Diagnosis: Not a Life Sentence

Although treatable, bipolar disorder (BP) has been considered incurable—and the earlier the diagnosis, the worse the prognosis. But a new study from the University of Missouri reveals significant drop-off rates at around age 25.

The researchers propose a developmentally limited form of early-onset BP, likely brought on by the life changes of late adolescence, like leaving home for college, experimenting with drugs, or falling in love for the first time.

By one's mid- to late 20s, these factors tend to resolve. Home and work situations stabilize and self-regulating habits develop. The knowledge that bipolar disorder can go into a kind of remission benefits patients, who may feel "less fretful about the future," says study author Kenneth Sher.

The study's larger implication is that circumstances may play as large a role as genetics. "We need to think more about environments," Sher says. "Especially during critical life stages."

Still the Pendulum

Here are six methods to help prevent the emotional extremes of bipolar disorder:

1. Take your meds. They relieve symptoms without changing your personality.
2. Get 7 to 8 hours of sleep each night. Even an hour or two less can bring on a manic episode.
3. Recognize your triggers and enlist others to help you stay calm when they are unavoidable.
4. Avoid ups and downs in your diet as well as your life. Don't drink caffeine (it's a stimulant) or alcohol (it's a depressant).
5. Get cognitive behavioral therapy. Your mind is powerful, and it can be your ally.
6. Enjoy yourself. Find time to engage in pleasurable, relaxing activities.