Living with Depression, Mania, and Medication
Depression joined my life shortly after I entered middle school and tagged on persistently through my adolescent years. At first, my sullen moods were brushed off as mere hormonal changes, but I quickly became aware there was something more behind them. The severity of depression is difficult to explain without personal thoughts and examples. I know that my depression is coming long before it sets in. There is a cloud of forewarning that starts to move in on the vibrancy of my thoughts and vision; the world becomes distorted and negative. Slowly, this bleakness moves in from the outside world down to the pit of my stomach where it creates a dark, menacing feeling that makes me want to
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The cloud of depression lifts, and the colors and elements of life appear optimistic and bright. The community becomes full of opportunities for change and involvement. I become extremely enthusiastic and join whatever organization serves my current purposes, and, often times, I join several at once. The beginning of mania is fun and full of energy; it is what I would imagine it is like to be completely content. However, this "contentment" turns out to be nothing more than a façade and fades as quickly as it appears. After days, weeks, or sometimes months, my mania begins to come to its peak. I start to feel as if I could take on impossible challenges and will do anything in my power to keep from admitting defeat. Sleep becomes an option that I do not wish to take on for more than a couple hours a night. In mania, people cannot spit out ideas fast enough, books do not read quick enough, and my attention span cannot focus long enough. My thoughts do not occur independently; instead, my mind will focus on four or five things at once. Life becomes hectic and confusing; I feel as if I am on a roller coaster that no one is driving. I become convinced that I am crazy. When it comes to this, I want to escape from life because I cannot keep up, and I cannot escape from this fast pace. It is in this blind panic that my mania reaches its climax. I have my worst anxiety attacks. In these attacks, I become irritated and angry with the world for alienating me in
As the second decade of the 21st century progresses, the population approaches seven billion. With so many people, how are people supposed to stand out in job applications, or catch the administrators’ eye as he or she reads applications to highly prestigious colleges and universities? More and more people are asking this question, and more and more people are finding help in a small pill. Originally diagnosed for Alzheimer’s disease and ADHD, these drugs are increasingly used off label in universities and workplaces. In society, people call this form of off label use of neuroenhancing drugs chiefly two different things: smart drugs informally, and nootropics formally. The word nootropic originated from a Romanian Dr. Corneliu E.
Bipolar disorder is a mood disorder known for severe persistent mood instabilities between mania and depression, . It causes unusual changes in mood, energy, and activity levels which makes ability to perform daily tasks very hard. (Concepts Advisory Panel [CAP], 2015). BPD affects more than 2.3 million adult Americans, or 1% of the population. (Guo, Patel, Li, & Keck 2010). There are four basic types of bipolar spectrum; All of them involve clear change in the mood energy, and activity levels (CAP,2015). These mood incidences’ ranges from periods of extremely high and energized behavior known as Manic episodes to very sad, or hopeless periods known as depressive episodes. Bipolar I disorder, the client has at least one episode of manic followed by major depression. Bipolar II disorder, the client has one or more hypomanic and major depressive episodes, the other not so severe and less diagnoses type of Bipolar is chronic mood disorder that lasts more two years with combination of hypomania and dysthymia. (CAP,2015). This paper will go into, Bipolar I, Manic episodes, the pathophysiology, Sign and symptoms, treatments, comorbidity, nursing intervention and nursing and patient therapeutic relationship.
Fires of the Mind: Depression & Manic (Bipolar) was a rather interesting documentary that shed some light on the pain and suffering experienced by individuals affected by these conditions. Major depression causes a person to have distorted self image and experience unrelenting grief for no apparent reason. They may be indecisive and having reoccurring thoughts of death. Manic depression causes individuals to experience periods of extreme highs and lows. They may have manic periods, experiencing a state of euphoria, feel invincible, and lose their sense of judgement. Alternatively, they may then fall into a severe depression and barely be able to get out of bed. There are cases where a person will be irritable, paranoid, or hear voices, this is called psychotic mania.
“Recent data estimate the overall prevalence of depression at about 11.1% of the American population, or nearly 35 million individuals (Centers for Disease Control and Prevention, 2011). A predictive models suggest that up to 50% of the population will experience at least one episode of depression during their lives” (Life Extension, 2014). Depression has negatively affected the lives of many individuals throughout the world. Look around you there may even be someone close to you that is demonstrating signs of its stifling affects. Depression does not discriminate with its suffocating
Despite the similarities, there are more common symptoms in bipolar depression than it is in regular depression. For example, bipolar depression has individuals feeling guilty, hopeless, sad, empty, unpredictable mood swings, and feelings of restlessness. People with bipolar depression also tend to move very slow, gain weight, and sleep a lot (Hatchett). On the other hand the hypomania state has led observers to feel that bipolar patients are "addicted" to their mania. Paranoia or irritable characteristics begin to manifest in this stage. Hyperactive behavior can sometimes lead to violence and speech becomes very rapid (Hirschfeld, 1995). A mixed episode is when you have both manic and depressive symptoms at the same time. According to Hirschfield, “Those afflicted are a special risk because there is a combination of hopelessness, agitation, and anxiety that makes them feel like they,” “could jump out of their skin” (Hirschfeld, 1995). Up to 50% of all patients with mania have a mixture of depressed moods. This episode is considered very dangerous because individuals feel as if they could commit suicide.
