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In addition, these first episodes can often be especially severe, leading to hospitalization and even prison in some instances.Second, men are less likely to have rapid-cycling bipolar disorder than women are.
No one is entirely sure what the cause of this disparity is between bipolar men and bipolar women in terms of substance abuse.
In other words, hypomanic states for men tend to be more “pure” emotionally than those same states for women.
In general, what men experience is closer to “classical” understanding of bipolar disorder.
This manifests itself especially in the first onset.
Men are more likely than women to have their first onset of bipolar disorder be a manic episode, rather than a depressive episode, while the converse is true for women.
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Men with bipolar disorder are also more likely than bipolar women to be addicted to substances, including illegal drugs and alcohol.