Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual changes in mood, energy, activity levels, and ability to perform daily activities. The symptoms of bipolar disorder are severe and differ from the normal ups and downs that everyone experiences. Symptoms of bipolar disorder can have serious consequences such as harmful relationships, poor performance at work or school, and even suicide. Bipolar disorder can be treated. People with this disease can lead full and productive lives. Bipolar disorder often develops in late adolescence or early adulthood. Symptoms are not easy to spot when they appear, so they may appear to be separate problems and not be recognized as part of a larger problem. Many people go about their lives getting misdiagnosed and thinking it's normal for them without realizing it's part of a bigger picture. Bipolar grandiosity can sometimes pretend to be a representation of narcissism. It may look the same externally and even look the same internally. People with bipolar disorder experience intense emotional states during a manic or hypomanic episode, as well as an extremely sad or hopeless state called a depressive episode. Sometimes an episode can be both manic and depressive. This is called a mixed state. Let's start by clarifying what bipolar grandiosity actually is. We usually see its presence during the state of hypomania and/or mania related to increased bipolar mood. When individuals with bipolar disorder experience elevated mood swings, they may have experiences of euphoric mood, elevated energy, as well as having a highly optimistic outlook along with accelerated thought processes and increased creativity. In many respects they feel... middle of paper... there are those who have great paranoid tendencies and those who cling to an illusion of omnipotence. These people battle delusions of insignificance and worthlessness and seek to restore their self-esteem through grandiose fantasies and self-empowerment. When they are unable to gain recognition or support from others, they take on the role of a heroic or revered person with a grandiose mission. However, few pure variants of any subtype exist, and the subtypes are not recognized in the DSM or ICD. Another type of narcissism is narcissistic vulnerability. It implies (on a conscious level) helplessness, emptiness, low self-esteem and shame. These actions can be expressed in their behavior by being socially avoidant in situations where their self-presentation is not possible, which leads to withdrawal because the approval they need/expect is not met Medicine, JH. (2003).