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What’s a Normal Sex Life with Bipolar?

January 31, 2013 Natasha Tracy

I get asked about the sex life of the bipolar on a regular basis. People want to know what’s “normal” or can they have that mythical “normal” sex life. Some of these people are partners of people with bipolar and others are the people with bipolar themselves. It seems we’re all a bit mystified as to how this mental illness affects our sex lives.

Well, I can’t say what is normal for you, but I can tell you what I know about bipolar and sex.

Are Bipolars Sexually Weird?

Well now. If I were to tell you about what it’s like to have sex with me it would probably involve more panting, smacking, scratching, screaming, gnawing and clawing than your average person. But that’s me. That’s just how I roll. It’s not necessarily indicative of the bipolar population as a whole.

What I will say about the bipolar population, from my tiny perspective, is it seems that:

  • People with bipolar are more sexually adventurous than the average
  • People with bipolar are more likely to have had sex with both genders
  • People with bipolar may or may not identify as bisexual, regardless

Keep in mind, none of this is to suggest that people with bipolar are any less capable of monogamy than others. Some people have issues with it while others don't.

(Mind you, I have no stats to back any of that up. To the best of my knowledge no such research has been carried out.)

Hypersexuality and Bipolar

Part of this may be the hypersexuality that many people with bipolar disorder experience. Hypersexuality tends to occur during mania or hypomania and it creates the need for sex such that it seems you could claw through a wall if it meant getting to the sex on the other side. Picture being turned ravenously on by a dish towel. Or a floor lamp. Or a piece of tuna fish. And then needing to sate that need with the nearest warm body. Hypersexuality sort of like that.

(Of course, the opposite phenomenon also occurs. When in a depressed phase a person with bipolar may want nothing to do with sex at all.)

Bipolar Medication and Sex

Some people find that taking medication for bipolar dulls their desire for sex. This is a common problem, actually. But, believe me, many people with bipolar disorder still have healthy, fulfilling sex lives while taking their medication. And if your sex life is an issue for you, I recommend discussing it with your doctor as there are things that can be done to address that need. After all, sex is a part of life and it’s a part you don’t want, or need, to hang up just because you have a mental illness.

Having a “Normal” Sex Life with Bipolar

Look, I can’t tell you what is normal for you. It might be having sex every day, every week or every month. It might involve whips and chains or it might involve beaches and sunsets. That’s something only you can decide. What I can tell you is that it’s entirely possible for most people with bipolar to achieve the sex life that they want. There are therapeutic techniques that can deal with hypersexuality or low sex drive, and, of course, there are always medical options as well.

And remember, no matter what is happening with your sex life, it’s important to be open about it with your partner. If something is amiss your partner likely feels it too and it’s by dealing with it out in the open, and by getting help, that you can make it better.

You can find Natasha Tracy on Facebook or GooglePlus or @Natasha_Tracy on Twitter.

APA Reference
Tracy, N. (2013, January 31). What’s a Normal Sex Life with Bipolar?, HealthyPlace. Retrieved on 2024, May 14 from https://www.healthyplace.com/blogs/breakingbipolar/2013/01/normal-sex-bipolar



Author: Natasha Tracy

Natasha Tracy is a renowned speaker, award-winning advocate, and author of Lost Marbles: Insights into My Life with Depression & Bipolar. She's also the host of the podcast Snap Out of It! The Mental Illness in the Workplace Podcast.

Find Natasha Tracy on her blog, Bipolar BurbleTwitter, InstagramFacebook, and YouTube.

Jan B
April, 25 2016 at 6:46 pm

"Do I stay in a risky marriage when I have the opportunity to get out safely? Or is this a part of the “for better or worse”? Or is this comin out now an escape for me?"
RUN! Run NOW while you can (before any babies or other ties are bound). After 50 years of marriage to a Bi-Polar woman, I can honestly say I would not do it over again. Indescribable decades of chaos, embarrassing behaviors, bankruptcies caused by her manic spending and my weak defenses, erratic emotional instability, social problems (never could keep friends), suspected (and very hurtful) affair with her former boss (she was a virgin when we married), great sex-life early-on to NO sex life for half the marriage, strained relationships with children and other family, passed-on BP genes to one child, and more hang-ups than an art gallery! Yet, I love her and will die her mate. I just wish it all could have been different (for HER sake first, as well as everyone else's) And, it could have been very different if I had realized at your stage of life that it was never, ever going to get better. I know it's difficult and even sounds selfish, but you MUST think about yourself and whether you want to sacrifice your life now to an early hell. Believe me, he will find someone else and eventually move on. [Wish someone had written this to ME 45 years ago.]

