These symptoms persist for at least 4-7 days, and may be associated with alternating symptoms of depression. Bipolar disorder
often manifests initially with symptoms
such as sadness, loss of interest/motivation, withdrawn behavior, feelings of worthlessness/hopelessness/helplessness, low energy, appetite/sleep disturbance, and sometimes thoughts of suicide.
This response is for general information only. Always consult your physician for any health concerns.