

In addition to professional treatment, making lifestyle modifications can greatly aid in managing bipolar disorder and preventing its worsening:

  1. Healthy coping strategies: Engaging in activities that promote relaxation, such as exercise, mindfulness, and hobbies, can assist in managing stress and regulating moods. It is essential for individuals to find healthy coping strategies that work for them.
  2. Stress management techniques: Learning and practicing stress management techniques, such as deep breathing exercises, time management skills, and setting boundaries, can help individuals effectively cope with the stressors in their lives.


In conclusion, bipolar disorder may worsen with age or over time if the condition is left untreated. Factors such as lack of treatment, stressful life events, substance abuse, and medical comorbidities can contribute to the worsening of the condition. Bipolar disorder also has a progressive nature, with an increase in the frequency and severity of episodes over time. Early intervention and timely treatment are crucial in managing bipolar disorder and preventing its worsening. Seeking professional help, adhering to treatment plans, and making necessary lifestyle modifications can greatly aid in managing the condition and improving overall quality of life. It is important to raise awareness about bipolar disorder, reduce stigma, and provide support to those who are affected by this challenging condition.


  1. 10 Most Common Triggers for Bipolar Mood Episodes
  2. Signs your bipolar disorder might be getting out of control
  3. How to prevent the malignant progression of bipolar disorder
  4. What Are the Long-Term Effects of Bipolar Disorder?
  5. Does Bipolar Disorder Get Worse With Age?