Jade
May, 22 2016 at 6:29 pm

I have BP. I have major issues when it comes to sex. I experience hypersexuality regardless of being in hypomania or mania. I am on my medicine and never miss it. I do everything I'm supposed to and I still have these sexual urges that cannot be contained. I just don't know what to do. Does anyone have any advice on how to stop the need to want sex all of the time? Any help would be great. Thank you in advance.

In reply to by Anonymous (not verified)

T
February, 26 2018 at 4:06 pm

I'm not bp but my wife is and she used to be very sexual all the time and to be honest its what I love about her. To me I say be yourself if you constantly desire sex then enjoy it but with someone you love no need to step out plenty of men without bp feel a constant need for sex. I know for us I wanted to let my wife be totally free and in control we have brought others into our sex life and it was great the biggest thing is be honest and be yourself sex is a great thing if done within each other boundries and a constant need shouldn't bother most men. The ironic thing now is she just more recently fliped off so to speak and almost never wants sex or even to discuss it at all and that to me was a real issue but after a lot of arguing and emotional conversations we are just starting to come back to a somewhat normal sex life. So if you have a high drive then find a man who has the same and live your life to the fullest I don't hold back and I don't think anyone ever should.

Keith
July, 15 2016 at 2:02 pm

Hello, i am 38 and have a lady i truly love, whos been bp2 since her senior year of high school.shes now 38. She has two young boys under 13. She has a bachelor degree in mental health. In the begining all was fine. She self medicates herself with alcohol, and mauriuana. When drinking and in hypomania she tends to over drink and no cannot be an answer. She dont have her children alot at all, even over a year. Where ever i go she wants to go. I have no free/or personal time. She did at first inform me of her episodes,feelings, and suicidal thoughts. Now 8months later she dont inform anymore. She makes bab decision such as going over a male friend house at 2am to purchase mauriuana and staying for 40 or more minutes. Shes have had sex with women before me. I am worried about her stepping out on me, as well as hypersexuality. We live together and we agreed she pays the gas and electric bill and i will pay the rest. At this point the gas is off and three months behind. Electric has not been payed since May. My love use to be open and honest and its at a decline. Im feeling its time to move on. What do you think as i truly do love her, but shes not taking on her responsibilities as she should and blames me for everything. She did stop drinking as this would make one week sober. Shes been fine lately but still smoke weed. My son is five and very attached to her, but how can i settle with her if she dont keep her on children, but do go and buy them what they want, but havent payed bills.

Susanne Roders
August, 21 2016 at 5:21 pm

I've started dating a man who has NF 2... I have NF . We met on support group online. We talked for hours the first two times. A lot of sexual things were said, I talked back. I've never really liked sex. It's like come on already will you spit as I call it.
He's bipolar, found out and read up on it, he's a sex addict. He lives 8 houses by bus, train, trolley.....we spent few nights together . No sex or anything else. He's always talking dirty or stange things to do, and places to have it. All the time....
I've come out of my shell and actually desiring it !!! Which I never ever had, old days drugs and booze did it. Been clean for many years. I'm worried that his sexual thoughts all the time will make things ugly. Reading some of response have helped.
Mood swings kind of sucks, it's more him being sex addict worries me more. I've worked with DD people all my life. Not calling him or any of that. I mean by up's and down's being so distract.

Jennifer
September, 14 2016 at 10:50 am

Is it possible to be bi polar and not promiscious???

Laura
September, 17 2016 at 3:55 pm

Mania makes many or most hypersexual, but I've had that happen even in supposed normal times. Before going through menopause, I had a relatively high sex drive. However, I've known someone without bipolar who said she and her husband had sex everyday or a couple of times a day when first married. Whoa. That was weird to me. Gross, and too much information.

Ian
February, 6 2017 at 10:08 pm

I'm bipolar one fast cycle and my number of 'conquests' is very high. As far as I know the AMA doesn't agree that sex addiction is real but I feel there is no way I could have this number of 'conquests' and not be an addict. And FYI I'm in recovery for opiod addiction so I know the concept of punching through a wall if it meant a fix. That is exactly what my sex life is like also.

