Bipolar I disorder with psychotic features is a mood disorder often described as excessively cheerful or disturbed moods, along with depression or a mix of high and low moods. For individuals with bipolar I disorder with psychotic features, they must have experienced at least one or more manic or mixed episodes during the course of their illness. A manic episode is a period of abnormally and persistently elevated, excitable or irritable mood lasting for at least one week and present most of the day. Other symptoms include inflated self-esteem or grandiosity, more talkative than usual or pressured speech, racing thoughts, decreased need for sleep, distractibility, increased in goal-directed activity and excessive involvement in activities that could have a high potential for painful consequences. A person with mixed episode can be diagnosed when a person experiences both a manic episode and a major depressive episode, promptly alternating with each other. A major depressive episode includes symptoms such as depressed mood, increased restless or decreased physical activity and feelings of worthlessness, among others. The presence of psychotic symptoms in bipolar disorder places an individual at the severe end of the diagnostic spectrum, meaning that the individual exhibits more than the number of symptoms required to make the diagnosis. Also, these symptoms significantly interfere with his ability to function in his job, socially or within his relationships. Psychotic
These mood episodes include the manic episodes and the depressive episodes. The mood changes of mania include a long period of an overly happy mood and irritability; the behavioral changes are talking quickly, having racing thoughts, being distracted, increasing of activities, being restless, getting little or no sleep, being impulsive, and engaging in high-risk, pleasurable activities or behaviors (NIMH, 2015). The mood changes of the depressive episodes are loss of interest in activities that were once enjoyed and a long period of sadness; the behavioral changes are feeling very tired, having trouble with decision making and problem solving, being irritable, changing normal habits, and negative thinking (NIMH, 2015). Sometimes symptoms from both episodes can be present in a person’s current mood episode. This is called a mixed state. In the mixed state, a person can feel agitated, have a change in eating habits, and have suicidal thoughts; they also feel very hopeless and very energized at the same time (NIMH, 2015). About ten percent of people have at least four mood episodes every year which is called rapid cycling bipolar disorder (Schacter el at.,
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.
Some signs and symptoms of a manic episode are: increased energy, activity, and restlessness; excessively high, overly good, euphoric mood; racing thoughts and talking fast, jumping from one idea to another; distractibility or lack of concentration; spending sprees; poor judgment; increased sex drive; and denial that anything is wrong (Nevid, Rathus, & Greene, 2006). A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for one week or longer (Psychology Today, 2011). If the mood is irritable, four additional symptoms must be present.
Bipolar Disorder is a brain disorder that is characterized by abnormal changes in mood, energy and activity levels (“National Institute of Mental Health”). Manic-depressive illness is also another name that bipolar disorder is commonly referred to as (“National Institute of Mental Health”). This disorder has four basic types including, bipolar I, bipolar II, cyclothymic, and any other which do not perfectly fit the first three. All four of the types have episodes of extreme highs, manic periods, and extreme lows, depressive periods. Symptoms can range greatly and depend on what type of episode the affected is having. Manic episodes can include, but are not limited to: having extraordinarily high amounts of energy, activity,
The mood disorder of bipolar is a roller coaster of high and low emotions. Bipolar has many different components and can manifest as either Bipolar I or Bipolar ( Oltmanns & Emery, 2015) Bipolar I is described as having one manic episode. ( Oltmanns & Emery ,2015) Mania is a disturbance in mood characterized by symptoms as elation, higher self-esteem, hyperactivity and expedited thought process. (Oltmanns & Emery, 2015) To have Bipolar II, a person must have at least one depressive episode and a mild manic episode. A depressive episode includes hypomania meaning in bipolar II a person will not have a full blown manic episode. (Oltmanns & Emery, 2015) People who have bipolar have a tough time with their emotions, because their emotions are not stable. They oftentimes feel like they are on an emotional roller-coaster because of the erratic ups and downs ( Oltmanns & Emery 2015)
While having a manic phase people with bipolar disorder cannot control themselves, their behaviors, they do not feel sleepy or tired, they are very involved in activities, and they can be very hyper , they can have very elevated mood.