Millions of Americans suffer from clinical depression each year. According to the World Health Organization (WHO) (2017), 322 million people are affected by depression around the world. Concerning industrialized Western world countries, it remains as the number one psychological disorder affecting its population (WHO, 2017). Most clinicians begin primarily with prescribing either pharmacologic or psychotherapy interventions. With billions of dollars spent in revue on treating depression (Chisholm, Sweeny, and Sheehan, 2016), exercise used as treatment in reaction to mental illness is often overlooked by mainstream health care professionals. However, it has been proved by recent research exercise acts as both a preventive and reactive
Bipolar disorder, also known as, "manic-depressive illness," is a brain disorder that results in unusual shifts in a person's mood, energy, and ability to function. More than two million American adults (or, about one per cent of the population aged eighteen and older in any given year) are afflicted by this affective disorder (1). Yet, because it cannot be revealed by a blood test or other physiological means, patients may suffer for years before it is properly diagnosed and treated. Fortunately, once one is diagnosed with bipolar disorder, the acute symptoms of the disease can be effectively mitigated by lithium and certain anticonvulsant drugs, the most popular being Depakote (also known as
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).
The cause of Clinical depression has long been a mystery to physicians and researchers. Many different theories have been proposed, but no conclusive evidence has been put forth. However, most of what we know about depression stems from the results of certain drugs which have been successful in treating the clinically depressed. These anti--depressants have led to the assumption that depression is most likely due to a chemical imbalance (of neurotransmitters) which somehow leads to the symptoms of depression. To try and write a paper on all the theories of depression would be endless, as would be a study on all the different types of
Another issue people with mental illness face is comorbidity of illnesses. Due to the fact that mental health and physical health are conjoined, comorbidity of other illnesses tends to occur when mental illness goes untreated, or vice versa. One study estimates 25 years of life are lost for each person with a serious mental illness, which is commonly attributed to illnesses like cardiovascular disease and diabetes (Shim & Rust, 2013). On top of that, further data shows that when compared to people without a mental illness, people who are mentally ill receive less attention to comorbid issues, and an overall lower quality of care (Smith et al., 2016). One example of receiving an abnormal level of attention during a doctor visit could be referred to as diagnostic overshadowing, which is when a person’s mental disorder diagnosis overshadows physical ailments (Kassam, Papish, Modgill, & Patten, 2012).
Bipolar disorder, also known as manic-depressive illness affects about 1.2 percent of the U.S. population (8). It is defined by fluctuating states of depression and mania throughout ones life. Those who are depressed may be restless, irritable, have slowed thinking or speech, decreased sexual activity, changes in appetite and sleep patterns, suicidal thoughts as well as other changes. Those in a manic state may have increased activity or energy, more thoughts and faster thinking, grandiose thoughts, decreased sleep and need for sleep, increased sexual activity, elated mood, irritable mood, as well as other symptoms. Mixed state is when both depression and mania are exhibited at the same time in a cycle. Rapid cycling
Depression is a serious issue that countless people struggle with; therefore the majority of physicians and doctors try to develop drugs, or new counselling techniques to help defeat this terrible foe, but perhaps neither of these solutions are the answer to defeating depression once and for all. Pam Houston suggests another solution in her short story “A Blizzard under Blue Sky”. Houston’s story begins with the narrator being diagnosed with clinical depression, yet she refuses to take medication offered by the doctor to help her overcome depression. Rather than taking medication, she decided to go winter camping, because she says she loves the natural world because “it gives you what's good for you even if you don’t know it at the time”
Depression has numerous causes and effects which affect not only the person but the people around them. Depression doesn’t have a specific cause; in most cases it’s different for everyone. It is a common, treatable mental illness that can be experienced at any time in life. It is often described with feeling sad, unhappy, miserable, or “down in the dumps”. Most people have these feelings on occasion. There are several types of depression. These different types of depression describe slight, but often important, diagnostic differences. True clinical depression interferes with mood disorder in everyday life for weeks, months, or even years. Most people think depression affects only one
One of the scariest emotional experiences a person can ever suffer during their lifetime is to experience a form of depression. Over one in five Americans can expect to get some form of depression in their lifetime. Over one in twenty Americans have a depressive disorder every year. Depression is one of the most common and most serious mental health problems facing people today. However, depression is often not taken seriously because of the large use of antidepressant drugs and the large number of sufferers. Depression is a serious illness and should be taken as so. Contrary to the popular misconceptions about depression today, it is a serious and deadly disorder.1