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Bipolar Disorder

Disclaimer:

This publication is based on a Mind UK publication and the original version may be found here: https://www.mind.org.uk/information-support/a-z-mental-health/

Thank you to Mind UK for sharing their valuable content with us. Content included in Mental Health A-Z is made available free of charge and does not form part of any commercial activity. The adaptation has been done independently by Mind HK and is intended for general information purposes only.

What types of bipolar are there?

Depending on the way you experience different bipolar moods and symptoms, and how severely they affect you, your doctor may diagnose you with a particular type of bipolar disorder. The table below explains some terms your doctor might use. 

Bipolar I 

You may be told you have bipolar I if you have experienced: 

  • at least one episode of mania which has lasted longer than a week 
  • You might also have experienced depressive episodes, although not everyone does. 

Bipolar II 

You may get a diagnosis of bipolar II if you have experienced both: 

Cyclothymia 

You may get a diagnosis of cyclothymia if: 

  • you have experienced both hypomanic and depressive mood states over the course of two years or more 
  • your symptoms aren’t severe enough to meet the criteria for a diagnosis of bipolar I or bipolar II 

This can be a difficult diagnosis to receive, because you may feel that you are being told your symptoms are ‘not serious enough’, but this is not the case. Mental health is a spectrum that encompasses lots of different experiences and cyclothymia can have a serious impact on your life. 

Using these terms can help both you and health professionals discuss your diagnosis and treatment more specifically. If your doctor ever uses words or phrases you don’t understand, you can ask them to explain. 

“[I have] cyclothymia. It can make you feel more like it must be all in your head as the symptoms are often not as extreme as bipolar.” 

How often do bipolar episodes occur? 

This can depend on a lot of things, such as: 

  • your exact diagnosis 
  • how well you’re able to manage your symptoms 
  • whether certain situations or experiences can trigger your episodes (for example, you might find that getting very little sleep while going through a stressful life event could trigger an episode of mania) 
  • how you define an episode personally 

What’s normal for you can also change over time. However, many people find that: 

  • mania can start suddenly and last between two weeks and four or five months 
  • depressive episodes can last longer – sometimes for several months 

Rapid cycling 

You may be told your bipolar is rapid cycling if you have experienced four or more depressive, manic, hypomanic or mixed episodes within a year. 

This might mean you feel stable for a few weeks between episodes, or that your mood can change as quickly as within the same day, or even the same hour. 

Currently, rapid cycling is not officially considered a separate type of bipolar disorder, but more research is needed to know for sure or to better understand it. (For more information on rapid cycling, see the Bipolar UK website.) 

It’s also common to have stable or neutral periods in between episodes. This doesn’t mean that you have no emotions during this time – just that you’re not currently experiencing mania, hypomania or depression, or that you’re managing your symptoms effectively. You might find you feel stable for years in between episodes, although for some people periods of stability can be much shorter. 

“It’s a lot harder coming to terms with being stable […] than I could have imagined. I’ve had to struggle with a ‘new’ identity and way of life after spending so many years thinking the ups and downs of bipolar are ‘normal’.” 

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What is iACT Service?

Improving Access to Community Therapies (iACT®) is one of the services from Mind HK. Trained Wellbeing Practitioners will offer initial assessment and early intervention for people dealing with mild to moderate symptoms of depression, anxiety, or other emotional difficulties.

 

The service includes 6-8 sessions of low-intensity psychological support, the flexibility of the service allows individuals to receive free and timely support when needed.

If you’re aged between 18 – 65 and are facing some emotional challenges, we would like to invite you to take an online assessment for us to gain a better understanding of your current emotional struggle.

 

If you’re eligible, we’ll get you connected with a Wellbeing Practitioner within two weeks to sort out the next steps.

The service runs for about 3 months and includes 6-8 support sessions, tailored to your needs.

 

We encourage you to attend all sessions and actively practice the tips and exercises provided by your Wellbeing Practitioner.

We take your privacy seriously. Your chats with the Wellbeing Practitioner are confidential.

 

We won’t share any of your info unless you’ve provided consent or if there are risks detected.

This programme isn’t suitable for people facing emergencies, major setbacks, or those diagnosed with serious or complex mental health conditions.

 

If you’re having thoughts of suicide or self-harm, this programme might not meet your needs, so please seek help right away. You can check out Mind HK’s “Find Help Now” page for immediate information and services.

Most of our Wellbeing Practitioners have backgrounds in psychology or counselling and are passionate about mental health. They’ve gone through about 140 hours of intensive training and completed at least 120 hours of supervised clinical practice over 9 months to ensure the quality of service.

 

They’re trained by accredited local experts in the mental health field, including clinical psychologists, counselling psychologists, counsellors, and psychiatrists. Plus, we regularly check how effective our services are. All service outputs and performances are subject to consistent monitoring.

Who is suitable for participating in this programme?

This programme welcomes anyone between the ages of 18 and 65 who may be feeling lost or facing emotional difficulties. Please note that this programme is not suitable for individuals diagnosed with severe or complex mental health conditions.

