Quite often when I’m doing interviews, I’m asked about the connection between my bipolar disorder and my alcoholism and pornography addiction. I’ve always felt like there was some link between the two, but I finally did a little research to confirm it. As it turns out, there’s a huge link.
Bipolar disorder, which has made it onto the list of most self-diagnosed conditions (migraines continues to top that chart), actually only occurs in between 1.5 and 2.5 percent of the population according to one 2018 study. Another said that it was 4.4%, so I guess you have to believe the one you want.
I was diagnosed at age 26, although I can recognize episodes of mania and depression going back to my mid-teens, not-so-coincidentally when my addictions first began to surface. Ironically, the average age for onset of bipolar disorder is 25, but I know I had it long before that.
Unfortunately, there is not a lot of research yet on the likelihood of someone with behavioral addictions like sex/porn addiction, gambling addiction or video game addiction also suffering from bipolar disorder, but based on what we know with substance addictions, I think it’s safe to say there’s a link.
To the unaware, bipolar disorder (formerly known as manic depression) is essentially a psychiatric disorder characterized by unstable moods, depression or mixed manic and depressive episodes that are accompanied by drastic changes in sleep patterns and energy levels. Erratic, irrational decision-making can also be a sign of untreated bipolar disorder.
Back when I went untreated, manic was my norm. It was the bouts of depression that indicated to me something was wrong. I’m not going to give my entire history here, but if you’d like to see an article I wrote for my magazine way back in the day where I essentially confessed to the community I had bipolar disorder, click here. It’s a long read, but a good one.
I’m going to try not to turn this into an academic paper, so if you want sources for my statistics, just let me know and I’ll provide them, but I’d rather these be an easier read.
In the US population, roughly 15% of the population are tobacco smokers. Among those with bipolar disorder, anywhere from 60% to 80% either were or are currently tobacco smokers. I was among those in early 20s, but I quit a two-pack-a-week habit in my mid-20s. I took it up again shortly after I was arrested (ironically in rehab) in 2014 and kept it up for about 9 months before quitting again.
In the US, about 1-in-8 people, or 12.5% or the population can be classified as alcoholics. Among those who have bipolar disorder, it’s closer to 42% to 44%, depending on which study you use. I was firmly in this group as well.
As for drugs, someone with bipolar is 14 times more likely to have a substance use disorder than a person without. In fact, over half the people with bipolar disorder (56%) have a history of illegal drug use. One study I saw said that number could be as high as 70%. Although I experimented a little bit, I never embraced illegal drugs the way I did alcohol or pornography.
There is information out there that also links bipolar disorder to populations who report much higher than average anxiety, ADHD and eating disorders.
It’s important to note that it’s just not higher rates of addiction among people with bipolar disorder. You’ll find higher rates of homelessness, violence (both committed by and against), crime and suicide in this population.
There is no known cause for bipolar disorder, addiction, or co-occurrence. It’s just as important to highlight that addiction does not cause bipolar disorder and while the numbers clearly indicate those with bipolar disorder have a much, much higher likelihood of a co-occurring disorder, it is not guaranteed. Researchers believe a combination of factors, such as environment, genetics, biology, etc., are believed to play a role in both bipolar disorder and addiction. Reading between the lines, that seems code for, “We still have no idea.”
When I was at rehab, it felt like two-out-of-three people claimed they had bipolar disorder. I thought they were way overstating it, but as it turns out, maybe those numbers were right on the money.
I hope that the scientists who conduct the kinds of studies and surveys that I referenced above are studying behavioral addictions look to establish a connection between them and bipolar disorder as they’ve done with substance addictions. Anecdotally, based on the sex and porn addicts I’ve known, I think you’ll see very big numbers.