A member asked:

I have not been to sleep in almost 4 days now i just started menopause n i am bipolar any ideas?

4 doctors weighed in across 2 answers

See doc for bipolar: Not sleeping for almost 4 days is a danger sign in someone with bipolar disorder. (if you're really not sleeping, that is. Mild insomnia is probably nothing to worry about.) severe insomnia can indicate the beginning of a manic episode, & conversely lack of sleep from other causes can trigger mania. You should consult your psychiatrist about this.

Answered 11/27/2017

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Dr. Alan Ali answered

Specializes in Psychiatry

Lack of sleep: Talk to your doctor. You might be going through early manic episode & need your medications adjusted.

Answered 10/4/2016

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