Expert: Joyce A. Anthony - 11/18/2006

Question
What are the long term physical and mental effects of untreated bi polar?

Answer
Thanks for writing, Paul.

There are numerous long-term effects of untreated bipolar disorder.  I will try to cover a few of the more important ones here.

Physically, bipolar disorder has what is called the "kindling effect".  What this means is that each episode builds on the ones before--depressions become deeper and manias become higher.  Cycling becomes more rapid.  It may eventually get to the point where you are having mood changes numerous times per day.

During a depressive or manic episode, thinking is distorted and it becomes difficult to properly eat, sleep, or do other daily things.  The lack of proper eating can lead to malnutrition.  Lack of sleep puts stress on your heart lungs and other major bodily functions--and results in illnesses in these areas.

Psychologically, the lack of restraint during manic episodes can lead to injuries and even death because of risks those suffering mania often take.  Depression can also lead to death due to suicidal thoughts.

Relationships with family, friends and co-workers suffer over time.  Overspending sprees can lead to homelessness.  Self esteem suffers as you find yourself doing and thinking things you feel are inappropriate and with each relationship lost or job loss, self-esteem further lowers.

All these side effects in turn increase depression.  It's a never-ending cycle that can become increasingly worse over time.

I hope this answered your question.  Please write again if you have further questions or need some of this clarified.

                          Joyce A. Anthony