Mental Health

Bipolar Disorder: What are the Chances of Full Mental Health Recovery?

By Dynne C. | Update Date: Jun 13, 2024 07:30 AM EDT

Bipolar disorder is a mental health condition involving severe mood fluctuations, with periods of intense emotional highs (mania or hypomania) and profound lows (depression).

Bipolar Disorder

Bipolar disorder affects millions of people worldwide, causing significant disruptions in daily life and functioning. It is marked by episodes of mania, where people may feel euphoric, overly energetic, and impulsive, and episodes of depression, where they may feel sad, hopeless, and fatigued. These mood swings can severely impact relationships, work, and overall quality of life. Treatment typically involves a combination of medication and psychotherapy, aimed at stabilizing mood and preventing the recurrence of manic or depressive episodes.

What are the Chances of Full Mental Health Recovery?

Recent research conducted by the University of Toronto, published in the Journal of Affective Disorders Reports, sheds light on the potential for full mental health recovery in people with a history of bipolar disorder. The study examined data from Statistics Canada's Canadian Community Health Survey-Mental Health, comparing 555 Canadians with a history of bipolar disorder to 20,530 respondents without such a history.

The findings revealed that 43% of those with a history of bipolar disorder were free from all bipolar symptoms, and approximately 23.5% had achieved complete mental health. Complete mental health was defined as being free from any mental illness in the past year, including bipolar disorder, depression, substance use disorders, or suicidal ideation, along with reporting almost daily social and psychological well-being and happiness or life satisfaction.

Despite these encouraging findings, those with a history of bipolar disorder were still much less likely to be flourishing compared to their peers without such a diagnosis. Three-quarters of those without a history of bipolar disorder were in complete mental health.

From the Study Authors

Melanie J. Katz, a researcher at the University of Toronto's Institute for Life Course and Aging, stressed that people with bipolar disorder face significant challenges in achieving complete mental health, requiring social support and effective resources. 

Ishnaa Gulati, a co-author and recent Master of Public Health graduate from the University of Toronto's Dalla Lana School of Public Health, highlighted the importance of a trusted confidant and spirituality. 

Esme Fuller-Thomson, a professor at the University of Toronto's Factor-Inwentash Faculty of Social Work and director of the Institute for Life Course and Aging, noted that the study provides hope, offering actionable insights for clinicians to support overall well-being, not just symptom remission.

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