The exact meaning of the phrase “treating dysphoric bipolar disorder†is often unclear and not everyone has a clear idea of what the term means. Dysphoria in relation to bipolar disorder has many people stumped. Some people believe dysphoria to mean the ‘angry’ side of mania, whilst others think that dysphoria, being the opposite to euphoria means depression. None of these definitions properly describe the way dysphoria applies to the mood swings and cycles of bipolar disorder. In actual fact, dysphoria can be valid as a description for either mania OR depression.
Dysphoric mania is described in the Merck Manual as “prominent depressive symptoms superimposed on manic psychosis.” These symptoms include:
• emotional weeping
• difficulty sleeping
• racing ideas and confused thoughts
• grandiose feelings
• mental agitation
• physical restlessness and agitation
• suicidal thoughts
• groundless sense of persecution
• hearing things that are not there
• difficulty reaching decisions


