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The Connection Between Bipolar Disorder and Alcoholism

Bipolar disorder and alcoholism can go hand in hand. Oftentimes, individuals with undiagnosed, or even diagnosed bipolar disorder turn to alcohol as a means of coping with and self-medicating the symptoms of the condition.

They are more likely than not unaware of the risks of this practice. Leading to severe impacts in all aspects of their life, these individuals end up with more complications had alcohol not been a factor. 

Bipolar 1 and Bipolar 2

Bipolar 1 and Bipolar 2 are both considered to be mood disorders. Both are characterized by mood instability, with depressive states that consist of extreme sadness, loss of interest, and changes in sleep and/or appetite. However, it is crucial to note that Bipolar 1 and 2 are very different conditions, despite the similarities.

Bipolar 1 consists of 12 nofollow noopener noreferrer3>manic episodes lasting 7 days or requiring hospitalization. The manic episodes are often accompanied by depressive episodes. Bipolar 2, on the other hand, is characterized by hypomanic episodes and depressive states; however, there are no full-blown manic episodes.

Overall, bipolar 1 has more severe and impairing manic episodes, while Bipolar 2 has hypomanic episodes that are less severe and can be perceived as being positive. Both conditions are treatable under professional care, and medications and therapy can help manage them.

Bipolar 2 and Alcohol Abuse

Bipolar 2 is a treatable condition when under the care of mental health professionals. However, individuals often struggle with this condition and are unaware of its existence. This can lead to unsettling symptoms, and turning to substances to cope with depressive states. The practice of drinking, in itself, can be dangerous.

When Bipolar 2 is left undiagnosed, and individuals begin drinking to cope, it can lead to them struggling with bipolar disorder and alcoholism, together. These conditions often co-occur with one another, complicating both conditions. While alcohol can seemingly provide relief from mania and depression, it can exacerbate the symptoms. As a result, this can lead to heavier drinking. 

Signs of Undiagnosed Bipolar Disorders

Many different signs could be indicative of undiagnosed bipolar disorders. These symptoms could be more obvious, or more subtle. However, those who exhibit symptoms should be seen by a mental health professional to prevent complications of the condition. Some symptoms can include extreme mood swings consisting of high highs (mania) and low lows (depression).

There may be periods of racing thoughts, high energy, and impulsivity during manic episodes that are followed by a sense of sadness, loss of interest, and fatigue during depressive episodes. Those exhibiting symptoms should seek professional help as soon as possible to prevent struggling with bipolar disorder and alcoholism. 

Can Drug and Alcohol Abuse Cause Bipolar Disorders?

There is no evidence to suggest that drugs and alcohol cause bipolar disorder. However, there is plenty of evidence suggesting that these substances can lead to the onset of bipolar that may not have manifested itself fully yet. There is also evidence that these drugs and alcohol can exacerbate the symptoms of bipolar.

Additionally, there is evidence that substances can increase the risk of developing addictions in those who are predisposed and struggling with bipolar. Bipolar disorder and alcoholism can go hand in hand, and it is fairly common for someone who is struggling with alcohol to suffer from mental health conditions like bipolar disorder. 

Which Comes First—Alcohol Abuse or Bipolar Disorders?

There is a complex relationship between bipolar disorder and alcoholism. Some cases show that alcohol abuse occurs as a means of self-medication and coping with the highs and lows of bipolar disorders, and in other cases, alcohol abuse can cause the symptoms of bipolar disorders to become more prevalent.

It can trigger the mood changes that characterize bipolar, and lead to severe challenges in the individual’s life. Having an accurate diagnosis and treatment plan can make a difference in the outcome of struggling with these conditions. 

Treatment

Treatment for bipolar disorder and alcoholism can be helpful in the individual being able to maintain their life, with minimal impact. Both alcoholism and bipolar can make life extremely difficult, and without proper treatment, the impacts can only become greater. Dual diagnosis treatment can make a world of difference in the trajectory of an individual’s life who is struggling with substances and mental health. 

Lithium for Bipolar Disorder

Lithium is a mood stabilizer that is a cornerstone in bipolar treatment. It is highly effective for managing mood swings and helping to prevent relapses in bipolar disorder. The drug helps reduce the frequency and severity of manic and depressive episodes that make up bipolar disorders. It is vital to monitor lithium levels in the blood while on this medication to gauge its effectiveness and prevent side effects. 

