BIPOLAR DISORDER
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Bipolar Disorder, often called Manic Depression, is a medical condition that involves severe mood swings in an individual. It is a lifetime condition that needs to be treated to keep it in remission (APA). It is not just a mental illness, but a medical disease involving the brain.
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The disease progresses as the years pass and the frequency of mood changing episodes becomes more frequent (MHN). Bipolar Disorder involves depressive and manic phases. With the symptoms presented, clinicians often misdiagnose patients as schizophrenics (Shalala).
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Bipolar affects an individual’s thoughts, feelings, health, behavior and ability to function. The disease is not a result of a weak personality, as many people believe.
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In the manic phase, the individual sleeps only a few hours, yet is feels perfectly rested.
They tend to be talkative, distracted and overly goal-oriented. Unfortunately, they seldom follow through with their goals. Pleasurable activities become very important, particularly those that involve high risk. The ego becomes inflated beyond reality and their thoughts and ideas race continuously (Long).
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Hypomania is a much milder form of mania. In this phase, the individual can easily fall into a deep depression or escalate into full-blown mania (APA).
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The last phase, mixed episode, is when an individual shows symptoms from both manic and depressive phases.
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There are many different theories on what causes bipolar disorder. There seems to be a connection with family prevalence. Those with a parent with the disorder have a one in seven chance of being bipolar themselves. An earlier age of onset is typical in these cases. the typical age of onset is adolescent and earlier adulthood (Shalala).
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Other probable causes are biochemistry, biological clocks and psychological stress.
It is known that those with bipolar disorder are more vulnerable to emotional and physical stress (APA).
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The diagnosis of bipolar disorder typically takes up to eight years. Clinicians mistakenly diagnose depression, anxiety, schizophrenia or paranoia. Inappropriate treatments only make the disorder worse. Anti-depressants lift the patient into
There is no cure nor is there a standard course of treatment. Treatment is symptomatic and
Bipolar disorder, also commonly referred to as manic-depressive illness, is a brain disorder that causes unusual and heightened swings in a person’s mood, energy level, and ability to function. The symptoms of bipolar disorder can be severe and therefore, they are quite different from the normal shifts in mood that everyone goes through on a daily basis. The effects of bipolar disorder can result in broken relationships, poor performance at work or school, self-mutilation, and even suicide. However, in most instances, bipolar disorder can be treated and people with this illness can lead normal and productive lives with the help of medication and therapy.
Thankfully, there are various treatments and therapies, which can help manage bipolar disorder in an individual. Since all patents are different, experimenting with multiple treatments is always a good idea, to help figure out what will work best for them. Medication is a main and most popular route, including mood stabilizers, antipsychotics, and antidepressants (“National Institute of Mental Health”). Unfortunately, medications can have their downsides and often getting the patient to regularly take their medication is one of the biggest challenges. Another option for the patient to consider is psychotherapy. This includes different kinds of verbal therapy such as cognitive and behavioral therapy (“Bipolar Disorder”). Therapy is not only helpful for the affected person but also can help the family cope. Lifestyle changes such as healthier lifestyle, organized schedule, and the limitation of alcohol and drug consumption, can contribute to managing this disorder. Overall though, this disorder affects everyone differently, and the patent needs to consult a doctor and psychiatrist to figure out what will help them handle their symptoms the most
therapy. Wiener also provides additional resources and a list of texts that focus on the symptoms, diagnosis, and treatment of this
A manic episode includes either feeling euphoric or high levels of irritation and can last a week or longer and may require hospitalisation. A person who is mania can sometimes lose touch with reality and suffer psychotic symptoms such as hallucinations or delusions. Hypomania is similar to mania but not as intense and there are no psychotic symptoms experienced and the person will not require hospitalisation. Symptoms will last up to 4 days.
