Call 888-374-5066

World Bipolar Day 2023

World Bipolar Day
Shauna Ruda, MA, LMSW

One of my best friends from childhood, Jenny, describes her bipolar disorder like being on a swing.

She tells me that during her manic episodes she feels like she’s on the swing going as high as she can go and then the metal latches just release her to the sky flying upward with no end in sight. She describes that the resulting depression feels like a quick downward force pulling her down, back onto the latches, and then deep into the ground beneath the earth. She gets stuck there.

As many as 5.7 million U.S. adults – the same amount as Colorado’s entire population – are living with bipolar disorder.

Chances are, if you are reading this, like me there someone in your life that has been diagnosed with bipolar disorder. As a mental health practitioner committed to deepening and visibilizing an understanding of this diagnosis,, I am sharing facts and real reflections from people with bipolar disorder. Names are changed for privacy, including above.

What is bipolar disorder?

Bipolar disorder is a mood or affective disorder meaning that a person’s emotional state or mood is distorted or inconsistent with life circumstances.

Bipolar disorder causes dramatic shifts in a person’s mood, energy and ability to think clearly. People with bipolar experience high and low moods—known as mania and depression—which differ from the typical ups-and-downs most people experience. The average age of onset is about 25, but it can occur in the teens, or more uncommonly, in childhood.

Types of Bipolar Disorder

Bipolar I Disorder, Bipolar II Disorder, Cyclothmic Disorder, or Bipolar unspecified.

To be diagnosed, a person must have experienced at least one episode of mania or hypomania. Mental health care professionals use the Diagnostic and Statistical Manual of Mental Disorders (DSM) to diagnose the “type” of bipolar disorder a person may be experiencing. We assess the pattern of symptoms and how impaired the person is during their most severe episodes.

How Does Bipolar Feel?

There is not one answer. Everyone’s experience with bipolar disorder is different, and the signs and symptoms vary. Many people undergo distinct periods of stability, mania, and depression. Others can feel both depressed and manic at the same time—simultaneously feeling very sad and energized.

What are the Signs and Symptoms?

Mania and Depression

Mania is defined by an elevated state of mood which is a change from the usual self and can typically be noticed by others. Symptoms include feelings of invincibility, lack of sleep, racing thoughts and ideas, rapid talking and having false beliefs or perceptions.

Sara, a 32-year-old with bipolar disorder described, “Being manic is like having five minds functioning at once. I feel like I have no control and also simultaneously love relinquishing control.” For Sara becoming hyper fixated on a tasks like cooking, cleaning, working on her TikTok page caused her to lose sleep for days.

A manic episode may include these symptoms:

  • Intense feelings of euphoria, excitement, or happiness
  • Appearing abnormally jumpy or wired
  • Having excessive energy
  • Insomnia or restlessness (a decreased need for sleep)
  • Speaking fast or being unusually talkative
  • Having racing or jumbled thoughts
  • Distractibility
  • Inflated self-esteem
  • Doing impulsive, uncharacteristic, or risky things like having unsafe sex or spending a lot of money
  • Increased agitation and irritability

For many, the manic cycle of bipolar disorder is what defines the illness. Indeed, what distinguishes it from depression is those defining moments of mania.

Still, it is the depression that will often dominate and disrupt life – it lasts longer and occurs more frequently. A study at the University of California published in the Archives of General Psychiatry found that people with bipolar I experience depression three times as often as mania. For bipolar II disorder, the astounding ratio of time spent in depression versus mania is 40:1.

Dan, a 27-year-old, share about the depressive episodes she experiences that, “I was so debilitated that I would feel physically stuck in bed for days, catatonic, unable to move… I would commit to a week of plans before my depression and then cancel all of them.”

