Managing Bipolar Disorder: Coping with Rage and Anger
Managing Bipolar Disorder with Licensed Clinical Social Workers
According to research, rage can be a common symptom of bipolar disorder. If you’re living with bipolar disorder or supporting someone with this condition, coping with unexpected rage can be particularly challenging.
The emotions associated with bipolar disorder may negatively impact your relationships, mental health, and self-esteem. Fortunately, there are effective tools to help regulate your nervous system, increase positive experiences, and improve your overall mental health and well-being through telehealth therapy.
Understanding bipolar disorder as a mental health condition
According to the National Institute of Mental Health National Institute of Mental Health, bipolar disorder (formerly known as manic depression) is a mental health condition that causes “unusual shifts in mood, energy, activity levels, and the ability to carry out daily tasks.” The DSM-5 categorizes bipolar disorder into four diagnoses based on the highs (mania) and lows (depression) experienced:
- Bipolar I Disorder: Characterized by manic episodes lasting at least one week that may require immediate medical attention. Similar patterns can occur during depressive episodes.
- Bipolar II Disorder: Involves depressive episodes and less severe periods of hyperactivity and energy (hypomania).
- Cyclothymic Disorder (Cyclothymia): Presents with mild hypomanic and depressive symptoms, diagnosed after two years in adults and one year in children and adolescents.
- Related Disorders (Unspecified): Diagnosed when symptoms don’t meet the criteria for bipolar I, bipolar II, or cyclothymia.
Recognizing the symptoms of bipolar disorder
Manic symptoms
Manic episodes, which only present in bipolar I disorder, may include:
- Elevated elation and high energy levels
- Increased activity and irritability
- Rapid speech and increased risk-taking
- Delusions and mood swings
- Paranoia and decreased sleep
- Difficulty connecting with reality
- Grandiosity (highly inflated self-esteem)
Hypomanic symptoms
Hypomanic episodes, which may appear in all forms of the disorder, can include:
- Elevated mood and increased energy
- Irritability and heightened motivation
- Unusual happiness and hyperfocus
- Racing thoughts and inflated self-esteem
Distinguishing mania from hypomania
Mania typically lasts at least one week, while hypomania usually persists for a few days. Though hypomania is considered less severe, it can still significantly impact an individual’s well-being and daily functioning.
Depressive symptoms
Depressive episodes, present in most forms of this disorder, may include:
- Persistent low mood and lack of energy
- Diminished motivation and difficulty with daily responsibilities
- Neglect of personal hygiene
- Loss of interest in previously enjoyed activities
- Sleep disturbances (insomnia or hypersomnia)
- Feelings of hopelessness and overwhelming worry
- Poor concentration and appetite changes
- Suicidal ideation and irritability
If you are experiencing suicidal thoughts or urges, call the 988 Suicide & Crisis Lifeline at 988 or text 988 to speak with a crisis provider. They are available 24/7 to offer support. 988 also offers an online chat for those with internet access.
Bipolar anger and rage: Understanding the connection
Anger and rage can occur during both manic and depressive episodes of bipolar disorder, though not everyone with the condition experiences these emotions during episodes. Similarly, not everyone with anger management challenges has bipolar disorder. When present, rage might manifest as:
- Verbal outbursts and yelling
- Urges to destroy objects or harm oneself or others
- Anger-related crying
- Physical sensations of heat or flushing
- Difficulty focusing on surroundings
- Feeling disconnected from your body
- Perceiving a need for immediate resolution
- Experiencing quick, difficult-to-calm anger
When these emotions arise, implementing coping strategies and taking breaks from interactions can be beneficial. Bipolar disorder can often be effectively managed through a combination of professional support, therapeutic interventions, and lifestyle modifications. Prioritizing your mental health can help control symptoms and maintain healthier relationships.
How to manage bipolar disorder and associated anger
If you’re experiencing rage or anger as part of bipolar disorder, several strategies can help reduce symptom severity and develop healthier responses. Consider the following approaches:
Understand your patterns
To reduce anger, reflect on your past reactions and identify areas for growth. For example, if you frequently yell when angry, consider what triggers this response and how you might avoid or manage these situations differently.
Remember that physical factors like fatigue or hunger can reduce emotional control. By tracking your moods, you might notice patterns—perhaps you feel angrier before meals or after stressful commutes. Once identified, you can prepare by implementing coping skills during these vulnerable periods.
Take mental health breaks when anger or rage surfaces
When experiencing intense anger, it can be difficult to focus on your surroundings or think logically. Although challenging, stepping away before responding can be crucial. During this break, engage in calming activities like exercise, reading, or deep breathing exercises.
Once calmer, reflect on what triggered your anger and how you might prevent similar reactions in the future. Return to the situation with a clearer mind and a plan for how to communicate effectively, even if the conversation doesn’t go as hoped.
Keep a journal to track and process emotions
Journaling is an effective stress-reduction tool that promotes self-reflection. You can write in a notebook or digital device, or explore alternative methods like collage or drawing if traditional writing doesn’t appeal to you. Visual journaling might be particularly helpful for those who prefer non-verbal expression. Regular entries allow you to identify patterns and track progress over time.
Attend support groups for connection and understanding
While friends and family can provide support, they may not fully understand your experience with bipolar disorder. Support groups connect you with others facing similar challenges, offering a space to share experiences and gain practical advice. Though not a replacement for professional therapy, these groups provide valuable community connection and are typically free to attend.
Communicate openly with others
Bipolar symptoms can strain relationships, particularly when they involve challenging behaviors. Consider requesting patience from others while acknowledging that you’re actively working to manage your symptoms. This transparency helps others understand that your anger is part of your condition while demonstrating your commitment to healthier interactions.
How ReachLink’s telehealth therapy can help manage bipolar disorder
Working with a licensed clinical social worker through ReachLink’s telehealth platform can provide crucial support for managing bipolar disorder.
licensed clinical social workers offer personalized therapy plans tailored to your unique experiences with bipolar disorder. They employ evidence-based techniques such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness practices to help manage mood swings, regulate anger, and develop healthier coping skills. Through consistent telehealth sessions, clients can build resilience, gain insight into their condition, and learn practical strategies to navigate daily challenges.
Telehealth therapy also provides the convenience and accessibility to receive professional support from the comfort of your home. This flexibility can be particularly beneficial during periods of mania or depression when attending in-person appointments may feel overwhelming. Additionally, licensed clinical social workers can collaborate with psychiatrists, primary care providers, and family members to ensure comprehensive care and medication management if needed.
In summary, managing bipolar disorder—especially when it involves intense emotions like anger and rage—requires a multifaceted approach that includes self-awareness, emotional regulation techniques, supportive relationships, and professional guidance. ReachLink’s telehealth services connect you with compassionate mental health professionals ready to support your journey toward stability and improved well-being.
Taking the first step to seek help is a powerful act of self-care. With the right support and tools, it is possible to regain control over your symptoms and live a fulfilling life despite the challenges of bipolar disorder.