For an episode to be categorized as manic, the patients’ mood has been irritable or abnormally elevated for at least 1 week. A person must also exhibit at least 3 of the following symptoms (4 if the mood is only irritable): extreme feelings of personal greatness; a decreased need for sleep, marked talkativeness; distractibility; extreme focus on a goal-directed activity; reports of ‘racing’ thoughts or a flight of ideas; or excessive involvement in pleasurable activities that have a high potential for painful consequences (i.e. sexual indiscretions or unintelligent business investments). As in the criteria for a depressed episode, the DSM-IV specifies that these symptoms should not be better explained as being a side effect of a drug or illness to qualify as a manic episode. These symptoms must interfere with the person’s normal functioning and must not meet the criteria for a mixed episode. As with adults, childhood-onset bipolar disorder has many faces. Children with Bipolar I Disorder have episodes of mania and episodes of depression, sometimes there are long periods of normal moods between episodes. Adults usually tend to have more depressed episodes than manic episodes. However, some children will have chronic mania (symptoms of mania lasting for long periods of time or marked by frequent recurrence) and seldom experience a depressed episode.
Although everybody reacts emotionally to environmental factors to a certain extent, people who have bipolar disorder “can develop extreme moodiness in reaction to events in their environment.” (Miklowitz, 2010, p. 74). Furthermore, according to Miklowitz (2010), scientists still do not completely understand the importance environmental influences and stress, but
This disease is life long, even when you feel better treatment is still needed. When you seek help from your doctor medication is prescribed to level your mood, when successful the doctor will discuss long-term approaches. Seeking counseling can help, there’s also psychotherapy, electroconvulsive therapy or transcranial magnetic stimulation. If you want to take a natural approach there’s alternative medicine, the more common ones are Omega 3 Fatty Acids, Magnesium, and St. Johns Wort. There are many ways to get help and seek treatment and the sooner the better before this disease gets
There are several different individuals who are patients admitted either through their own will or against their will. Cases range from a man who was studying psychology in graduate school to substance abuse problems, to a woman struggling with chronic schizophrenia. Every case is different, but they are all treated with medication; sometimes over-medication. Treatment options do not include long-term care or therapy.
There are four types of mood episodes in bipolar disorder: mania, hypomania, depression, and mixed episodes. Each mood episode comes with a series of symptoms. In the manic phase of bipolar disorder, feelings of increased energy and extreme happiness are the most common. People who are experiencing a manic episode often cannot stop talking, their talking is fast and very hard to understand, they sleep very little, and are very hyperactive. They feel they are invincible and can do anything in the world. Hypomania is a less severe type of mania.
At least 2 million Americans suffer from bipolar disorder, more commonly known as manic-depression. This illness usually begins in adolescence or early adulthood and continues throughout life. Although it may come into affect at any time, most individuals with the disorder experience their first mood episode in their 20’s. However, manic-depression quite often strike teenagers and has been diagnosed in children under 12.
The onset of bipolar disorder is usually in late adolescence or early adulthood (7). It is possible for both children and adolescents to develop the disease as well. This usually happens when there is a family history for the disease. Children afflicted by bipolar disorder are usually more irritable and destructive during their manic states and are more prone to mixed states (9). It is even harder to diagnose bipolar disorder in children because it is often confused with other problems that occur at a younger age such as attention deficit disorder, conduct disorder, major depression, or schizophrenia (9).
Bipolar Disorder or manic-depressive disorder is a disorder characterized by highs, manias, and lows, depressions, and can therefore be easily distinguished from unipolar depression, a major depressive disorder in DSM-5, by the presence of manic or hypomanic episodes (Miklowitz & Gitlin, 2014). Bipolar disorder is generally an episodic, lifelong illness with a variable course (American Psychiatric Association, 2010). There are two classifications of bipolar disorder; bipolar I disorder and bipolar II disorder. If the episodes are primarily manic but there has been at least one depressive episode, the diagnosis is bipolar I disorder (Early, 2009). If the episodes are primarily depressed but there has been at least one episode of hypomania, increased mood that is more euphoric than normal but not quite manic, the diagnosis is bipolar II disorder (Early, 2009).
Treatments include medication, supportive psychotherapy and occasionally ECT. Medications include lithium, anticonvulsant drugs (carbamazepine (Tegretol), valproate (Depakote), gabapentin (Neurontin) and lamotrigine Lamictal), antidepressants (such as bupropion (Wellbutrin)or sertraline (Zoloft)), neuroleptics (e.g. haloperidol) and benzodiazepines (e.g. lorazepam) Treatment choices depend on the