A depressive episode may include these symptoms:

  • Feeling down, sad, worried, worthless, anxious, guilty, empty, or hopeless
  • Lack of interest, or no interest, in activities
  • Feeling tired, low energy
  • Forgetfulness
  • Indecisiveness
  • Difficulty concentrating
  • Changes in sleep, either sleeping too much or too little
  • Changes in appetite, either eating too much or too little
  • Thoughts of death and/or suicide

People with bipolar disorder also experience high suicide rates — up to 19% of those with bipolar disorder die by suicide and up to 50% make a non-fatal suicide attempt. Suicide risk is strongly associated with depressive phases (NAMI, 2023). If you or a loved one is need of someone to talk to, please call or text the national suicide hotline at 988. If you or a loved one are in immediate danger call 911 or go to your nearest hospital.

Because bipolar and major depressive disorder or depression can seem similar, psychiatrists have to take into account family histories and ask patients if they have ever experienced symptoms of mania or hypomania. Treating only depression for someone with bipolar disorder can cause serious harm, including the potential to induce mania.

Cycles of Bipolar

According to Very Well Mind, there is no definitive answer to the duration or frequency of bipolar cycles since they are as varied as the people who experience them. A change or "mood swing" can last for hours, days, weeks, or even months.

Bipolar Disorder and Relationships

One of the most difficult aspects of bipolar disorder is that it precipitates feelings of being unlovable, hinders the ability to give love, and sometimes causes destruction. Experiencing bipolar symptoms simultaneously is the moment when the most comfort and love is needed. It’s impossible to do everything right with a loved one experiencing bipolar disorder, but there are some stand out repetitive themes around “the don’ts of supporting those with bipolar disorder”.

Here are the top three: 

  1. Do not manage care. The biggest and most consistent request from people with bipolar is to maintain boundaries between loved ones and their own medical management. Sara shared, “I do not want you to ask if I'm taking my meds or when the last time I had therapy… Maintaining the boundary between loved one and medical professional is really important.”
  2. Do not make someone feel badly for not showing up. Chances are the person you love with bipolar disorder wants to be there. Pressuring them creates more feelings of shame, guilt, and self-loathing. Jenny told me that when people express disappointment when she doesn’t show up “it’s the most gut wrenching don’t of all. I already know I’m a disappointment to myself. To be that for others is a whole other level of self-hatred.”
  3. Do not define people by their diagnosis. When someone shares that they have been diagnosed with bipolar disorder they are making themselves vulnerable. Be aware of the impact on bringing it up in normal interactions. Dan shared, “Before I was diagnosed, I was always a loud, vibrant, and outgoing person. I was out with some friends and one friend asked if I was having a manic episode. I was completely crushed.”

Living with Bipolar Disorder

Stigma and its twin internalized shame compound the challenges that prevent healing. They are so powerful that more than half of adults with mental illness go untreated. It is entirely possible to live well with bipolar disorder with a team of medical experts, the right medication, living a healthy lifestyle, maintaining a consistent routine, avoiding substance use, minimizing stress, and a reliable support network.

Jenny and I were discussing this article together. I wanted to be able to capture the complexity of bipolar disorder while also providing clarity. Jenny reassured me. She wanted anyone reading to know “if you’re confused by the end of reading this – then it’s the first successful step in understanding what it feels like to be inside of the mind of someone with bipolar disorder”. 

Big thank you to her and others who were willing to share their experiences.

Additional resources:


Self, What Exactly is Bipolar Disorder?


Gabe Howard + Dr. Nicole Washington, Inside Bipolar:


Psych Central, Fact Sheet:

Very Well Mind, How Often Do People Cycle?

Mind, Supporting Someone with Bipolar Disorder:

[Courses for Family and Friends]

National Alliance on Mental Illness (NAMI), Family to Family Support:

Family Care Center is here to help, learn more about our services and therapy options HERE.

Shauna Ruda (she/ her) is a mental health therapist at Family Care Center. She enjoys conversations that push her out of her comfort zone, Rocky Mountains at sunrise, ukulele, and her incredible community of friends and family.

