What happens during angry outbursts by people with bipolar disorder?

Inappropriate and intense anger is often seen as a personality problem instead of as a symptom of bipolar disorder. In fact, unreasonable and frequently violent reactions to events that normally wouldn't cause irritation and anger are commonly seen in both depression and mania. (Even in euphoric mania, the person's upbeat or even jovial mood is easily punctured and anger can quickly flare up.) This irritation and anger is often directed toward people and objects and may include slamming doors, hitting walls, yelling, or physically abusing others.

Road rage is also very common. Some people with bipolar disorder end up in jail because of this symptom. During anger outbursts the person may say and do things that ordinarily they wouldn't say or do (for example, saying very hurtful things to one's partner).

Later, when the emotions die down, the ill partner may feel remorse for what was said or done. It's very common for partners to become fearful during intense eruptions of anger or to experience hurt feelings when the ill partner says harsh or cruel things.

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