7 doctors weighed in:
Does a depressive state always come right after a manic state in bipolar disorder? Is there an in-between period?
7 doctors weighed in

Dr. Douglas Bey
Psychiatry
4 doctors agree
In brief: No
Some bipolar pts have mainly depressive episodes & others mainly manic spells--there are intervals of normal mood states in most cases.

In brief: No
Some bipolar pts have mainly depressive episodes & others mainly manic spells--there are intervals of normal mood states in most cases.
Dr. Douglas Bey
Dr. Douglas Bey
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Dr. Jeff Jacobs
Pediatrics - Psychiatry
2 doctors agree
In brief: 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.

In brief: 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. Jeff Jacobs
Dr. Jeff Jacobs
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Dr. Alan Ali
Psychiatry
In brief: Bipolar
Not necessarily. Person can be euthymic between episodes.

In brief: Bipolar
Not necessarily. Person can be euthymic between episodes.
Dr. Alan Ali
Dr. Alan Ali
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