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Some bipolar disorder symptoms are similar to other illnesses, which can make it hard for a doctor to make a diagnosis.
In addition, many people have bipolar disorder along with another illness such as anxiety disorder, substance abuse, or an eating disorder.
Therefore, a careful medical history is needed to ensure that bipolar disorder is not mistakenly diagnosed as major depression.
Sometimes a mood episode includes symptoms of both manic and depressive symptoms. People experiencing an episode with mixed features may feel very sad, empty, or hopeless, while at the same time feeling extremely energized.
Bipolar disorder can be present even when mood swings are less extreme.
For example, some people with bipolar disorder experience hypomania, a less severe form of mania.
During a hypomanic episode, an individual may feel very good, be highly productive, and function well.