Let’s talk about Bipolar disorder and how it affects Elizabeth.
Below I am going to outline Bipolar I Disorder as it is presented in the DSM - 5. (Disclaimer -- I have my bachelor in Psychology, and any information presented here is my interpretation of the disorder based on characteristics we are presented with in the show, and what the Diagnostic Manual describes as being Bipolar Disorder.)
Bipolar I Disorder — defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks. Episodes of depression with mixed features (having depressive symptoms and manic symptoms at the same time) are also possible.
Talk very fast about a lot of different things.
Think they can do a lot of things at once.
Do risky things that show poor judgment, such as eat and drink excessively, spend or give away a lot of money, or have reckless sex.
Feel like they are unusually important, talented, or powerful.
Feel very “up,” “high,” elated, or irritable or touchy.
Feel very sad, “down,” empty, worried, or hopeless.
Have trouble concentrating or making decisions.
Feel unable to do even simple things.
Feel hopeless or worthless, think about death or suicide.
Lizzie’s manic episodes are closer to her typical every day actions, though are interrupted by moderate to severe depressive episodes that can often hinder her day – to – day activities. This gets in the way of school, work, and general life.
This disorder is often characterized by her quickly shifting emotions and her heightened states of emotionality. In order to bring this to light I have highlighted the key symptoms that I noted through watching the show.
As we know from the show, Lizzie has undergone intense behavioral therapy.
Cognitive Behavioral Therapy
Examine the thoughts, behaviors, and emotions associated with these problems.
Spot negative or inaccurate thoughts, behaviors, and emotions.
Change your reaction to personal issues.