Anupam Kher on manic depression: Why reduced sleep is a key warning sign

Actor Anupam Kher recently revealed that he was diagnosed with "manic depression," shedding light on the term now known as bipolar disorder. Psychiatrist Dr Santosh Bangar explained that bipolar disorder is marked by distinct episodes of mood, energy, sleep, and behavior changes. While about three in 1,000 adults have bipolar disorder, symptoms can be delayed or missed due to lack of awareness and stigma.

Manic episodes, characterized by an unusually elevated or irritable mood, increased energy despite little sleep, grandiose thoughts, and reckless behavior, are key warning signs. Reduced need for sleep, rather than insomnia, is particularly significant as it can be an early symptom and a risk factor for relapse. Bipolar disorder typically begins in late adolescence or early adulthood, though children and adolescents may exhibit different symptoms like irritability and rapid mood changes.

Lifestyle and environmental factors, though not causing the condition, can trigger or exacerbate episodes. Untreated bipolar disorder can negatively impact relationships, work, finances, and increase suicide risk. Long-term management often involves medication, psychotherapy, and maintaining regular sleep patterns.