There are four mood episode types in bipolar disorder: mania, hypomania, depression, and mixed episodes. Each type of mood episode has its own set of symptoms. In the manic phase of bipolar its is common to feel heightened boosts of energy, intense creativity, and euphoria. For a little while the mania will feel good, you’ll hyperactive and feel invincible, but it has the tendency to go out of control until you are gambling, engaging in inappropriate activities, and can end up in physical altercations. Hypomania is a less severe form of mania, in hypomanic state you still feel energetic and euphoric, but you can still carry on with everyday life. Even while being less severe hypomania can be very dangerous because it can escalate to a manic stage or will be followed by a depressive episode. Symptoms of Bipolar Depression can be similar to regular depression but will not affected positively by anti-depressants they will only force the patient into a manic phase. Bipolar Depression differs from regular depression because bipolar depression is more likely to involve irritability, guilt, unpredictable mood swings, and feelings of restlessness. When suffering from Bipolar depression, you may move and speak more slowly, end up sleeping a lot, and gradually gaining more weight. A mixed episode has symptoms from all mania or hypomania and depression. Signs of a mixed episode are depression combined with irritability, anxiety, insomnia, easily distracted, and racing thoughts. The combination of the highs and lows of mania and depression make it a high-risk time for suicidal thoughts and actions. To Determine if a patient has bipolar disorder a physician may, conduct a physical exam to identify any other medical problems that could be causing your symptoms, refer you to a psychiatrist who may give you a self-assessment sheet and talk to you about your symptoms, ask you to chart your moods, and will compare your symptoms with the criteria for bipolar and related disorders. Lithium has been used in many different forms for over fifty years to treat mania and depression. Years after the introduction lithium came other treatments such as anticonvulsants, antipsychotics, and antidepressants. Now typically, when suffering from bipolar disorder you will not only see a psychiatrist but will have a treatment team that includes a psychologist, a social worker, and a psychiatric nurse. Doctors will put their patients on mood stabilizing medication and then move on from there with the treatments. After medication Doctors will move on to psychotherapy to control symptoms, and may include education programs, support groups, substance abuse treatment, or even hospitalization.