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What are risks of substance use disorder if I am bipolar?

If you have bipolar disorder and a substance use disorder, you are more likely to have:
  • poor adherence with treatment
  • more frequent and severe depressed, manic, or hypomanic episodes
  • longer episodes
  • more mixed state episodes and rapid cycling (which are hardest to treat)
  • more sleep impairment
  • more aggression and impulsivity
  • more frequent suicide attempts
  • more suicidal thoughts and feelings
  • more anxiety (generalized anxiety, panic or post-traumatic stress disorder [PTSD])
  • greater likelihood of infections (e.g., hepatitis C)
  • greater complications from medical conditions (especially hepatitis C)
  • more hospitalizations

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.