The American Psychiatric Association defines bipolar manic disorder as an unusual condition of the brain where it experiences extreme changes in the mood, energy and the capacity to carry out every day activities. In fact,  it is called manic-depressive illness.

The National Institute of Health recommends that parents of adolescents and young adults should become aware of these disruptive mood swings and follow the doctor’s advice in handling such aberrations. 

It is believed that almost half of such cases occur between ages 15-25. Some may even have had childhood experiences of this disorder.  It is only in this age group that this bipolar manic disorder manifests itself.  Studies have proven that in addition to genetic factors, certain environmental factors too cause these outbursts to happen.  Certain imaging research also has proven that there is an alteration in the brain of people suffering from this disorder. 

Research also shows that these external factors or triggers could well cause the episode of bipolar manic disorder to occur or relapse in a patient. Sometimes, it could be something as day to day events like going to a new school or saying goodbye.  News of death of a loved one or even marriage could trigger the brain to produce neurotransmitter imbalance as well as biological clock aberrations.  Some other popular triggers are seasonal changes such as summer or winter; substance abuse like drugs, etc. Stress-related outbursts occur more in persons with high-pressure jobs.  These triggers cause the bipolar manic disorder patient to undergo severe personal relationship strains whether it is performance in school or a job.  Sometimes, the condition becomes so extreme that patients contemplate suicide. 

 A bipolar manic disorder can be treated.  Doctors have different treatmentprotocols for different degrees or types of this disorder. It sometimes becomes very difficult for doctors to first differentiate some of the symptoms. Some doctors begin with therapy and some mild drug treatment for the initial stages of the disorder. In advanced degrees of this disorder, the doctors recommend use of antipsychotic drugs in combination with anti-depressants.

In more extreme cases, ECT is recommended. This treatment is preferred by doctors for the extreme cases of bipolar manic disorder only if the patient has reached such a stage that the patient is unable to control his body movements and becomes unaware that he is harming himself or others.  It is necessary that expert advice is followed over the time-period prescribed by them and not stopped when the patient is feeling better.  This break in treatment would not help in the complete cure of the patient.

Resources:

http://www.medterms.com/script/main/art.asp?articlekey=30744

http://www.emedicinehealth.com/bipolar_disorder/article_em.htm