Individuals with bipolar disorder experience erratic and extreme mood swings. Bipolar disorder must include the presence of at least one or more manic or hypomanic episode and one or more major depressive episode. Some people with bipolar disorder experience bipolar grandiosity. Here\u2019s what you need to know. What Is Bipolar Grandiosity? Bipolar grandiosity can occur in both manic and hypomanic episodes. Grandiosity refers to an unrealistic and disproportionate feeling of power and elevated self-esteem. When experiencing bipolar grandiosity, a person may feel unstoppable. They may describe themselves as being on top of the world, as if they can do anything. This energy can be confusing for loved ones because they may not know how to handle this sudden surge. What Are the Signs of Bipolar Grandiosity? People with bipolar grandiosity tend to appear very confident and even narcissistic to others.\u00a0 It\u2019s almost as if the normal rules in society don\u2019t apply to them. Instead, they exhibit an over-inflated concept of self. They may exaggerate their accomplishments while downplaying the achievements of others. Within this state, they come across as boastful and conceited. This can cause interpersonal problems with family, friends and colleagues.\u00a0 Unfortunately, these individuals tend to be unaware of the grandiosity while it\u2019s happening. They genuinely believe their beliefs are realistic. They may be quick to deny or lash out at people who confront their thinking. When Does Bipolar Grandiosity Appear? Grandiosity can occur during both hypomanic and manic episodes. The grandiosity may accompany other related symptoms like:\u00a0 \tIncreased energy \tRestlessness \tA sudden surge of motivation to complete work or other tasks\u00a0 Bipolar disorder also entails at least one depressed episode. In states of depression, people are far more likely to experience despair, hopelessness and low self-esteem. These are a stark contrast to the intensity of bipolar grandiosity. What Are the Consequences of Bipolar Grandiosity? Bipolar grandiosity delusions can cause serious consequences that may include: \tConflicts with people they know and love \tExcessive spending or reckless financial decisions \tPromiscuity or infidelity \tProblematic substance use \tProblems at school or work Because most people with grandiosity aren\u2019t aware of the symptoms as they\u2019re occurring, they are vulnerable to making poor and impulsive decisions. While these decisions may seem like good ideas in the moment, they can lead to problems. How Is Bipolar Grandiosity Different Than Grandiose Delusions? Delusions refer to irrational thinking patterns that are not rooted in true reality. They are rigid beliefs that overrule common logic and evidence. While delusions aren\u2019t always entirely bizarre, they tend to be exaggerated and inappropriate. Sometimes they\u2019re not true at all. Grandiose delusions refer to an over-inflated sense of worth or power. These delusions convince someone that they are tremendously important. This importance gives them a false sense of identity.\u00a0 People with grandiose delusions may come across as conceited or narcissistic. They may not be able to acknowledge their own mistakes or flaws. Instead, they blame issues on other people or circumstances. Grandiose delusions are way beyond high self-esteem. People with grandiose delusions are also disconnected from the real world. For example, a person might truly believe he is immortal and cannot be touched by illness or death. Another might believe she is a religious leader or deity.\u00a0 These people have difficulty getting along with others because of their delusions of grandeur. When other people challenge their irrational beliefs, they can become angry and reactive. They may continue to attempt to persuade others how and why the delusion is true. Grandiose delusions can show up as a symptom of many different mental illnesses including: \tDelusional disorder \tSchizophrenia \tNarcissistic personality disorder \tDementia \tTraumatic brain injuries Grandiose delusions are \u201cfixed\u201d thoughts. Individuals may have believed them for many years. They\u2019re part of a person\u2019s identity. That person won\u2019t challenge these beliefs.\u00a0 Bipolar grandiosity, on the other hand, tends not to last long. Symptoms usually escalate during a manic or hypomanic episode. They\u2019re not present during other times, like a depressed episode. Grandiosity appears to be linked to other symptoms associated with bipolar disorder. As the mania or hypomania symptoms decrease (or disappear), the grandiosity often does as well. Can Treatment Help Grandiosity?\u00a0 While there isn\u2019t a cure for bipolar disorder or grandiosity, treatment can help. The right services and tools can support individuals to live meaningful and fulfilling lives.\u00a0 Most treatment tends to be multifaceted. Services depend on:\u00a0 \tThe individual\u2019s health history \tTheir past treatment experiences \tThe severity of the condition The first step to any bipolar treatment is a proper evaluation. This evaluation will assess medical and psychiatric symptoms to confirm a person\u2019s diagnosis. Treatment usually consists of a combination of psychotherapy and medication. Psychotherapy focuses on identifying unhealthy thought patterns. Therapists work with clients to develop healthier ways to cope with distress. Therapy may also integrate family members for additional support.\u00a0 Common medications for treating bipolar disorder include: \tMood stabilizers \tAntidepressants \tAtypical antipsychotics These medications can help relieve or reduce manic or hypomanic, during which bipolar grandiosity tends to appear. They can also help relieve depressed symptoms. All medications carry the risk of side effects, so a doctor should be involved in the process of finding the most effective medication.\u00a0 At The Ranch, we specialize in treating mental health issues like bipolar disorder. If you or a loved one is struggling, we can help. Contact us today to speak with a recovery advisor.