Depression is part of the clinical history
Depressive episodes can involve persistent low or empty mood, loss of interest, changes in energy and sleep, difficulty concentrating and feelings of hopelessness. These experiences can substantially affect work, relationships and self-care. NIMH describes depression alongside manic and hypomanic episodes when explaining bipolar disorder.
Depressive symptoms alone do not establish bipolar disorder. A professional also considers whether there have been elevated episodes and whether another condition, medicine or substance could explain the pattern.
Explain what daily life has become like
At an appointment, describe practical effects as well as mood: getting out of bed, eating, caring for others, concentrating, working and maintaining contact with people. You can bring a short written note when talking feels difficult. A supporter can help prepare questions or accompany you according to your preferences.
Include previous periods that felt very different
Tell the clinician about earlier unusually energetic, active or irritable periods, even when they did not seem problematic at the time. Include any previous treatment and what happened afterwards. The history may help distinguish bipolar depression from other explanations, but the diagnosis should not be decided by an online comparison.
Ask what the treatment plan is addressing
Clarify the working diagnosis, proposed treatment, expected review and who to contact if symptoms worsen. Bring medication concerns to the prescriber rather than stopping, adding or changing medicines yourself. Read the medication questions guide for a structured conversation.
Support may involve different levels of care. Do not assume that the most expensive residential programme is the appropriate setting for a current depressive episode.
When help should not wait
Suicidal thoughts, inability to keep yourself safe, severe deterioration or an immediate medical concern needs prompt professional help. For immediate danger use emergency services. The urgent-help page gives country-specific starting points.
You do not need to complete a symptom diary or organise a private admission before asking for help. For a planned appointment, the preparation checklist can help keep the discussion focused on your needs.