Abstract
Introduction: Bipolar disorder (BD) is one of the foremost frequent chronic disorders in populations where depression is usually present; however, in chronic cases, it can raise the danger of death. Bipolar major Affective Disorder (BPAD) may be a common and recurrent psychiatric disorder that affects people everywhere on the planet. Tt's characterized by episodes of mania, hypomania, hyperactivity, and depression.
 Findings of Clinical: A 45-year-old woman from Chandrapur is admitted to the (AVBRH) Archarya Vinoba Bhave Rural Hospital Sawangi Meghe (Wardha), in a mental health ward(Psychiatric ward) with a known case of Bipolar major Affective Disorder. Her relatives brought her to AVBRH, where she is admitted with the chief complaint of low mood, muttering to herself, violent and abusive behavior. A case of bipolar major affective disorder is been identified. Both manic and hypomanic episodes are feasible. Bouncy, jumpy, or wired unusually. Increased activity, excitement, or energy. Feelings of satisfaction and self-assurance that are exaggerated (euphoria). Thyroid function testing and urine analyses were done with a A/B testing A simple randomized controlled experiment was done. A variety of procedures is used, including (CBC) complete blood count, (MRI)Magnetic Resonance Imaging, (CT) scan Computed Tomography, Mental Status Examination, and (ECT)Electroconvulsive Therapy with Psychotherapy.
 Therapeutic Intervention: Olanzapine, sodium valproate, capacitance, and cloze, chlorpromazine are examples of pharmacological therapy given. 
 Conclusion: After treatment, the patient's manic episodes stop and her symptoms began to fade.
Highlights
Bipolar disorder (BD) is one among the foremost frequent chronic disorders in populations where depression is usually present; in chronic cases, it can raise the danger of death [1]
Bipolar major affective disorder (BPAD) may be a common and recurrent psychiatric disorder that affects people everywhere on the planet. it's characterized by episodes of mania, hypomania, hyperactivity, and depression [2]
Mania lasts for every week or longer, and the affected person/patient may exhibit a change in normal behavior that interferes with their daily activities [4]
Summary
Bipolar disorder (BD) is one among the foremost frequent chronic disorders in populations where depression is usually present; in chronic cases, it can raise the danger of death [1]. Bipolar major affective disorder (BPAD) may be a common and recurrent psychiatric disorder that affects people everywhere on the planet. It's characterized by episodes of mania, hypomania, hyperactivity, and depression [2]. Like delusions and hallucinations, are common during a manic episode [3]. Mania lasts for every week or longer, and the affected person/patient may exhibit a change in normal behavior that interferes with their daily activities [4]. Changes in a mood like exhilaration and ecstasy, increased talkativeness, quick speech, sleep disturbances, racing thoughts, increased goal-directed activity, increased psychomotor activity, and impaired insight are all symptoms of mania [5]. Bipolar disorder is defined by a minimum of four bouts of mood shifts during 12 months. this is often plainly discernible by relatives, friends, and strangers [7]
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