GENESSA
June, 26 2017 at 7:07 am

I am now 50 years old. I was diagnosed with BPII in 2004 just 13 years ago. In 2001 I had an affair on a very happy marriage of 13 years but it was caused by - Antidepressent Induced Mania - for YES there is a diagnosis for it. I took a antidepressant WITH OUT a mood stabilizer (It's critical anyone with BP is on a mood stabilizer) and it caused my sex drive to go into over drive and I had a 6 week affair. MY marriage survived because we worked HARD on US to make it survive. We did it on our own with no outside help. Today I have been married for 28 years and we have a VERY HEALTHY sex drive....more than "normal people" for our age of 50 and he's 54. Usually 7-10 times a week and on the weekends it's a free for all. We DO LOVE each other and enjoy expressing it. Affairs due to HYPOmania DONT have to end marriages or relationships with partners. You CAN work very hard IF you want to save the relationship. My husband would tell you today that my affair saved our marriage. I DO NOT regret the marriage and I am still friends with him on Facebook today! It was a mistake...we all make mistakes...BUT you too can work hard to over come as we did....and you can win in the end. August 7, 2017 will be 29 years of marriage for us and I love him more today than the day I married him <3

In reply to by Anonymous (not verified)

alexi
January, 7 2019 at 12:33 pm

So people with this don;t have to give it up forever . With the women who are my friends I could love a woman with this

Leila
July, 8 2017 at 12:20 pm

I experience a constant need for sexual *pleasure*, but I have generally satisfied this with porn and masturbation rather than a high number of sexual partners (read: masturbating up to 10+ times a day). Part of it may be that women unfortunately learn that sexual encounters do not guarantee them an orgasm, where as masturbation does. I imagine it would be harder for men to control the impulse to sleep with many partners because they know the experience will be satisfying for them.

MM
July, 22 2017 at 6:02 am

Don't normalize Agressive sex as healthy

MM
July, 22 2017 at 6:10 am

Have you ever thought that that after all the "scratching. gnawing, screaming and gnawing" is done the partner who you no doubt DEMAND this from because "It's just you" might, in some moments. need compassionate understanding, emotionally touching sex. Maybe after a layoff. Maybe after a major taumatic event (ia was around for Sept. 11th) Maybe after comming out of an illness.
Major chances are you are not emotionally capable of any other kind of sex if you are all about the afforementioned "rough Sex". it is not an equal and healthy scenario. especially for the one often "required" to be dominant. there is no chance to show equality and vulnerability.
If I had a dollar for every BDSm woman on these post that says "me and my dom are healthy. He treats me well." Yeah, but could they TREAT HIM WELL? I don't mean sexually - I mean emotionally.
The very dynamic of the sex you say "Is just me" isn't productive, healthy or normal. It stems ALWAYS from daddy/parenting issues in my experience.

HTLAEH LATNEM
April, 15 2018 at 8:59 am

HAVE YOU EVER THOUGHT THAT BIPOLAR IS A MONEY MAKING SCAM AS EVERYTHING SAID ABOUT BIPOLAR IS A FLIP SIDE OF THE COIN WITH NO ACTUAL EVIDENCE. AND THIS EMPLOYS MILLIONS OF THERAPISTS AND BILLIONS IN PHARMACEUTICAL AND PEOPLE THINKING THEY ARE CLEVER WITH ARTICLES LIKE THIS. .....................MAYBE ITS ANXIETY THE UNDERLYING ILLNESS, EVER THOUGHT ABOUT TREATING THAT. """"BIPOLAR IS A PRODUCT""""" OH YEAH, THAT'S YOU!

