My mother doesn't sleep more than 4 hrs throughout in a day. I noticed that she tried to sleep but she couldn't. She looses temper very quickly, and she got very angry and become very happy within a short time.

Dr. Saul PereiraPsychologist46yrs exp

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This does not sound too good and she must meet a doctor and a counselor in tandem for a long time for treatment. So without wasting time do take your mom to a doctor and to a counselor for diagnosis and treatment immediately. You must make sure that she cooperates because many times they do not believe that there is something wrong and would love to quit the medication. Complying with all the medical prescriptions and working in tandem with a counselor for a long time and learning coping skills and techniques to handle the daily challenges your mom will face is very important. There are certain adaptations that will suit her during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime she can do certain things that will give her benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. She needs to particularly look at her levels of anger both for its reasonableness and to express it in appropriate manner. I suspect that much of this anger may have origins in early childhood that she may never be aware of it now. Let her talk to her parents and explore that angle. This information will help the counselor too. Also she will need to check whether there is any genetic factor involved. She must exercise regularly, eat healthily and sleep normally too. If her motivation and cooperation is good much can be achieved. She must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times she will be inclined to have grandiose notions and confidently believe that she can do without the medication. This will set her back many months in the treatment and delay and sabotage the recovery: forewarned she is forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. This condition is characterized by two extremes i.e. feeling very high and suddenly feeling very low. You can ask the doctor for the symptoms he noticed in her for a personal understanding. 

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