What's the Difference Between Bipolar Disorder vs Bipolar Affective Disorder?

Have you recently noticed some emotional ups and downs? Perhaps you often feel depressed and can't quite understand why?...

Depression
March 21, 2025

Have you recently noticed some emotional ups and downs? Perhaps you often feel depressed and can't quite understand why? After visiting your doctor, you were diagnosed with bipolar affective disorder? Don't worry, we've got you covered. After reading this post, you'll learn about bipolar affective disorder, the causes of your recent mood swings, and the proper steps needed to manage your depression, including bipolar disorder symptoms, the concept of a major depressive episode, and anxiety disorders. Mental disorders, mood disorders, and other related disorders can be helped. You'll also get some ideas on how to manage your depression.

Let's get started.

Quick Guide for Bipolar Affective Disorder vs Bipolar Disorder

Aspect

Details

Definition

Bipolar Disorder (Bipolar I) involves full manic episodes, whereas Bipolar Affective Disorder (Bipolar II) involves hypomanic episodes, which are less severe.

Symptoms of Bipolar Disorder

Common symptoms include manic or hypomanic episodes, major depressive episodes, and shifts in mood and behavior.

Types of Bipolar Disorder

There are four types: Bipolar I, Bipolar II, Cyclothymic Disorder, and Other Types caused by substances like alcohol or drugs.

Symptoms of Mania

Increased energy, emotional behavior, rapid talking, sociability, racing thoughts, high self-esteem, and distractibility.

Impact on Life

Affects work, behavior, and relationships. People with bipolar disorder often struggle with maintaining stability in daily life.

Treatment

Both medical and psychological treatments are essential for managing symptoms and maintaining a balanced life.

Misconceptions

Bipolar disorders are mental health conditions, not spiritual problems, requiring appropriate medical treatment.

What Is Bipolar Affective Disorder?

In layman's terms, bipolar affective disorder popularly known as manic depression is a mental illness that mostly affects and causes intense shifts in moods. People who suffer from this sickness witness mood swings, and changings in behavior and may often experience mania and depression. It's a disorder that mostly affects your thoughts, behaviors, etc. For instance, you might be sad this minute, and then within the next minute, you become angry. In addition, know that bipolar is not a spiritual problem as some people mistake it sometimes, but it's a mental disorder that will require you to take the right medication to be well again.

There are mostly 4 types of bipolar disorder.

Here is the list below:

Bipolar 1

This type of bipolar disorder is represented by manic episodes and can come with or without depression symptoms. For a person who has this kind of bipolar affective disorder, the manic episodes can last for a week or more though depending on how bad your case may be. And you may as well experience some kind of depression that might last for weeks.

Bipolar Disorder 2

Bipolar 2 disorder comprises both manic and depressive episodes. In this kind of bipolar affective disorder, the mania you will experience can be slightly more severe than that of bipolar 1 also known as hypomania. Then, you will experience depressive episodes either before or after you've had a manic break.

Cyclothymic Disorder

This is a kind of bipolar affective disorder, where you will experience both manic and depressive episodes for like a year or more than that. Though in this disorder, the mania and depression are usually less severe than that of bipolar 1 or bipolar 2.

"Other Types"

In this case, you may experience symptoms that don't fit into the other 3 above bipolar types. If this is your case right now, you're considered to be a type 4 bipolar disorder "Other types" are mostly caused by alcohol, drugs, etc.

A woman sitting in a chair looking at man holding his head with his hands.

Causes Of Bipolar Affective Disorder

Though, the causes of bipolar affective disorder have not been scientifically proven. But then, according to researchers, it can be caused by

  • Genetic cause and
  • Environmental causes.

Below are the things they found to cause bipolar affective disorder. Genetic causes include:

  • Bipolar tends to run in families, so if anyone of your parent has it, you may likely acquire it.

Environmental causes include:

  • Too much stress can prompt it.
  • Shock or the death of a loved one.
  • Drug abuse.
  • Child abuse and lots more.
  • An imbalance in distinct brain chemicals.

Symptoms Of Bipolar Affective Disorder

Bipolar affective disorder symptoms can sometimes be hard to deal with in your everyday life. It will have a bad effect on your work, your behavior, and your relationship with people around you. However, here are the different categories of symptoms you might experience if you have bipolar disorder: for mania symptoms.

