Depressive episodes symptoms: sadness, irritability, hopelessness, worthlessness, fatigue, low energy, increased or decreased appetite, too much or too little sleep, inability to enjoy day-to-day things, and thoughts of suicide can be experienced.

Manic episodes symptoms include: increased energy, restlessness, irritability, fast thoughts and speech, feeling euphoric or grandiose, engaging in multiple projects at once, engaging in pleasure-seeking behaviors that may be risky and impulsive such as abusing substances and having multiple sexual partners.