Patients with bipolar disorder experience emotional highs (hypomania, mania) and lows (depression) that are often unpredictable and can disrupt daily life. Hypomanic and manic episodes can present as excessive energy, feeling well-rested with minimal or no sleep, pressured speech, racing thoughts, and engaging in risky behaviors. Frequently, mania is followed by a depressive episode with symptoms such as low energy, low mood, and loss of interest in daily activities.