10 symptoms of mania are as follows:

  • Increased energy.
  • Feeling exciting more often.
  • Show emotional behavior.
  • Talking often and quickly.
  • More sociable.
  • Rushing thoughts.
  • Increased self-esteem.
  • Moving quickly from one idea to another.
  • Feeling able to do certain things without feeling tired.
  • Being easily distracted and struggling to focus on one topic at a time.

For Hypomania Symptoms  

This is more like mania, but in this case, you will experience lower symptoms. For depressive symptoms.

The 6 symptoms of depression include:

  • Lack of energy or feeling of tiredness.
  • Feelings of worthless or sometimes guilty.
  • Have low self-esteem.
  • Find it so difficult to concentrate.
  • Feeling negative and hopeless.
  • You sometimes have suicidal thoughts.

For the Psychotic symptoms.

This is also another symptom of bipolar affective disorder.

Its symptoms can include:

  • Hearing, seeing, or feeling things that are not real and don't exist – is a hallucination.
  • Believing things that aren't true and people may often find your beliefs odd.

In addition, Psychotic symptoms in bipolar disorder can reveal your mood. For instance, in a situation you have a manic episode, you may believe that you have some kind of special powers whereas you don't.

Is There A Difference Between Bipolar Disorder And Bipolar Affective Disorder?

The difference between these two mainly depends on the aspect of the manic episode affected by each one. It means, that a person with bipolar disorder (bipolar 1) will feel a full manic episode, whereas a person with bipolar affective disorder (bipolar 2) feels only the hypomanic episode - less serious than the latter.

Treatment and Management of the Bipolar Affective Disorder  

Well, the bipolar affective disorder can be treated with both medical and psychological treatments.  

Different types of pills

For Psychological Treatment

You will be given a psychological medication that is specially designed for bipolar affective disorder. You could be given either individual or group therapy. Although, this treatment aims to help stop you from becoming unhealthy again. Hence, a talking therapist can be of help in this case. The therapist should help you to:

  • know your condition.
  • Monitor your behavior and moods.
  • Be aware of how you communicate and manage disorders etc.

Conclusion

Bipolar affective disorder is a serious mental illness that is mostly characterized by mood changes, coupled with both mania and depression. It's a life-long and often recurring severe mental sickness that might need long-term support to help manage your condition. However, it can be controlled and managed if you see your doctor in time.

Resources

https://www.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2

https://pubmed.ncbi.nlm.nih.gov/32644424/

https://cmhadurham.ca/mental-health/bipolar-affective-disorder/#:~:text=Bipolar%20means%20sharing%20two%20poles,low%20pole%20experienced%20as%20depression.

https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Depression

Is medication a necessary part of treating depression?

While medication is not always required for managing depression, it can be beneficial in some cases. If you decide that medication is right for you, medications such as antidepressants work by balancing certain brain chemicals involved in regulating moods. Other options include mood stabilizers or antipsychotic drugs which may also prove helpful for certain individuals struggling with symptoms of depression.

What can happen if I don't seek help for my depression?

Ignoring depression can exacerbate symptoms and make it more challenging to manage over time. This can result in a negative impact on your personal, professional, and social life, leading to feelings of isolation and even thoughts of self-harm or suicide.

What are the benefits of therapy for treating depression?

Therapy provides many benefits for people battling depression. Research has shown that cognitive-behavioral therapy (CBT) is particularly effective in managing depressive symptoms. In addition, therapy can teach healthy coping skills and provide emotional support during difficult times. It may also be used as part of a comprehensive treatment plan which includes medication as well as lifestyle changes such as regular exercise and improved nutrition.

I don't want to ruin the holidays for my family by being sad all the time. What can I do?

It's important to remember that you are allowed to grieve however you need to, and that doesn't mean you have to ruin the holidays for everyone else. If you need to take a break from holiday festivities, do so. Go for a walk, take a nap, watch a movie—whatever you need to do to take care of yourself. You can also try talking to your family about your grief ahead of time and asking for their understanding and support.

How long does depression counseling typically take?

The duration of depression counseling varies for each individual, depending on the severity of their depression and their progress in therapy. Our therapists will regularly assess your progress and adjust your treatment plan as needed.

Are there specific therapy services for anxiety and depression covered by Medicaid?

Yes, Medicaid provides insurance coverage for therapy services specifically designed to help individuals struggling with anxiety, depression, and other mental health conditions. Access to licensed therapists who specialize in these areas is available within the Medicaid network.