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

No. Some bipolar pts have mainly depressive episodes & others mainly manic spells--there are intervals of normal mood states in most cases.
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.

Related Questions

St johns wort for bipolar disorder? More depression episodes than manic...Nothing severe, will st johns wort be ok?

Go see your doctor. St john's wort is not effective in major depressive disorder although it may be fine in mild. However, in bipolar disorder, there is concern that it might bring out mania. Furthermore, st john's wort interacts & interferes w/many other meds so it's important that you always tell your doc everything that you're taking. http://www.nimh.nih.gov/health/publications/bipolar-disorder/index.shtml. Read more...
St.Johns Wort. This supplement will only help with mild depression and it does not even work consistently for mild depression so it quite unlikely to help with bi-polar. Best. Read more...

How effective is lamictal for bipolar disorder? What is typical dose for bipolar? Is it sometimes also used just for depression without mania?

Lamictal is an. Excellent medication. However, it takes a while to get the dose up to therapeutic so it isn't the drug to use to treat an acute episode of mania. My patients usually take any wheres from 100 to 400 mg per day. I have sometimes used it in a patient with unipolar depression who has not responded to other medication trials. Read more...
Good medicine. In my practice, i regularly prescribe both topiramate and lamotrigene for bipolar disorder. I have found each to be very effective when taken at full, therapeutic doses. Again, in my practice, I have found that 100-200mgs twice daily is an effective dose range. I have used it occasionally for recurrent depression without mania. Read more...
Based on evidence. Lamictal has proven effective in reducing risk of recurrence of mood episodes in bipolar disorder following treatment of the acute episode with standard of care recommended dose is 2000mg per day absent concurrent treatment with Carbamazepine or divalproex. The need for 6 week titration limits use as a treatment option in acute phase of illness. Read more...

How is manic depression different from bipolar disorder?

NOT REALLY. The terms are interchangable. Bipolar I and bipolar II, In the first, manic phases are more severe, and in the second, depressive phases are more severe. There is also cyclothymia which is a low grade version of bipolar disorder in general, where mood swings are not as severe in either direction, manic or depressive. No one knows how it develops, other than a mystery of genetic confluence. Read more...

What is the difference between bipolar disorder and manic depression?

It's the old name. By definition and according to what is called the diagnostic manual, a person may fulfill the criteria for bipolar disorder and never been depressed a day in their lives. That is why "manic-depression, " is the old name and is confusing. A person may have only ever had a manic episode (or a mixed episode), but still be considered as having bipolar disorder. Many with bipolar d/o do have depression. Read more...
Interchangable. The terms are interchangeable, with bipolar disorder being the more modern, clinical term. Bipolar disorder refers to extreme swings of mood from depression to mania and back again. Read more...

What are the differences between bipolar disorder and manic depression?

The decade's DSM. About a century ago it all began and much is the same, but for boundary lines. Few use the M-D term now but otherwise the differences are hard to lock in. Some BPs only show depression, but varying sorts of elevated periods can be there and they can be just very active or irritably violent. Extremely intense episodes come close to, or are, a psychosis. Good treatment (Therapy+) really helps. Read more...
Interchangable. The terms are interchangeable, with bipolar disorder being the more modern, clinical term. Bipolar disorder refers to extreme swings of mood from depression to mania and back again. Read more...

Is topomax used for mania or depression associated with bipolar disorder?

4 VERY mild Bipolar. Topomax (topiramate) is a very mild mood stabilizer, which for most people is not strong/effective enough to treat mania or depression itself, but it can decrease mild mood swings, irritability, and excessive hunger/binge urges. Read more...
No. Topamax (topiramate) has not been proven effective for either the treatment of depression or mania associated with bipolar disorder. It has other uses that have been proven effective for seizure disorders and headache prevention. Read more...

For what reasons was the term manic-depression changed to bipolar disorder?

Good reasons. Here is a complete answer to your question: http://bipolar.About.Com/od/definingbipolardisorder/a/manic_depression_changes_names.Htm. Manic – depression was used to describe many types of conditions, not just those falling under the bipolar spectrum disorder umbrella. It was a stigmatizing label. The diagnostic criteria for bipolar disorders are sharply defined & the term is less pejorative. Read more...

What medication is prescribed to bipolar disorder/manic depression? What are the effects of the medication? How does it make you better?

Many medications. Are effective. The first step is an accurate diagnosis. Next is to determine where you currently are in this phase of your condition, if you've got one. For accurately diagnosed bipolar disorder there are a range of options to stabilize mood and lift depression. Largely based on your life situation and side effects. Read more...
Bipolar disorder Tx. Meds fall into classes of mood stabilizers (Lithium?/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. Refractory cases- Transcranial magnetic stimulation or electroconvulsive therapy. For individual med > Read more...