The Relationship Between Bipolar Disorder And Anxiety Disorders


The Relationship Between Bipolar Disorder And Anxiety Disorders

The experience of mood swings is a common part of life. However, when these mood swings become extreme and persistent, they can be indicative of bipolar disorder or an anxiety disorder. Understanding the connection between these two conditions is important, as many people wonder: is bipolar disorder an anxiety disorder? The answer is no, however, they can frequently co-occur, creating complex challenges. 

This article will delve into the characteristics of both bipolar disorder and anxiety disorders, explore the reasons behind their frequent coexistence, and discuss the importance of accurate diagnosis and effective treatment strategies.


What is Bipolar Disorder?

Bipolar disorder, also known as manic-depressive illness, is a serious mental illness that affects approximately 1 in 40 adults and 1% of teenagers in the United States. This condition is characterized by cyclic episodes of mania (elevated mood) and depression (depressed mood). These episodes can last for days, weeks, or even months, significantly impacting a person’s quality of life.

Common symptoms and signs of Bipolar Disorder

Bipolar disorder manifests through distinct mood episodes – manic episodes and depressive episodes. These episodes can significantly disrupt a person’s daily life, work, and relationships. It’s important to note that the severity and duration of these episodes can vary greatly from person to person.

Manic phase symptoms:

  • Excessively high or irritable mood: This can manifest as euphoria, joy, or extreme irritability. The person might feel excessively optimistic and have an inflated sense of self-importance.
  • Racing thoughts and increased energy: There’s a constant flow of ideas, often jumping from one topic to another rapidly. The person might feel restless and agitated.
  • Decreased need for sleep: Despite little to no sleep, the person feels energetic and doesn’t experience fatigue.
  • Engaging in risky behaviors: Poor judgment can lead to impulsive decisions with potentially negative consequences. This might include reckless spending sprees, substance abuse, alcohol abuse, risky sexual behavior, or taking on excessive financial debt.
  • Difficulty concentrating: The rapid flow of thoughts and ideas makes it challenging to focus on a single task or conversation.
  • Inflated sense of self-importance: An exaggerated sense of self-worth and importance can emerge. The person might believe they have special talents or powers and expect excessive admiration from others.

Depressive phase symptoms:

  • Feeling sad, hopeless, or worthless: A persistent feeling of sadness, despair, and a sense of worthlessness can dominate the person’s emotional state.
  • Loss of interest or pleasure in activities once enjoyed: Activities that previously brought joy become uninteresting or overwhelming. Even basic tasks can feel like a struggle.
  • Significant changes in appetite or sleep patterns: Changes in appetite can lead to significant weight loss or gain. Sleep disturbances can manifest as insomnia (difficulty falling asleep or staying asleep) or hypersomnia (sleeping excessively). These significant changes in sleep and appetite can become risk factors for developing other health problems.
  • Psychomotor agitation or retardation: This can involve either excessive physical restlessness and pacing (agitation) or a significant slowing down of movement and speech (retardation).
  • Difficulty concentrating or making decisions: The ability to focus and make clear decisions becomes impaired due to low mood and negative thought patterns.
  • Recurrent thoughts of death or suicide: Thoughts of death and suicide can become intrusive during depressive symptoms. It’s important to take these thoughts seriously and seek immediate help to reduce the risk of suicide attempts.


  • Bipolar disorder can also present with mixed episodes, where bipolar symptoms of both mania and depression occur simultaneously.
  • Some people experience a milder form of mania called hypomania, which has less severe manic symptoms than a full manic episode.

What is Anxiety Disorder?

What is Anxiety Disorder?

Anxiety disorder is a mental health condition characterized by excessive worry and fear. These feelings can be constant or triggered by specific situations. Anxiety disorders can significantly impact a person’s daily life, causing social withdrawal, difficulty concentrating, and even physical health problems.

Common symptoms and signs of Anxiety Disorder

Anxiety disorders can manifest through a combination of physical, psychological, behavioral, and sleep-related symptoms. The specific symptoms and their intensity can vary depending on the type of anxiety disorder a person has. Here’s a more detailed breakdown of these categories:

Physical Symptoms:

  • Racing heart (tachycardia): This can feel like your heart is pounding or beating very fast, often accompanied by a feeling of panic or dread.
  • Sweating: Excessive sweating can occur even in cool environments, often on the palms, forehead, or underarms.
  • Shortness of breath (dyspnea): A feeling of tightness in the chest or difficulty catching your breath, even at rest. This can lead to hyperventilation (rapid, shallow breathing).
  • Chest tightness: An uncomfortable sensation of tightness, pressure, or constriction in the chest, often mistaken for a heart attack.
  • Dizziness or lightheadedness: A feeling of faintness or unsteadiness, sometimes accompanied by lightheadedness or nausea.
  • Nausea or stomach upset: Anxiety can trigger nausea, stomach cramps, or indigestion.
  • Muscle tension: Tightness or pain in the muscles, particularly in the neck, shoulders, and back.
  • Headaches: Tension headaches are common in people with anxiety disorders.
  • Fatigue: Despite getting enough sleep, a person might feel constantly tired and drained of energy.

Psychological Symptoms:

  • Excessive worry or fear: This is a primary symptom of anxiety disorders. The worry can be constant or triggered by specific situations. The person might worry excessively about finances, health, relationships, or future events.
  • Feeling restless or on edge: A sense of inner turmoil, nervousness, and inability to relax.
  • Feeling like something terrible is going to happen: This can manifest as a constant feeling of impending doom or dread.
  • Difficulty concentrating: Racing thoughts and worry can make it challenging to focus on work, studies, or conversations.
  • Difficulty controlling the worry: Despite recognizing that the worry is excessive, the person struggles to stop or control it.
  • Intrusive thoughts (obsessions) in OCD: These are unwanted and persistent thoughts that cause significant distress. People with OCD try to neutralize these thoughts through repetitive behaviors (compulsions).

