The Difficulties of Navigating Relationships with Bipolar Disorder
When I was 26, I met a woman at a punk show and there was an instant attraction. We went on a date the next weekend and hit it off. I didn’t want the date to end so I invited her back to my house and she ended up staying for an entire week. The high I felt at the beginning of this relationship was so intoxicating that I ended up telling her I loved her a couple of weeks later. I felt this was true at the time. The relationship only lasted six months and as it progressed it turned out to be the most detrimental relationship I had ever experienced. I lost all of my friends because of her. She made me feel horrible about myself. Some of the details of the relationship are so bad, I haven’t repeated them to anyone but my therapist.
A couple of months after that relationship ended, I met a man at a rave and again there was an instant attraction. There was that high again and it was so compelling, I agreed to follow him back to a warehouse party. Fortunately the circumstances of that experience ended up being safe, but obviously it could have gone wrong. We ended up dating for ten months and it was the healthiest relationship of my life. However, about six months into the relationship, the high I had experienced in the beginning crashed and burned into a low point. I was spiraling about everything and couldn’t see outside of myself. This created tension and resentment in the relationship and ultimately ended in a break up.
When I finally got myself into therapy and got diagnosed with Bipolar disorder, the patterns I had experienced in these relationships started to make sense. The highs were associated with mania and the lows with depression. “Bipolar disorder is a chronic mental disorder, which is one of the world’s 10 most disabling conditions” (Azorin et al., 2021). Bipolar disorder is a mental disorder defined by cycles of depression and mania. It is split into two types, Bipolar 1 and Bipolar 2. If you have Bipolar 2 it means you have experienced at least one major depressive episode and at least one episode of hypomania. Hypomanic episodes by definition typically last for at least 4 days and are characterized by heightened mood, impulsive behavior, elevated drive with work, projects and sexual activity, and an increase in restlessness and agitation. If you have Bipolar 1, it means you have experienced at least one episode of mania which is characterized by increased levels of risk taking behavior, feelings of grandiosity, and possible psychosis. “Mania and hypomania are different, but they have the same symptoms. Mania is more severe than hypomania. It causes more noticeable problems at work, school and social activities, as well as getting along with others. Mania also may cause a break from reality, known as psychosis” (Mayo Clinic Staff, 2026).
There are many difficulties a person with Bipolar disorder can experience. A major one is navigating romantic relationships. “During hypomanic or manic states, individuals may exhibit increased affection and engagement, while depressive episodes often lead to emotional withdrawal. This unpredictable pattern can be confusing for partners and create relationship instability if not properly understood and addressed” (Miller, 2025). A person with Bipolar disorder may experience emotional variability and issues with communication. According to the therapist I interviewed, who asked to remain nameless, there may be a fluctuation in a person’s attachment styles depending on what cycle they are in. If they are manic they might be more avoidant in their attachment because of their impulsivity and wanting to go out and experience life. If they are depressive there may be closer attachment because they are seeking someone to lean on and provide emotional support. “In the beginning of a relationship, there might be more interest in the connection if the person is in a manic cycle and the person with Bipolar may seem more exciting and fun. Whereas deeper into a relationship, when they experience a depressive episode they may lose interest in the relationship.” A person with Bipolar may also experience guilt associated with the relationship struggles.
While navigating relationships can be harder for a person with Bipolar disorder, there are strategies to make it easier. Communication and disclosure are extremely important. The therapist I interviewed said if you communicate what cycles look like and explain that how you communicate will change between cycles this can help to eliminate a lot of confusion for the partner as you get deeper into the relationship. Setting boundaries in the relationship is also important. “Just because you are in an episode doesn’t mean your partner can be mean to you about it. You also can’t use an episode as an excuse to treat your partner poorly. A partner needs to be able to say, ‘I can give you understanding but these are things that need to be addressed’” She also suggested that getting treatment and utilizing the teachings of Dialectical Behavior Therapy (DBT) can also be very helpful. DBT is a therapy style that was designed specifically with people with Bipolar in mind. It teaches skills in mindfulness and interpersonal effectiveness. Discussing how cycles can affect your tolerance for social outings can also be really helpful for your partner. “Sometimes, when words are difficult, having signals or codes to express when one partner is feeling overwhelmed can be helpful. I’ve often used an arm squeeze and a nod toward the door when I’ve hit the end of my tolerance in challenging environments.” (Howard)
Bipolar disorder is a chronic mental disorder that can create many difficulties for a person with that diagnosis. Navigating relationships is among these difficulties. The cycles that a person experiences can be very confusing for a partner if not communicated thoroughly. The fluctuations can be confusing for the person with Bipolar as well when navigating the relationship. Communication, boundaries and receiving treatment are going to be important strategies for making the relationship easier to manage. By utilizing these recognized strategies, there is hope that a person with Bipolar disorder can engage in a healthy relationship.
References
Azorin, J.-M., Lefrere, A., & Belzeaux, R. (2021, July 29). The impact of bipolar disorder on couple functioning: Implications for care and treatment. A systematic review. PubMed Central. https://pmc.ncbi.nlm.nih.gov/articles/PMC8400362/
Howard, M. (n.d.). Bipolar disorder: Strategies for connection, Communication, and care (part 2) - international bipolar foundation. International Bipolar Foundation. https://ibpf.org/managing-marriage-with-bipolar-disorder-strategies-for-connection-communication-and-care-part-2/
Miller, A. (2025, May 24). Bipolar disorder & relationships: Navigating challenges. 24/7 Digital Counseling Therapy. https://247dct.org/bipolar-disorder-and-relationships-managing-the-challenges/
Bipolar disorder - symptoms and causes - Mayo Clinic. Mayo Clinic. (2026, May 8). https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955