Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS website.
Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Causes

The exact cause of bipolar disorder is unknown. Experts believe there are a number of factors that work together to make a person more likely to develop it.

These are thought to be a complex mix of physical, environmental and social factors.

Genetics

It's thought bipolar disorder is linked to genetics, as it seems to run in families.

The family members of a person with bipolar disorder have an increased risk of developing it themselves.

But no single gene is responsible for bipolar disorder. Instead, a number of genetic and environmental factors are thought to act as triggers.

Triggers

A stressful circumstance or situation often triggers the symptoms of bipolar disorder.

Examples of stressful triggers include:

  • the breakdown of a relationship
  • physical, sexual or emotional abuse
  • the death of a close family member or loved one

These types of life-altering events can cause episodes of depression at any time in a person's life.

Bipolar disorder may also be triggered by:

  • physical illness
  • sleep disturbances
  • overwhelming problems in everyday life, such as problems with money, work or relationships

Chemical imbalance in the brain

There is some evidence that bipolar disorder may be associated with chemical imbalances in the brain.

The chemicals responsible for controlling the brain's functions are called neurotransmitters, and include noradrenaline, serotonin and dopamine.

There's some evidence that if there's an imbalance in the levels of 1 or more neurotransmitters, a person may develop some symptoms of bipolar disorder.

For example, there's evidence that episodes of mania may occur when levels of noradrenaline are too high, and episodes of depression may be the result of noradrenaline levels becoming too low.

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features.

If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.

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