Is bipolar disorder a progressive disease that worsens over time?

For many, BP is: chronic and presents more or less the same way over time. Our ability to sense it coming and/or to deal with it increases over time, so the impression is that it lessens with age. Ageing does undermine some of the more extreme behaviors--hypersexuality, hyposomnia. My clients don't think it is progressive.

Sometime s: Bipolar disorder can have symptoms only ,many years apart or cycles can be a couple of years ,months ,days or daily mood swings.Medication is usually very effective .Untreated bipolar disorder tends to progress with worsening episodes over time if untreated ,( this is called the kindling effect )

Yes: Studies suggest that early intervention ant treatments can improve outcomes and reduce risk of suicide