Bipolar Disorder may begin as an episode of teenage depression in many cases, although diagnosis can also occur in early childhood or later in life.  Eventually the severe mood swings begin to disrupt normal daily activities and relationships, both at home and in the workplace. At this stage, proper diagnosis and treatment is crucial because like most mental health conditions, Bipolar Disorder does not solely involve the patient, it also adversely affects partners, family members, friends and co-workers.

Symptoms will usually vary depending on the stage of the disease.

Symptoms of Mania - The "Highs" of Bipolar Disorder

• Exaggerated sense of self, self-confidence and optimism
• High energy – both mentally and physically – overactive mind
• Aggressive behaviour, reckless behaviour, impulsiveness, poor judgment and racing speech
• Possible increased use of alcohol or drugs
• Sleeping less without a noticeable increase in fatigue
• Grandiose delusions, inflated sense of self-importance
• Impulsiveness, poor judgment, distractibility
• Delusions and hallucinations are possible in severe cases

Symptoms of Depression - The "Lows" of Bipolar Disorder
• Prolonged sadness or crying 
• Significant changes in appetite and sleep patterns (over-sleeping or insomnia; over-eating or weight loss)
• Irritability, worry, obsessive thoughts, dwelling, ruminating, agitation, anxiety
• Pessimistic outlook on life, low motivation, feeling indifferent, lack of enjoyment of previous activities 
• Fatigue, malaise
• Poor concentration and ability to make decisions or focus
• Difficulty reading or watching TV
• Inability to take pleasure in former interests, social withdrawal
• Suicidal thoughts can be common in some cases

Bipolar Disorder is a complex condition and it is essential that people who have this disorder be under the supervision of a qualified doctor's care. There are some natural treatments that may be useful in treating many cases.

1. Diet
There is much controversy over certain foods and their effects on our mood. Food allergens such as gluten, wheat, dairy products, food additives, alcohol, caffeine and corn may negatively impact our mental state. Often an elimination diet is something to consider for 3 to 4 weeks. This involves the removal of these food groups for this period of time and then adding each food back into the diet, 1 food every 2 days, while noting the body’s response to the food. Gluten and wheat seem to have the biggest connection to the brain and mood.

Alcohol, caffeine and sugar should be limited or completely avoided in most cases. Be sure to drink enough water daily.

2. Supplements
Nutritional supplementation is affected by prescription drugs. Interactions with medications could result with some supplements, making it essential to consult with your doctor before using these products.

• Methylcobalamin - a form of B12 that is very effective for neurological support
• Fish oil – Higher dosages of 4 to 6 grams per day have amazing results in research studies.
• Amino acids such as phenylalanine, tyrosine and tryptophan or 5-hydroxytryptophan (5 HTP) can be useful in some cases. Phenylalanine and tyrosine are precursors to dopamine while tryptophan and 5 HTP are precursors to serotonin. Dopamine and serotonin assist with mood and may treat depression and anxiety; however, these should not be taken without a doctor’s supervision. Supplements which raise dopamine should not be taken during manic episodes or high anxiety states.
• Phosphatidylserine and phosphatidylcholine are useful in mental emotional disorders - both are protective to the brain and cognition. Phosphatidylserine protects the brain from high levels of stress hormones common in depression, anxiety and mania.
• B vitamins are always essential in any mood disorder - especially vitamins B6 and B12. 
• Antioxidants for protection of the brain and other tissues of the body such as vitamin E, vitamin C, selenium and zinc should be taken daily.