Recently, a school-aged young woman confided in me, revealing, "I have bipolar disorder. I can't tell if I'm okay or not. I've had multiple sexual encounters with men." She continued, "I make money from this practice. My friends and I roam the streets of Accra every night, engaging in unprotected group sex. Even my parents benefit from the proceeds of my unsafe sexual escapades."

Risky or unsafe sexual behavior, particularly among individuals struggling with mental health issues like bipolar disorder, is a matter of great concern for families and society at large. Numerous studies among female populations with bipolar disorder have found that manic episodes of the disease often lead female patients to engage in risky sexual activities.

Some men take sexual advantage of women with bipolar disorder. Therefore, young women with bipolar disorder require support from their families and society to prevent them from engaging in unprotected sexual intercourse, which has numerous negative consequences for individuals, households, and society as a whole.

Risky sexual behavior includes unprotected intercourse, having multiple sexual partners, and using illicit drugs. While alcohol and drug use significantly increase the risk of sexually transmitted infections (STIs), bipolar disorder also plays a major role in promoting risky sexual behavior, leading to these infections, unintended pregnancies, and even death.

High-risk sexual behavior puts individuals at risk for STIs and unplanned pregnancies. Adolescents and young adults, especially young women, are at higher risk than adults.

Bipolar disorder, formerly known as manic-depressive illness, is a treatable depressive disorder that causes extreme and intense mood swings, resulting in serious impairment in cognitive function. These mood swings can affect sexual desire, confidence, and interpersonal relationships.

The exact cause of bipolar disorder is still unknown, but possible risk factors include hormonal imbalances, genetics, extreme trauma, and substance abuse. Bipolar disorder can coexist with other mental illnesses such as acute depression with psychosis or schizophrenia.

The symptoms of bipolar disorder are influenced by two cyclic phases: manic (very high) and depressive (very low) moods. Manic episodes can lead to risky sexual behaviors, while depressive episodes involve symptoms such as feeling empty, guilty, and having decreased energy and appetite.

Bipolar disorder is a chronic condition that requires lifelong management. Proper diagnosis and treatment can help individuals lead healthy and productive lives. Treatment typically involves a combination of medications and therapy.

In conclusion, bipolar disorder is a serious condition that can significantly impact an individual's life. People with bipolar disorder are often involved in risky sexual behaviors due to the clinical features of the disease and associated comorbidities. It is crucial for individuals with bipolar disorder to receive support from their families and society. Stigmatizing them is unjust and inhumane.

Source b Graphic Online