Mental and Behavioral Health

Mental and Behavioral Health
Mental Health and Behavioral Health
Family Care Center,

Mental Health and Behavioral Health

Mental health and behavioral health are often used interchangeably, but they can refer to slightly different concepts.

Mental health refers to a person's overall psychological well-being. It is the state of being emotionally and cognitively healthy, and it is an essential part of overall health and well-being. Mental health includes a person's ability to manage their emotions, thoughts, and behaviors, and it can be affected by a wide range of factors, including genetics, environment, and life experiences.

Behavioral health, on the other hand, is a broad term that refers to the behavior of individuals and the impact of that behavior on their overall health and well-being. It includes mental health, as well as substance abuse and addiction. Behavioral health encompasses a person's behaviors, thoughts, and feelings that can affect their physical health, as well as their social, economic, and environmental well-being.

In summary, mental health refers to a person's overall psychological well-being, while behavioral health refers to the behaviors, thoughts, and feelings that can affect a person's overall health and well-being. Both mental health and behavioral health are important for overall health and well-being, and they can be interconnected. Family Care Center is proud to be the #1 provider of behavioral health outpatient services in Colorado, and we are  expanding our reach to the states of Tennessee and Texas!


Teen Mental Wellness Day 2023

World Teen Mental Wellness Day
World Teen Mental Wellness Day
Family Care Center,

World Teen Mental Wellness Day 2023

World Teen Mental Wellness Day is observed on March 2 every year to raise awareness about the mental health challenges faced by teenagers across the globe. Mental health is a crucial aspect of overall well-being, and it is essential to address mental health issues early in life to prevent them from escalating into severe problems later on. This day is dedicated to promoting the importance of mental health and wellness among teenagers, providing support and resources for those struggling with mental health issues, and reducing the stigma surrounding mental illness.

Adolescence is a crucial period in a person's life, and it is a time when teenagers undergo several physical, emotional, and psychological changes. Teenagers often find themselves navigating new environments, facing academic and social pressures, and dealing with personal issues such as identity, relationships, and self-esteem. All these factors can contribute to stress, anxiety, and other mental health issues, which can have a significant impact on their overall well-being.

According to the World Health Organization (WHO), approximately 10-20% of adolescents worldwide experience mental health conditions, such as anxiety, depression, and substance abuse. However, many of these conditions go undetected and untreated due to lack of awareness, stigma, and limited access to mental health services. This highlights the need to prioritize mental health and wellness among teenagers and provide them with the support they need to thrive.

World Teen Mental Wellness Day aims to achieve this by promoting mental health literacy, encouraging open and honest conversations about mental health, and providing access to resources and services. The day also focuses on empowering teenagers to take care of their mental health by developing healthy habits such as exercise, meditation, and mindfulness.

One of the primary goals of World Teen Mental Wellness Day is to reduce the stigma surrounding mental health issues. Stigma is a significant barrier to seeking help for mental health problems, and it can prevent teenagers from accessing the care they need. By raising awareness about mental health and promoting a culture of acceptance and understanding, we can break down these barriers and ensure that all teenagers receive the support they need to maintain their mental health and well-being.

Another important aspect of World Teen Mental Wellness Day is providing access to mental health resources and services. Many teenagers may not have access to mental health services due to factors such as cost, lack of availability, or social stigma. By providing access to affordable and accessible mental health services, we can ensure that all teenagers receive the care they need to manage their mental health.

World Teen Mental Wellness Day is an important occasion that highlights the significance of mental health and wellness among teenagers. By promoting mental health literacy, reducing stigma, and providing access to resources and services, we can ensure that all teenagers receive the support they need to thrive. As individuals and as a society, we must prioritize mental health and work towards creating a world where all teenagers have the opportunity to lead healthy, happy, and fulfilling lives.

If you, or anyone you know, needs to talk, Family Care Center is here. Click here to learn more about our mental health services.