Trauma Therapy

Many individuals who have struggled with mental health and substance abuse have experienced some kind of trauma in their lifetime. These may play a role in these conditions. Trauma therapy has the goal of helping these individuals to begin facing and healing from these traumas. As a result, they can gain control of their lives again.

Trauma has a profound impact on the human brain, and responses to trauma can be devastating. Having proper care can help to reduce its impact, making life easier.  

Begin Healing Today

Bipolar disorders are a life-altering diagnosis. If left untreated, there can be devastating results including alcohol addiction. Alcohol addiction is another severe condition that can impact a person’s physical and emotional health. If you or a loved one have found yourself struggling, there is help available.

At Lexington Addiction Center we strive to provide the best care for individuals struggling with mental health conditions like bipolar disorder, as well as addictions like alcoholism.

Call us today and begin your journey of healing. 

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We’ll ask about your drug use, medical history, and mental health to help build the right plan.

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If you’re ready, we can often schedule your intake the same week.
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The content published on Lexington Addiction Center blog pages is intended for general educational and informational purposes related to addiction, substance use disorders, detoxification, rehabilitation, mental health, and recovery support. Blog articles are designed to help readers better understand addiction-related topics and explore treatment concepts, but they are not a substitute for professional medical advice, diagnosis, or individualized treatment planning.

Addiction and co-occurring mental health conditions are complex medical issues that affect individuals differently based on many factors, including substance type, length of use, physical health, mental health history, medications, age, and social environment. Because of this variability, information discussed in blog articles—such as withdrawal symptoms, detox timelines, treatment approaches, medications, relapse risks, or recovery strategies—may not apply to every individual. Reading blog content should not replace consultation with licensed medical or behavioral health professionals.

If you or someone you know is experiencing a medical or mental health emergency, call 911 immediately or go to the nearest emergency room. Emergencies may include suspected overdose, seizures, difficulty breathing, chest pain, severe confusion, hallucinations with unsafe behavior, loss of consciousness, suicidal thoughts, or threats of harm to oneself or others. Lexington Addiction Center blog content is not intended for crisis intervention and should never be used in place of emergency care.

Detoxification from drugs or alcohol can involve serious medical risks, particularly with substances such as alcohol, benzodiazepines, opioids, and certain prescription medications. Withdrawal symptoms can escalate quickly and may become life-threatening without proper medical supervision. Any blog content describing detox, withdrawal, or substance cessation is provided to raise awareness and encourage safer decision-making—not to instruct readers to detox on their own. Attempting self-detox without medical oversight can be dangerous and is strongly discouraged.

Blog articles may discuss various addiction treatment options, including medical detox, residential or inpatient rehab, outpatient programs, therapy modalities, medication-assisted treatment, aftercare planning, and recovery support services. These discussions reflect commonly used, evidence-informed approaches but do not represent guarantees of effectiveness or suitability for every person. Treatment recommendations should always be based on a comprehensive assessment conducted by licensed professionals.

Information related to insurance coverage, treatment costs, or payment options that appears within blog content is provided for general informational purposes only. Insurance benefits vary widely depending on the individual’s plan, carrier, state regulations, and medical necessity criteria. Coverage details may change without notice, and no insurance-related statements on blog pages should be interpreted as a promise of coverage or payment. Lexington Addiction Center encourages readers to contact our admissions team directly to verify insurance benefits and eligibility before making treatment decisions.

Some blog posts may reference third-party studies, external organizations, medications, community resources, or harm-reduction concepts. These references are provided for educational context only and do not constitute endorsements. Lexington Addiction Center does not control third-party content and is not responsible for the accuracy, availability, or practices of external websites or organizations.

Blog content may also include general advice for families or loved ones supporting someone with addiction. While these discussions aim to be supportive and informative, every situation is unique. If there is an immediate safety concern—such as violence, overdose risk, child endangerment, or medical instability—emergency services or qualified professionals should be contacted right away rather than relying on online information.

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If you are struggling with substance use, withdrawal symptoms, or questions about treatment, we encourage you to seek guidance from licensed healthcare providers. For personalized information about treatment options or insurance verification, you may contact Lexington Addiction Center directly. For emergencies, call 911 immediately.

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