Bipolar disorder is a mental abnormality involving an intense mood change from mania to a depressive mood in a matter of seconds. This used to be called manic-depressive disorder. During the manic phase, your will be very energetic, happy, talkative, have an increased sex drive, and even aggression. You could also end up spending a mass amount of money in which you didn’t intend to do. But during the depressive phase, you are very depressed, hopeless, anxious, sleepy, guilty, and sometimes even suicidal. People with bipolar disorder, often struggle with psychosis as well. Psychosis is the hallucinations and hearing voices.
Mixed states is where the person will feel manic and depressed at the same time (rapid mood swings from happy, sad to irritable and in some causes suicidal), this is highly disruption to the person as it can last anywhere from a few days to a few months and may require hospitalisation.
The symptoms for manic episodes are an elevated self-esteem, need for sleep drastically decreases, talkative, feel the need to keep talking, racing thoughts, attention span decreasing making it hard to focus on important things, excessive involvement in activities with bad consequences, such as bad financial investments, shopping sprees, impulsive, unprotected sex, deeply driven at work or school, and may become agitated.
The second episode is depressive or depression stage. This episode includes a long period of feeling worried or empty, such as lost of interest in activities once enjoyed. During a manic episode the patient will show signs of talking very fast, being overly distracted, sleeping for 2 hours and feeling really rested, or the patient might even find him or herself quitting a job for no reason, some of the patients experimenting this episode can also charge up huge amounts in their credit cards. During a depressive episode the patient might feel like sleeping for hours or not sleeping at all, also everything people do affects them. Patients with bipolar disorder often go through depression more then they go through a manic episode. These episodes of bipolar disorder can last up for days, weeks, or even months. Patients experiencing these mood swings are not the same as experiencing everyday mood swings; the mood swings of bipolar patients are very severe that they interfere sometimes with the ability to function with their everyday life.
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 National Institute of Mental Health describes bipolar I disorder as the occurrence of manic episodes that can last up to seven days, or experiencing a state of mania so severe that one must be hospitalized. With manic episodes, it is common to experience depressive symptoms as well, which can last two weeks or more. The NIMH defines bipolar II disorder as a pattern of depressive episodes with the addition of hypomanic episodes, which are not as intense and distressing as the manic episodes in bipolar I disorder. During a manic episode one might be experiencing feelings of having a lot of energy, feeling jumpy or wired, talking fast about a variety of topics, racing thoughts, and wanting to do risky things. During an episode of depression,
Bipolar disorder is determined by manic highs and manic lows. This means someone can be extremely happy and then all of a sudden become extremely depressed within minutes of each other or vice versa. Psychosis is very similar to bipolar disorder because psychiatric patients can have manic depression, manic anger, manic happiness, and then can seem completely fine. These are common symptoms of each other, and all of these illnesses are linked to each other in some way (Lecture). Many with the diagnosis of bipolar disorder have prescribed to medication called mood stabilizers.
Bipolar disorder, or manic depressive disorder, is a disorder characterized by extreme mood changes. People with this disorder undergo unusual shifts in his or her mood, activity levels, energy and the ability to carry out daily activities (National Institute of Mental Health, n.d.). A person can go from being very outgoing and energetic to feeling irritated and worthless over a period of a few days, months, or even years. People with bipolar disorder experience “mood episodes”, represented by a drastic change in a person’s unusual mood or behavior (National Institute of Mental Health, n.d.). A manic episode he or she may experience is overexcited and overly joyful; however, someone in a
Bipolar Disorder used to be known as “manic depression”, because the person experiences depression, normal mood and mania, which is basically the opposite of depression. Symptoms for Bipolar Disorder include feeling great, having a lot of energy, having racing thoughts, little need for sleep, taking fast, having difficulty focusing on tasks and