Friday, April 13, 2018

The Environmental and Lifestyle Triggers of Bipolar Disorder


A hospitalist with Novant Health in Charlotte, North Carolina, Dr. Amsalu Bizuneh cares for patients living with acute illnesses. Among the mental health areas in which Dr. Amsalu Bizuneh has a strong interest is bipolar disorder. 

The National Institute of Mental Health estimates that nearly six million adults nationwide are living with bipolar disorder, with the causes reflecting a complex mix of brain structure, genetics, and the environment. 

In controlling bipolar episodes, lifestyle and environmental triggers play a significant role. Stress is one major instigator, with obstacles such as financial challenges and life changes such as the loss of a loved one often behind the initial episode. 

Another lifestyle-related cause is poor sleep, with triggers including jet lag and any extended disruption of usual sleeping patterns. In addition seasonal changes contribute, with depression more likely to occur in fall and winter and manias more prevalent in the spring and summer. 

Substance abuse is also common among those with bipolar disorder, with many people affected choosing to “self-medicate” through alcohol or drug use. Unfortunately, this approach typically has the opposite of its intended effect, with the mood swings associated with bipolar disorder intensifying and suicidal thoughts often emerging.