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A 34-year-old member asked:

Does a depressive state always come right after a manic state in bipolar disorder? is there an in-between period?

3 doctor answers7 doctors weighed in
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Bipolar: Not necessarily. Person can be euthymic between episodes.
Dr. Jeff Jacobs
Child Psychiatry 22 years experience
Not always: Although a depressive episode commonly follows a manic episode, this is not always the case. It is certainly possible for there to be an "in-between" period, or even another manic episode occur next, rather than a depressive episode. Manic and depressive episodes do not always alternate. It's not unusual to have several consecutive depressive or manic episodes in between periods of "normal" moods.
Dr. Douglas Bey
Psychiatry 57 years experience
No: Some bipolar pts have mainly depressive episodes & others mainly manic spells--there are intervals of normal mood states in most cases.

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Last updated Mar 16, 2017

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