If an individual encounters no less than five of these side effects for one month they have significant melancholy. Gentle sadness would regularly be characterized as having two to four of these indications for more than one month. Bipolar confusion (hyper wretchedness) incorporates swings from profoundly burdensome temperaments to stunningly hyper dispositions (rapture, crabbiness, aggression, expanded contemplations of self, gloating)- - with a large number and varieties.