How Does a Manic Phase Typically End...
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Q:  How Does a Manic Phase Typically End...


A very close friend (age 38) is in the midst of what I believe to be her first manic phase.  She has had all the symptoms of the manic phase of Bipolar disorder for approx six weeks, but so far has not been to a doctor. I'd like to know what to expect when she begins coming out of this manic phase.  How does a manic phase typically end or transition into a depressive phase?


Dear Theresa -- 
There are many variations, so one could not really predict to any significant degree what you'll see.  Bipolar I, with psychosis, can just slowly resolve back to a person's "old self" without anything else occurring, and years until the next episode (or never, in some cases).  On the other hand, it is also common to cycle down into a severe depression afterward.  

Dr. Phelps
 

Published May, 2002 

 

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