7 Types of Bipolar Disorder

Bipolar disorder is often misunderstood as simply experiencing “mood swings,” but it is a much more complex mental health condition. It affects the brain’s ability to regulate mood, energy, and activity levels, leading to alternating periods of emotional highs (mania or hypomania) and lows (depression).
What many people don’t realize is that there are several different forms of bipolar disorder, each with unique patterns and challenges. Understanding these distinctions is crucial for proper diagnosis and effective treatment, especially for adolescents and young adults who may be experiencing symptoms for the first time.
At The Meadowglade in Moorpark, California, we specialize in helping individuals—and their families—navigate these challenges. By combining evidence-based therapies with holistic approaches like mindfulness, creative expression, and experiential activities, our team provides a safe and supportive environment for healing.
In this article, we’ll break down the 7 types of bipolar disorder, what sets them apart, and how professional care can make a meaningful difference.
1. Bipolar I Disorder
Bipolar I is the most well-known form. It is characterized by at least one full manic episode, which may last a week or longer, often followed by depressive episodes. These manic episodes can involve risky behavior, decreased need for sleep, rapid speech, and grandiose thinking.
Because the highs can be so intense, Bipolar I often disrupts school, work, and relationships. Early intervention is critical to prevent long-term consequences.
2. Bipolar II Disorder
Bipolar II is often misunderstood as being “milder” than Bipolar I, but it comes with its own serious challenges. Instead of full manic episodes, individuals experience hypomanic episodes—less extreme highs—paired with major depressive episodes.
The depressive periods in Bipolar II can be longer and more severe, sometimes making the condition harder to recognize. Many people with Bipolar II are misdiagnosed with depression alone, delaying the right treatment.
3. Cyclothymic Disorder (Cyclothymia)
Cyclothymic disorder involves frequent shifts between hypomanic and depressive symptoms that never fully meet the criteria for mania or major depression. Symptoms may seem “less severe” compared to Bipolar I or II, but the ongoing unpredictability can take a toll on daily life.
For adolescents, cyclothymia can be especially confusing, as mood fluctuations may be mistaken for typical teenage behavior. Professional evaluation is key to distinguishing between the two.
4. Bipolar Disorder with Rapid Cycling
Rapid cycling refers to experiencing four or more episodes of mania, hypomania, or depression within a single year. For some, these cycles can happen within weeks—or even days—making it one of the more difficult forms to manage.
Rapid cycling is often linked with more severe symptoms and a higher risk of complications like substance use or suicidal thoughts, highlighting the importance of comprehensive treatment.
5. Bipolar Disorder with Mixed Features
When someone experiences symptoms of mania and depression at the same time, it is referred to as bipolar disorder with mixed features. For example, a person may feel extremely energized but also hopeless or irritable.
This combination can be particularly overwhelming and dangerous, as the drive of mania combined with depressive thoughts may increase impulsive or harmful behaviors.
6. Substance/Medication-Induced Bipolar Disorder
Certain substances—such as drugs, alcohol, or even some prescription medications—can trigger bipolar-like symptoms. This form of the condition is known as substance/medication-induced bipolar disorder.
Teens and young adults experimenting with substances may experience sudden mood disturbances that mimic bipolar disorder, but the root cause is different. Treatment often requires addressing both the underlying substance use and the mental health symptoms together.
7. Bipolar Disorder Due to Another Medical Condition
Sometimes, bipolar symptoms arise as a direct result of a medical condition affecting the brain. Examples include multiple sclerosis, stroke, or certain neurological illnesses. This is classified as bipolar disorder due to another medical condition.
In these cases, addressing the underlying health issue is essential, while also managing the mood disturbances to improve quality of life.
Why Early Diagnosis Matters
Recognizing the type of bipolar disorder someone is experiencing is not always straightforward. Symptoms can overlap, shift, or be mistaken for other conditions such as ADHD, anxiety, or unipolar depression.
For adolescents and young adults, the stakes are high. Untreated bipolar disorder can disrupt education, relationships, and self-esteem, sometimes leading to dangerous coping mechanisms like substance abuse. With the right support, however, individuals can stabilize their moods and thrive.
The Meadowglade takes a comprehensive approach to diagnosis and treatment, combining clinical expertise with compassionate care. From therapy sessions to holistic practices like yoga, art, and equine therapy, we aim to treat the whole person—not just the disorder.
Contact Us for Support
If you or someone you love is struggling with symptoms of bipolar disorder, know that you are not alone. Bipolar disorder is a lifelong condition, but it can be managed successfully with proper treatment and support.
At The Meadowglade in Moorpark, California, we provide individualized treatment programs for adolescents and young adults. Our serene, retreat-style environment allows clients to step away from the pressures of daily life and focus fully on healing.
Whether you’re seeking answers, a formal diagnosis, or ongoing support, our team is here to help.