This programme is not suitable for individuals diagnosed with severe or complex mental health conditions, but suitable for those who experience mild to severe moderate anxiety, mild to moderate depression, or other emotional challenges. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

After signing up, our Wellbeing Practitioner will contact you within two weeks to schedule a convenient time for a 45-minute conversation, either via video or phone call, according to your preference. During the conversation, the Wellbeing Practitioner will understand your current situation and help you gain a better understanding of your emotional state based on the questionnaire you filled out during application. Additionally, they will provide recommendations for appropriate community resources based on your needs, helping you take an important first step in taking care of your mental health.

Although the intervention procedure is mostly standardised, Wellbeing Practitioners will work flexibly with clients to address individual presenting problems and unique characteristics.

Our Wellbeing Practitioners are trained to support people who experience mild to moderate mental health difficulties primarily. This programme is not suitable for the situations mentioned above. If you are currently experiencing a major setback or even having thoughts of suicide or self-harm, please visit the “Find Help Now” page on our Mind HK’s website for immediate information and services.

Your conversations with the Wellbeing Practitioner are absolutely confidential. Any information about you will not be shared with anyone without your consent unless you or others are at immediate risk or the Wellbeing Practitioner has reason to believe that you may be in imminent danger.
Supervisors will monitor trainees’ development throughout the placement to ensure that they are meeting the required level of competency to pass the training course at the end of the placement.

Yes, it is necessary to book an appointment in advance by filling out the form. Additionally, you can select one of the five stores yourself. We will allocate clients to different Wellbeing Practitioners based on their chosen location.

Before having the conversation, we will ask you to fill out a basic questionnaire for preliminary screening assessment. This screening process aims to ensure that the training received by the Wellbeing Practitioners is sufficient to meet the needs of the individuals receiving the service. If it is determined after the screening assessment that the service is not suitable for you, Mind HK will provide alternative recommendations to ensure your safety and support.

For adults who are suitable for this service, all Wellbeing Practitioners have received training on how to identify and respond to safety and risk issues. If you have any concerns about the support process, the Wellbeing Practitioners have appropriate measures in place and will develop response plans based on the urgency of the situation. They can also access support from clinical practitioners from Mind HK or participating organisations.

What private training does Mind HK provide?

Mind HK provides 4 themes of mental health training, including: Supporting Self, Supporting Others, Family Wellbeing and DEI (Diversity, Equity and Inclusion).

 

Check out the brochure here for more information.

Mind HK provides a wide range of standardised mental health training, which can be tailored to different circumstances. Chat with our team to explore more! 

Our trainers come from a diverse, accredited pool of clinically experienced professionals. Check out our trainers’ biographies here.

Yes, the Mental Health First Aid class of Mind HK is internationally accredited by the MHFA International. The content and certification is delivered by trainers certified from the Mental Health Association of Hong Kong. You can find out our trainers accreditation here.

We are here to support your mental health education journey! Reach out to us and chat with our team.

Types of bipolar

What types of bipolar are there?

Depending on the way you experience different bipolar moods and symptoms, and how severely they affect you, your doctor may diagnose you with a particular type of bipolar disorder. The table below explains some terms your doctor might use. 

Bipolar I 

You may be told you have bipolar I if you have experienced: 

  • at least one episode of mania which has lasted longer than a week 
  • You might also have experienced depressive episodes, although not everyone does. 

Bipolar II 

You may get a diagnosis of bipolar II if you have experienced both: 

Cyclothymia 

You may get a diagnosis of cyclothymia if: 

  • you have experienced both hypomanic and depressive mood states over the course of two years or more 
  • your symptoms aren’t severe enough to meet the criteria for a diagnosis of bipolar I or bipolar II 

This can be a difficult diagnosis to receive, because you may feel that you are being told your symptoms are 'not serious enough', but this is not the case. Mental health is a spectrum that encompasses lots of different experiences and cyclothymia can have a serious impact on your life. 

Using these terms can help both you and health professionals discuss your diagnosis and treatment more specifically. If your doctor ever uses words or phrases you don't understand, you can ask them to explain. 

“[I have] cyclothymia. It can make you feel more like it must be all in your head as the symptoms are often not as extreme as bipolar.” 

How often do bipolar episodes occur? 

This can depend on a lot of things, such as: 

  • your exact diagnosis 
  • how well you're able to manage your symptoms 
  • whether certain situations or experiences can trigger your episodes (for example, you might find that getting very little sleep while going through a stressful life event could trigger an episode of mania) 
  • how you define an episode personally 

What's normal for you can also change over time. However, many people find that: 

  • mania can start suddenly and last between two weeks and four or five months 
  • depressive episodes can last longer – sometimes for several months 

Rapid cycling 

You may be told your bipolar is rapid cycling if you have experienced four or more depressive, manic, hypomanic or mixed episodes within a year. 

This might mean you feel stable for a few weeks between episodes, or that your mood can change as quickly as within the same day, or even the same hour. 

Currently, rapid cycling is not officially considered a separate type of bipolar disorder, but more research is needed to know for sure or to better understand it. (For more information on rapid cycling, see the Bipolar UK website.) 

It's also common to have stable or neutral periods in between episodes. This doesn't mean that you have no emotions during this time – just that you're not currently experiencing mania, hypomania or depression, or that you're managing your symptoms effectively. You might find you feel stable for years in between episodes, although for some people periods of stability can be much shorter. 

“It's a lot harder coming to terms with being stable [...] than I could have imagined. I've had to struggle with a 'new' identity and way of life after spending so many years thinking the ups and downs of bipolar are 'normal'.”