I am not an angry or an aggressive person. This is not to suggest I don’t have my moments, as we all do, but overall, I have far fewer issues with anger than most people I know. There are lots of reasons for this, I’m sure many have to do with my psychology the way I view anger (I view it as pointless and particularly undesirable).
Nevertheless, it seems that people with bipolar disorder do, on the whole, have anger issues. I’m a bit surprised to hear this as anger is not a diagnostic feature of bipolar disorder, but people write in again and again and talk about either having bipolar and being very angry or being with someone who has bipolar and this partner being very angry.
But are these just anecdotal accounts or do people with bipolar disorder have aggressive and angry tendencies?
When diagnosing bipolar disorder anger and aggression are actually not listed as symptoms. The closest symptom listed is irritation and that is present in manic, hypomanic and mixed moods. Irritability is known to manifest as aggressiveness and impatience with, or intolerance of, others.
But as stated, this is a mood-dependant characteristic. I, certainly, have felt this mood state. It’s very easy to be irritated with the world when you’re moving faster than everyone else, are more “brilliant” than everyone else and are simply “better” than everyone else. “Genius” gets irritated by the “little people” around it.
Aggression and Anger in Bipolar Disorder
But according to this new study,
Subjects with BP [bipolar disorder] display greater rates of anger and aggressive behaviors, especially during acute and psychotic episodes.
This study found that people with bipolar are aggressive when compared to people with other disorders and when compared to healthy controls and this relationship existed even when the person with bipolar disorder wasn’t in a mood episode (although those in a mood episode showed higher levels).
So apparently my feelings of less anger than the average person are the anecdote and those with bipolar experiencing greater anger and aggression are the average.
Dealing with Anger and Aggression in Bipolar Disorder
As the study states, people in acute mood episodes do show greater anger and aggression so, obviously, the first step is to get the bipolar disorder under control. Certainly when you’re feeling well, you have less to be angry about.
But if anger is still a problem with you, I highly recommend you talk openly about it and get some therapy, individual and couples therapy, where appropriate. This is because anger is a highly toxic emotion that can destroy the relationships in your life and diminish any interaction you may have with another person. Anger scares people and traumatizes them and in the end, most people, quite rightly, will not stand for unreasonable amounts of it.
The good news is that therapists have many techniques for dealing with anger and you just need to find the ones that work for you. Not only can therapists teach you these techniques, but they can also help you get in touch with things that may be driving your anger outside of the bipolar disorder. We all, after all, have our issues.
Regardless though, it’s important to remember that having bipolar doesn’t give you an excuse to take your anger out on those around you. Having bipolar gives you the responsibility of finding a way of dealing with the symptom, should it arise.