When it does, the condition is called double depression. People with bipolar disease have unusual ups as well as downs. Thoughts and ideas connected loosely or not at all. Increased goal-directed activity, restlessness, or fidgeting. Manic episodes are often followed immediately by depression or by normal periods.
Episodes can last for months.
Manic episodes may include delusions or hallucinations or both. These are called psychotic features. People with hypomania can continue to function and don t become psychotic, even though they may drive people close to them crazy. In bipolar II disorder, however, the depressions are full-blown. Most people with bipolar disorder experience slow changes in their mood swings.