Women are diagnosed with bipolar disorder on average 3.2 years later than men and are more likely to experience a delay in seeking treatment. They are also more likely to have a depressive first episode and experience more rapid cycling of moods. Women tend to have more severe depressive episodes and mixed episodes than men. Improving recognition of gender differences and barriers to recovery such as unemployment, lack of social support and exploitation could help enhance quality of life and management of symptoms for women living with bipolar disorder.