Bipolar Disorder and Addiction

Living with bipolar disorder can feel like being on a rollercoaster you didn’t choose to ride. The extreme highs and lows can turn daily life into a constant challenge. Add addiction to that already volatile situation, and the prospect of a lifetime of continuous struggles can be a bleak one. But here’s the thing: you are not alone, and there is a way forward. With the right support, Liberty House can help you defeat addiction and learn how to better manage the ups and downs of bipolar disorder, so your future looks a whole lot brighter.

bipolar and addiction balloons representing moods

What is bipolar disorder?

Bipolar disorder, once called manic depression, is a mental health disorder that brings intense and often erratic mood swings. These can range from feeling on top of the world during manic or hypomanic episodes to the deep sadness and exhaustion of depression. For some, these shifts last only a few days, but others can stretch for weeks or months.

In the UK, it is estimated that over 1.3 million people live with one of the three main types of bipolar disorder:

Bipolar I disorder
This is the more extreme form of bipolar disorder, where manic episodes take over for a week or more or are so intense that they require hospital care. Depression usually follows, and in some cases, mania and depression collide, creating a mixed episode where symptoms of both appear at once.
Bipolar II disorder
With Bipolar II, people experience hypomanic episodes over four days or more, which are less intense but still noticeable than manic ones. These are paired with depressive episodes, creating a pattern of ups and downs that can still have a big impact on daily life, even if it’s not as disruptive as Bipolar I.
Cyclothymic disorder
Cyclothymia is marked by milder mood shifts that swing between highs and lows. These changes must linger for at least two for adults and one for younger people for a diagnosis. While the symptoms might not seem as severe, they can still disrupt your daily life more subtly but significantly.

What are the most common bipolar disorder symptoms?

Bipolar disorder symptoms can show up in many ways, affecting how you think, feel and act. It often influences your energy, mood, behaviour and even your ability to make decisions or focus.

During manic episodes, some of the most common bipolar disorder symptoms include:

  • Bursts of extreme happiness or excitement
  • Feeling overly confident or invincible
  • Speaking quickly or having a flood of thoughts all at once
  • Acting impulsively or taking risks a lot
  • Getting agitated or irritated over small things
  • Feeling like you can’t stop moving
  • Sleeping very little but still feeling full of energy

On the other side of the coin, depressive bipolar disorder symptoms include:

  • Deep sadness or a sense of hopelessness
  • Thoughts of self-harm or suicide
  • Anxiety or constant worry
  • Feeling weighed down by guilt
  • Trouble sleeping or sleeping too much
  • Eating too little or too much
  • Exhaustion that doesn’t go away
  • Not feeling motivated to do anything
  • Irritability or feeling on edge
  • Persistent aches or pains without a clear cause

If these bipolar disorder symptoms sound familiar, either for you or someone you care about, getting a professional diagnosis can prevent the most serious consequences.

What’s the relationship between bipolar disorder and addiction?

Around 70% of people with bipolar disorder also struggle with addiction at some point in their lives, and for some, addiction is a long-term issue. Living with bipolar disorder can be too much to bear, and some people turn to drugs or alcohol to feel better during the lows or to keep the highs going. As is often seen with dual diagnosis, this coping method may seem like it helps for a while, but the improvements rarely last.

Another reason for the high rates of co-occurring bipolar disorder and addiction could be the way bipolar affects the choices you make. Impulsive decisions or risky behaviour are common with bipolar disorder, and that can make you more likely to experiment with drugs or alcohol.

On top of that, some of the medicines used to manage bipolar disorder symptoms can be addictive, which adds another pathway of trouble.

Whatever the case, addiction and bipolar disorder symptoms eventually start feeding into each other. This creates a pattern of more intense highs, crushing lows and increased substance use to cope. Changing this pattern alone is incredibly tough, which is why professional bipolar disorder and addiction treatment is so important.

bipolar and addiction group therapy

Bipolar disorder and addiction treatment at Liberty House

At Liberty House, we are well-versed in the added difficulties of managing addiction alongside bipolar disorder. We take a thoughtful approach, treating the causes and symptoms of addiction while also considering the unique needs of bipolar sufferers.