Mo
November, 8 2018 at 9:32 pm

Hi all, I recently started seeing someone I suspect may have bipolar disorder. And I suspect I won't be seeing him anymore after an abrupt and unexpected change in his behaviour that left me feeling like I had been blindsided by a very big truck. I'm ashamed to say its only in hindsight that I have realized that he may actually have bipolar disorder.
I can see from reading back his text msgs where his moods seem to shift and wanted to ask if this seems right to people with more experience with this.
I suffer from anxiety and adjustment disorder myself and am only just putting myself back together after a nervous breakdown a month ago..which is when I met J. Yes I knew it was a bad idea but he seemed so nice and understanding about my breakdown and was happy to take things slowly.. So that's how we started, nice and slow.
Nice text msgs quickly turned to sexual ones. Which I have no interest in and tried to end things quick smart. He convinced me he cared a lot and I was worth waiting for for and so we continued. Again he starts with the sexual texts which I mostly either ignored or deflected with humour. We met up for a chat and a cuddle. He was so nice and caring and just loved to hold me. I was keeping my anxiety in check and started to relax and convinced myself that his sexting wasn't a big deal, tho it made me uneasy. As we texted more he would say more and I relaxed again. He works a lot and does volunteer emergency services work so not much spare time, which suited me as I like being alone. By week 3-4 the sexting gave way to venting about his boss who he had told off and who had driven away to return 4 hours later. I don't think too much of it. A few days later the tone of the msgs change again. To really sweet things and hinting at wanting to catch up more etc. I explained I had only been trying to fit into his busy schedule and cause minimal disruption in his life. Suddenly he had more time and wanted to spend more time with, saying he couldn't wait to hold me in his arms etc, so little miss adjustment disorder adjusts her schedule to meet up after work, the nite before our preplanned date, for a quick cuddle. I found it unusual he was being a bit sooky and no sexual comments had been made all day tho, so I asked if he was ok, not sleeping cos he was stressed or upset. He assured me he was fine. It was just him. So we meet up the next night and he seems a bit cranky at everyone bar me. Anyway things got a bit hot and heavy..not all the way but he was helped to 'release' ..which was over pretty quick..and that's where his next mood swing started I think. He pretty much had to go 10mins after his release. Somewhat stunned and anxious I didn't think too much of it and went home too. So our preplanned date was for 6:30 and I was getting myself organized when he sent a rather abrupt msg asking if I was still ok for date which I replied yes he then asked to make it an hour earlier which caused me to panic as I need a good bit of time to dry and straighten my hair and he msgd at 4:40pm. I said I would prefer 6:30 but can do 6 if he insists. Got back ok 6:30. When we got out our cars to go for walk in forest he looked like he hadn't slept or showered and would barely look at me. He walked ahead of me and I had to try keep up. I asked if he was ok with what happened the night before..he said yep..I asked if still thought I was a nice girl..he said yep. My anxiety started to kick in and so I tried to ignore his coldness and try get back to normal. When we sat under the trees he still wouldn't look at me, when I tried to make him laugh by kissing his ear he pulled away, when I moved closer cos I was cold he put an arm round me but his hand was on ground. Then he gets up and says he has to go to the supermarket.. An hour and quarter into our date. He gives me a quick hug and a kiss on my neck and I give him a squeeze on the but and say see ya next time and ran away before I cried. From multiple msgs a day to complete radio silence. When I msgd him 2 days later to ask if everything was ok he didn't reply until the next day late morning. His usual good morning texts are at 7:30am..his was reply was all good feeling a bit flat and took some time for myself..closely followed by a sexual one about how he doesn't regret what happened the other night listing the things and what he felt . I was so shocked all I could reply was glad ur ok. Again radio silence til I asked why are u hurting me I don't know what I've said or done for u too suddenly treat me like this. Again completely cold reply saying he's not he told me he was busy this time of year and that he had wanted to catch up earlier to spend more time with me on our date but I said no and not much he can do if he has to go to supermarket. I am ashamed to say my temper exploded and I said to stop f#*king with my head that I would take myself out of the equation so he could have all the time in the world. To which he replied ur choice not what I want but that's ur choice I was going to see if u wanted to catch up but all good. And it only gets worse from there.
Does someone with bipolar switch from being so nice and loving to ice cold in the blink of an eye? And if so do they feel bad after they switch back to nice. Does his behaviour sound like bipolar behaviour?
I'm so brain broken and after the things I said I feel terrible but I just had no idea until I read up on this

john dean
April, 7 2021 at 5:13 pm

Yes, you are dealing with significant mood swings, it very well could be bipolar but he would need to be evaluated properly to know. Sounds like my college pattern, and the years right afterwards. At 24, the hypomania stayed longer and depression was cost me a very lucrative job that required being based in a foreign country for 9 months. I fell into a depression at the tail end of the overseas stay. When I had been home about a month, I abruptly quit - no idea why - it was totally impulsive during depression. I remember my supervisor tell me that if I quit I would never be welcome back. I have never held a job more than 2 or 3 years, even changing professions several times from then to now at 53. Relationships are most affected by the age I am now, 50's. My wife and son have left recently when I was in my deepest depression of my life. I was only diagnosed afterwards, age 53; taking meds for the first time and being so thankful for it. It has helped a lot with symptoms like racing or looping negative thoughts. There are no noticeable side effects, I just feel like me.
If your friend falls into bipolar spectrum, this may be an example of how his life could be, its a struggle and impossible if untreated. Our lives are very chaotic, unstable though some lives are difficult but manageable. Your best bet is to befriend this young man and encourage him to be evaluated, and treated if needed. You would change his future. Your life would be much simpler if you avoid a romantic relationship and just focus on changing this young man's future.

Scarlette
November, 20 2018 at 4:14 am

Does anyone use illicit drugs when hypermanic also? So I’m in a professional career, same sex relationship with an amazing woman. When hypermanic i crave and sleep with men.. and crave their attention. But also find myself using cocaine? But wouldn’t dream of using it or engaging in this behaviour when stable. Please tell me I’m not alone

November, 20 2018 at 10:45 am

Hi Scarlette,
Hypomania reduces inhibitions so, yes, it can create a desire to do things you wouldn't normally do -- like use cocaine. It also tends to create a desire for pleasurable activities without worrying about the consequences -- again, this could be drug use.
So I seriously doubt you are alone.
- Natasha Tracy

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