Most people think that they know the cause for people being unstable in their bipolar disorder; however, in this article, I'm going to tell you the REAL cause of bipolar instability.


Many people think that people go into bipolar episodes because they don't get treatment for their bipolar disorder, and that's true.  There is more to it, though.


What happens when someone is stable on-and-off?  Why can't they hold onto their stability?  That's what people really want to know.

On my website devoted to bipolar disorder, I explore different reasons why people with the disorder become unstable, and offer suggestions on how to stay stable. 

But what is the REAL cause of bipolar instability?  It's one word:  INCONSISTENCY. 

Let me illustrate my point. 


Let's take medication for example.  Many people do take medication for their bipolar disorder, and they do achieve stability; however, they don't stay stable, because they are not consistent in taking their medication.  Sometimes they forget to take it, or they may go periods of time without taking it. 


When someone has stopped taking their medication for a period of time, they become unstable.  They either go into an episode or, if they go back on their medication before the episode becomes full-blown, their medication will not work like it did before.


Some people with bipolar disorder are inconsistent in going to their regular appointments with their treatment team. 


Let's look at the consequences of missing these appointments:


If they miss these appointments, it will take time to get rescheduled.  For the doctor who is doing their blood work to check bipolar medication levels in their blood, these levels will now have changed.


For the psychiatrist who prescribes their medications, now the medications will need to be called into the pharmacy (hopefully), or the person will need to call every day for a cancellation, hoping to be "fit in" for an earlier appointment to get those prescriptions.


If the person sees their therapist on a weekly basis, if there is an opening and they can be seen at the next scheduled time, it will still mean it has been two weeks.  Following the same logic, if they see their therapist on a bi-weekly schedule, it will now be a month before they see him/her, and much can happen within a month.  What happens if they should go into an episode?


There are other ways to manage one's bipolar disorder as well; such as: sticking to a good sleep schedule; exercising; eating a healthy diet; keeping stress levels down; being productive; having a hobby; maintaining balance physically, mentally, emotionally, and spiritually, etc.


Being inconsistent in any (or several) of the ways listed in this article can cause instability in the person's bipolar disorder.