For care that looks at the full picture all at once, our UKAT London Clinic provides dual bipolar disorder and addiction treatment.

Whichever route you choose, you will take part in a range of addiction and bipolar therapy forms, including:

Cognitive behavioural therapy (CBT)
CBT helps you spot the counter-productive thoughts that might lead to using drugs or alcohol or make bipolar symptoms feel worse. Together with your therapist, you will then turn those thoughts around so they work for you, not against you.
Dialectical behaviour therapy (DBT)
DBT is all about staying mindful when dealing with the kind of intense emotions that bipolar disorder and addiction produce. It can also help you build better relationships and teach you how to handle bipolar disorder symptoms in recovery.
One-to-one therapy
One-to-one therapy gives you the time and space to focus on yourself – your struggles, your goals and what you need to heal. When you are dealing with bipolar disorder and addiction, these personal sessions are a great place to start making sense of it all.
Group therapy
Sometimes, the best advice comes from someone who has been there, too. Group therapy is a chance to receive and share that advice with your rehab peers, hopefully making friends along the way.
Mindfulness and meditation
Mindfulness teaches you how to be present in the moment, which is very useful for both bipolar disorder and addiction. You will learn various meditation and breathing exercises which you can use to stay steady during mood swings or when cravings hit.
Family therapy
When addiction and bipolar disorder affect a family, it can feel like everyone is walking on eggshells. Family therapy helps break the silence, rebuild trust, and provide the most important support system.
Ongoing support
After rehab treatment is done, we will keep supporting you with free weekly group sessions for an entire year, where you can share your wins, work through any challenges and reaffirm your recovery goals. You will also walk away with a personalised plan to help you stay strong, and you will join our amazing UKAT Alumni Community, which is filled with people who understand your journey and are ready to celebrate every step forward with you.

How to get help for bipolar disorder and addiction

Taking the first step toward recovery might feel like standing at the edge of the unknown, but it’s also where hope begins. At Liberty House, we are ready to walk this path with you, offering care and support that fits your unique story. Contact us today – Together, we will tackle the challenges of bipolar disorder and addiction and build a life that feels steady and full of possibility.

Frequently Asked Questions

What causes bipolar disorder?
There is no single reason why someone develops bipolar disorder, and as with many mental health conditions, it is often a mix of things coming together. Bipolar disorder could be passed down through your family, or it might show up after something stressful or traumatic happens in your life. Sometimes, it is linked to how your brain works, with certain chemicals getting out of balance. Whatever the cause, it is important to remember that it’s not your fault, and with the right help, things can get better.
How do you know if you have bipolar disorder?
If the bipolar disorder symptoms on this page sound familiar, you should seek a professional diagnosis. Bipolar disorder can look different for everyone, and only a GP or mental health specialist can confirm it. Getting a diagnosis will not only put a name to what you’re feeling, but it will also open the door to the right treatment and support to help you start feeling better.
How to help someone with bipolar disorder?
The best way to support someone with bipolar disorder is to start by listening. Let them share their feelings without judgment or trying to “fix” them. Encourage them to get professional help, show them this page and remind them that they don’t have to face this alone. You can also educate yourself about bipolar disorder to better understand what they are going through and how to be there for them.

(Click here to see works cited)

  • Bipolar UK. “What is bipolar?” Bipolar UK, 2023, https://www.bipolaruk.org/pages/faqs/category/what-is-bipolar. Accessed 27 December 2024.
  • UK Rehab. “Dual Diagnosis | Co-Occurring Disorders.” UK Rehab, https://www.uk-rehab.com/mental-health/dual-diagonosis/. Accessed 27 December 2024.
  • UK Rehab. “Bipolar and Addiction | Mental Health and Addiction.” UK Rehab, https://www.uk-rehab.com/mental-health/bipolar-and-addiction/. Accessed 27 December 2024.
  • NHS. “Bipolar disorder.” NHS, https://www.nhs.uk/mental-health/conditions/bipolar-disorder/. Accessed 27 December 2024.