Hello,
welcome to Healthcare Magic.
In
Bipolar disorder patient has both manic and
depression episode. It is a chronic illness. This illness occur due to
neurotransmitters imbalance in brain.
In depression most common symptoms are: low mood, decrease energy and negative thinking. In contrast, in Manic episode common symptoms are: over cheerfulness, anger, irritability, increase energy and decrease need for sleep. Patient may have some psychotic symptoms (like Fear, suspiciousness, muttering to self, unusual and odd thinking) which can occur with depression or
mania.
As she already had depressive episodes in past, and current behavior is totally new for you, then it appear that she currently have manic episode +/- psychotic symptoms.
It is better you make some arrangement for supervised treatment for her, as she is living far from you. There is also need to check compliance for treatment.
Wish you good health and all the best.
Regards,
Dr Ashish Kumar Mittal
www.99doctor.com