Bipolar disorder is a mental health condition marked by extreme mood swings between manic (or hypomanic) highs and depressive lows. Mannerisms observable behaviors in speech, movement, and interaction vary by episode and individual, but common patterns emerge. Note: These are not diagnostic; only a professional can confirm bipolar disorder.

Manic/Hypomanic Phase (Elevated Mood):

• Rapid, Pressured Speech: Talking excessively fast, jumping topics (flight of ideas), interrupting others, or being hard to follow.
• Increased Energy and Restlessness: Fidgeting, pacing, inability to sit still; starting multiple tasks without finishing.
• Grandiosity and Impulsivity: Boastful gestures, exaggerated confidence (e.g., wild hand movements while describing big plans), risky behaviors like overspending or reckless driving.
• Reduced Need for Sleep: Appearing alert and productive despite little rest, often with euphoric or irritable expressions.

Depressive Phase (Low Mood):

• Slowed Speech and Movement: Monotone voice, long pauses, slouched posture, minimal eye contact, or psychomotor retardation (extremely slow actions).
• Withdrawal and Lethargy: Avoiding interaction, flat affect (little facial expression), tearfulness, or self-isolating behaviors.
• Irritability or Agitation: Snapping at minor triggers, clenched fists, or pacing in frustration.

Mixed Episodes (Both Phases):

• Agitated depression: Restless (e.g., wringing hands) while deeply sad, or racing thoughts with suicidal ideation.

Mannerisms fluctuate; some experience rapid cycling (4+ episodes/year). Triggers like stress or sleep loss amplify them. Not everyone shows all signs cultural factors influence expression. Seek help if moods disrupt life; therapy/medication (e.g., mood stabilizers) can manage symptoms effectively. Consult a psychiatrist for personalized insight.