It depends whether in or out of treatment, and even then it can be hard to treat sometimes. I tend to have mixed manic episodes that include extreme euphoria but also the deepest and dangerous depths of depression. Untreated they have gone on over a year. Now I’m in treatment the longest was my most recent episode which lasted nearly five months. New meds saved me. I had psychosis.
In your case another psychotic disorder might need to be ruled out before applying the Bipolar label.
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Bipolar 1 with psychotic features
PTSD
"Phew! For a minute there I lost myself."
'Karma Police' by Radiohead
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