Symptoms - Bipolar DisorderFeeling sad, hopeless, or irritable most of the time, lack of energy, difficulty concentrating and remembering things, loss of interest in daily activities, feelings of emptiness or worthlessness, feelings of guilt and despair, feeling pessimistic about everything, self-doubt. Mania and hypomania are two different types of episodes, but they have the same symptoms. Mania is more severe than hypomania and causes more noticeable problems at work, school, and social activities, as well as relationship difficulties. Mania can also cause a break with reality (psychosis) and require hospitalization.
This can happen when a trigger causes clear signs of mania or depression, but often there is no clear trigger. The psychotic symptoms of bipolar disorder may reflect your mood. For example, if you have a manic episode, you may believe that you have special powers or that you are being monitored by the government. If you have a depressive episode, you may feel very guilty about something you think you have done.
You may feel that you are worse than others or that you don't exist.