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5. The medical researchers throughout the world have found that "Hypomania is a condition in which you display a revved up energy or activity level, mood or behavior. The new "energized you" is recognized by others as beyond your usual self. Hypomania is a less severe form of mania, and both are commonly part of bipolar disorder. Treatments include psychotherapy, medication and self-care strategies."

6. Bipolar disorder is a mood disorder that can cause intense mood swings. "Sometimes you may feel extremely "up," elated, irritable, or energized. This is called a manic episode. Other times you may feel "down," sad, indifferent, or hopeless. This is called a depressive episode. You may have both manic and depressive symptoms together. This is called a mixed episode. Along with mood swings, bipolar disorder causes changes in behavior, energy levels, and activity levels. Bipolar disorder used to be called other names, including manic depression and manic-depressive disorder." Patna High Court CWJC No.18853 of 2012 dt.14-05-2024

7. There are three main types of bipolar disorder, which are as under:

(I) Bipolar I disorder involves manic episodes that last at least 7 days or manic symptoms so severe that patients need immediate hospital care. Depressive episodes are also common. Those often last at least two weeks. This type of bipolar disorder can also involve mixed episodes.
(ii) Bipolar II disorder involves depressive episodes. But instead of full-blown manic episodes, there are episodes of hypomania. Hypomania is a less severe version of mania.

10. The symptoms of a mixed episode include both manic and depressive symptoms together. For example, patients may feel very sad, empty, or hopeless, while at the same time feeling extremely energized.

11. Treatment can help many people, including those with the most severe forms of bipolar disorder. The main treatments for bipolar disorder include medicines, psychotherapy, or both. Medicines can help control the Patna High Court CWJC No.18853 of 2012 dt.14-05-2024 symptoms of bipolar disorder. Patients may need to try several different medicines to find which one works best for them. Some people need to take more than one medicine. It's important to take the medicine consistently. Patients should not stop taking it without first talking with their provider. Contact the provider if the patients have any concerns about side effects from the medicines. Psychotherapy (talk therapy) can help the patients to recognize and change troubling emotions, thoughts, and behaviors. It can give patients and their family support, education, skills, and coping strategies. There are several different types of psychotherapy that may help with bipolar disorder. Other treatment options include: "Electroconvulsive therapy (ECT), a brain stimulation procedure that can help relieve symptoms. It uses a mild electric current and is done while patients are under general anesthesia. ECT is most often used for severe bipolar disorder that is not getting better with other treatments. It may also be used when someone needs a treatment that will work more quickly than medicines. This might be when a person has a high risk of suicide or is catatonic (unresponsive); Repetitive transcranial magnetic stimulation (rTMS), a brain stimulation procedure that uses magnetic waves to relieve depression. It is not as powerful as ECT, but with Patna High Court CWJC No.18853 of 2012 dt.14-05-2024 rTMS, patients don't need general anesthesia. It also has a low risk of negative effects on the memory and thinking; Light therapy has been shown to be effective for seasonal effective disorder (SAD). Many people with bipolar disorder also find that their depression gets worse during certain seasons, usually in the fall and winter. Light therapy may help with their symptoms and Healthy lifestyle changes, such as getting regular exercise, having a consistent sleep schedule, and keeping a mood journal, can also help with your symptoms. Bipolar disorder is a lifelong illness. But long-term, ongoing treatment can help to manage the patients symptoms and enable them to live a healthy, successful life."

12. Admittedly, in the present case, the petitioner had resumed his duty and in spite of detecting erratic mental behaviour due to his unsound mental health and Bipolar Disorder Hypo-mania attack, he was served with a punishment order. I find that the Disciplinary Authority has committed illegality firstly for the reason that they have not complied with the direction of this Court contained in order dated 26.11.2010, passed in CWJC No.1787 of 2004 and secondly, there is no finding or any evidence on record to show that they have proceeded to initiate a second Departmental Proceeding, on Patna High Court CWJC No.18853 of 2012 dt.14-05-2024 altogether different charges, as would appear from Memo No.582 dated 01.10.2011, having found the petitioner to be normal condition and had not shown any erratic behaviour. Non- consideration of the petitioner's mental condition in spite having found that the petitioner has been suffering from mental disorder bipolar hypomania, was not required to be proceeded departmentally in accordance with provisions of RPwD Act, 1995.