Behavioral Symptoms:

  • Avoiding situations that trigger anxiety: People with anxiety disorders might avoid places, situations, or activities that trigger their anxiety. This can significantly limit their daily life and social interactions.
  • Difficulty tolerating uncertainty: The inability to handle unpredictable situations or lack of control can worsen symptoms in patients with anxiety.
  • Increased need for reassurance: A constant need for reassurance from others to feel temporarily relieved of anxiety.
  • Restlessness or pacing: An inability to stay still due to nervous energy and a feeling of needing to release tension.

Sleep Disturbances:

  • Difficulty falling asleep or staying asleep: Anxiety can make it difficult to fall asleep or cause frequent waking up during the night.
  • Waking up feeling tired or unrested: Even after getting enough sleep, the person might feel exhausted and unrefreshed due to poor sleep quality.

Different types of Anxiety Disorders

There are several different types of anxiety disorders, each with its own set of specific symptoms. Here’s a brief overview of some common ones:

  • Generalized Anxiety Disorder (GAD): Excessive worry about a variety of things with no clear trigger. GAD affects 6.8 million people or 3.1% of the United States population.
  • Panic Disorder: Sudden and unexpected episodes of intense fear accompanied by physical symptoms. 
  • Social Anxiety Disorder (Social Phobia): Intense fear of social situations and scrutiny from others.
  • Specific Phobias: Patients with anxiety disorders have an intense fear of a specific object or situation.
  • Agoraphobia: Fear of situations that might cause panic attacks or feelings of being trapped.
  • Obsessive-Compulsive Disorder (OCD): Intrusive thoughts (obsessions) that lead to repetitive behaviors (compulsions) aimed at reducing anxiety.
  • Post-Traumatic Stress Disorder (PTSD): Symptoms that develop after experiencing or witnessing a traumatic event.
  • Separation Anxiety Disorder: Excessive anxiety about separation from a loved one.

What is the Relationship Between Bipolar Disorder and Anxiety Disorders?

What is the Relationship Between Bipolar Disorder and Anxiety Disorders?

Bipolar disorder and anxiety disorders are highly associated, meaning they frequently occur together in the same person. Research suggests that over half of people with bipolar disorder will also experience an anxiety disorder at some point in their lives. This co-occurrence can make both conditions more difficult to manage.

There isn’t a single clear explanation for why these conditions occur together. Some theories suggest that similar brain chemistry imbalances might contribute to both bipolar disorder and anxiety. Additionally, the stress and uncertainty associated with bipolar mood swings can trigger anxiety symptoms, creating a vicious cycle.

Importance of Accurate Diagnosis

Due to the overlapping symptoms, it’s important to receive a proper diagnosis from a qualified mental health professional. An accurate diagnosis ensures that the most effective treatment plan can be developed to address both mental disorders.

Common Treatment Strategies

There are a variety of treatment options available for both bipolar disorder and anxiety disorders. Treatment plans are typically individualized to address the specific needs of each person.

Bipolar Disorder

Medications: Mood stabilizers are important in managing bipolar disorder by regulating mood swings. Antidepressants can be helpful during depressive episodes.

Psychotherapy: Therapy modalities like cognitive behavioral therapy (CBT) can help individuals with bipolar disorder identify and change negative thought patterns that contribute to mood swings.

Lifestyle Adjustments: Maintaining a regular sleep schedule, a healthy diet, and routine exercise can significantly improve mood stability and overall well-being.

Educational Programs: Learning about bipolar disorder and its management can empower individuals to take an active role in their treatment.

Anxiety Disorders

Medications: Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can be helpful in managing and treatment of anxiety symptoms.

Psychotherapy: Different forms of therapy, including cognitive behavioral therapy (CBT) and exposure therapy, are fundamental in the treatment of anxiety disorders. These therapies help individuals develop coping mechanisms to manage their fears and worries, thereby improving their ability to function in daily life.

Relaxation Techniques: Techniques like mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety symptoms and promote relaxation.


Bipolar disorder and anxiety disorders can significantly impact a person’s life. However, with proper diagnosis and treatment, individuals can learn to manage both conditions and live fulfilling lives. If you are experiencing symptoms of anxiety bipolar disorder, it’s important to seek professional help. Early intervention and treatment can lead to a more positive and manageable future.

Take control of your mental health and live a fulfilling life with Total Mental Wellness in Aventura, Florida. We offer a comprehensive approach that combines medication, therapy, and lifestyle coaching to help you manage symptoms of anxiety, depression, and other mental health challenges. Led by experienced psychiatrists Aventura, Florida, our mental health services empower you to navigate your unique journey towards improved well-being.


Can bipolar disorder cause anxiety?

While bipolar disorder doesn’t directly cause anxiety, the mood swings and unpredictability associated with bipolar disorder can trigger anxiety symptoms in some people.

Which anxiety disorders show up alongside bipolar disorder?

Generalized Anxiety Disorder (GAD) and Social Anxiety Disorder (Social Phobia) are particularly common in individuals with bipolar disorder. However, any type of anxiety disorder can co-occur with bipolar disorder.

Can anxiety coexist with bipolar disorder?

Absolutely. The co-occurrence of bipolar disorder anxiety is quite common. In fact, research suggests that anxiety disorders are several times more likely to occur in people with bipolar disorder compared to the general population.