When the acquisition of knowledge before or, as they are used to identify the best concepts. Let's start with the definition of
bipolar (affective) disorder (manic-depressive). "Clinical depression" a "mental disorder" index oscillating periods of enthusiasm and This is essentially a psychiatric diagnosis increased cognitive and depressive moods, behavior and energy levels. The clinical expression of elated mood, "mania". "Hypomania." A gentler form Then, individuals with bipolar symptoms usually manifest as depression or "mixed status", which features both highs and lows are simultaneously present. These events up and down quickly slipping through "normal" mood zones due to the general population. up and down mood level occurs between some people, the "rapid-cycling". Fierce manic episodes may exhibit delusions, psychosis, hallucinations. The bipolar range, the increasing severity of mania, called cyclic state of mind, hypomania (bipolar II) and mania (bipolar-I). Decreased levels of cyclic mental status clinical depression, depression (bipolar II) and clinical depression (bipolar-I). Clinical depression itself is called a "unipolar". [Abridged-paraphrased Wikipedia “Bipolar Disorder” entry]
The bipolar continuum (spectrum) is best illustrated in the following:
MANIA (bipolar I)
hypomania (bipolar II)
cyclic state of mind (HIGH)
Average Mood HIGH
AVERAGE Mood LOW
cyclic state of mind (LOW)
depression (bipolar II )
clinical depression (bIPOLAR I)
patient's moods are constantly changing as they ascend and descend it's a two-way spectrum, prompting a professor at the Johns Hopkins senior psychiatry, Dr. Kay Redfield Jamison and bipolar I patients to call bipolar disorder "is a disease of mercury."
"Average Mood" is just another day at the office and there is no reason not sadness or celebration at home.
"Mood Average High" can be a time when married, the birth of a baby, earn a raise or win the lottery.
"Mood Average Low" can range from the loss of a favorite animal of the passing of a family member.
"High cyclic state of mind" can be a time of excess energy and focus to the general wealth, and without drug use.
might be "state of mind cyclic Low" or a habit extra sleepfulness insomnia and gloomy outlook.
"hypomania", the period of excess energy, high productivity, a lot of results and target orientation.
"dysthymia" a slow, normal interests, negativity and malaise.
"Mania" is a time for bold, rapid and pressured speech and frightening, unpredictable behavior.
"of clinical trials or Major bipolar depression" a total loss of interest and hope, often characterized by suicide
Some US statistics
- a women suffer from severe depression twice as much as men
- 90% of suicides result from clinical depression
- for men and women suffering from manic-depression both
- 1 3 bipolar individuals do not attempt or complete suicide
You've probably seen more than enough lists of manic and depressive visible behavior, but it is important to adhere to them in the "psychiatrist & # 39; s Bible "DSM-IV (Diagnostic and Statistical Manual of Mental Disorders). The DSM-5 will be published in May 2013. From these basic definitions that we can build a discussion and understand that what is to follow. Here are the essential "diagnostic criteria for a manic episode:"
- Abnormally, persistently elevated, expansive, or irritable mood
- inflated self-esteem or grandiosity [w / uninhibited, skewed volition]
- Decreased need for sleep, such as after-rested only three hours of sleep
- For more talkative than usual or pressure to keep talking about
- Flight of ideas or subjective experience that thoughts competition
- restless that attention is easily drawn to unimportant or irrelevant external stimuli
- increase targeted activities (whether social, workplace, school, or sexually) or psychomotor agitation
- excessive participation in favorite activities, with a high potential for painful consequences, such as a person engaged in unrestrained buying sprees, sexual indiscretions, or foolish business investments
- mood disorder severe enough to cause significant damage to occupational functioning or usual social activities or relationships with others, the prevention require hospitalization damage or self or others
- [Giving away money or cherished or valuable possessions]
is included in this final, brackets symptoms, as it was in my own personal experience I have bipolar episodes I and also that many of the patients and co-manic-depressive friends. While this is a daunting list can not use the "armchair psychiatrists", it is useful for spotting and acquiring professional help for mood-challenged friend or family member. Mania me of metamorphosis, in which the "Hulk". My episodes in bipolar I always involves an obsession or "looking for true love" or "start your own high-tech energy company." Oh, the wonderful generosity mania!
Well, the DSM-IV was kind enough to help you understand what bipolar mania. Here, the same as clinical depression "diagnostic criteria for Major Depressive Episode"
- A depressed mood (can be irritable mood in children and adolescents), most of the day, nearly every day, as not a subjective account or observations of others
- significantly decreased interest or pleasure in all, or almost all, activities most of the day, nearly every day (as either subjective account or comments from others of apathy most of the time
- significant weight loss or weight gain without dieting (eg, more than 5% of body weight in a month), or decrease or increase in appetite nearly every day (likely because of the children, so failure to weight gain)
- insomnia or sleepiness, almost every day
- psychomotor agitation or retardation nearly every day (noticeable for others, not merely subjective feelings of restlessness or being slowed down
- fatigue or energy nearly every day
- feeling or excessive or inappropriate guilt, worthlessness (which may be delusional) nearly every day (not merely self-reproach or guilt feeling sick)
- diminished ability to think or concentrate, or indecisiveness nearly every day (either subjective account or as others)
- and recurrent thoughts death (not just fear of dying), without any recurring suicidal thoughts to a specific plan, or a suicide attempt or a specific plan for suicide
- [Vegetative, catatonic; retarded or loss of motor skills; unable to commit the act of suicide]
once again, this based on last parenthetical list is my personal experience and that many of the patients and co-manic-depressive friends. When combined, all of these states are spiced up and down psychosis, hallucinations and delusions, a psychiatrist & # 39; s diagnosis that much harder to get. Bipolar Diagnosis is mainly about psychiatrists (64%), psychologists (18%) and doctors (13%). in case of suspected mental problems only makes sense to cut to the chase and make an appointment with a psychiatrist. This specially trained professional is best able to treat patients with mood disorders. There are also "mixed episode", in which an individual suffering from both manic and depressive features simultaneously clean hell. Once correctly diagnosed, the patient and the physician will need three years on average carve a useful combination of psychotropic (psychiatric) medications to be acceptable to the patient's emotional stability, the goal of which is to reduce the frequency, duration and intensity of episodes. These evil side effects and important medications should have a choice of a combination of carefully chosen from among five major classes of psychiatric drugs:
- mood stabilizers
When the bipolar patients with manic, he is feeling good and is unlikely to visit a doctor unless forced by another individual . Therefore, psychiatrists often diagnose patients with manic-depressive unipolar (depressive) disorder, because the only time you get to the patient when he was feeling bad. It is interesting to note that nearly 70% of patients diagnosed with bipolar disorder, an average of 3.5 times before an accurate diagnosis is dialed-in. The manic individual is "high" and it feels amazing, "no need" for medicine.
Since the bipolar and depressive disorders include the relative amounts of neurotransmitters (serotonin, dopamine, norepinephrine) in the brain & # 39; and limbic system (the part of the brain responsible for emotion, behavior, motivation and long term memory), some of them resulting in depression and mania resulting excess thereof. Neurotransmitters we transmit electrical signals between the nerve terminals, and in this case, are the neurons of the brain. Unfortunately, there are no physical tests, not "test strips" blood tests, imaging, determination of invasive or non-invasive medical techniques relative to these biochemical. Bipolar disorder is every inch a physical disease of diabetes, cancer and heart disease. Here are the ways psychiatrists must reach a diagnosis for the mood of patients
- questioning of the patient
- questioning the family, significant others
- Creating history
- behavioral observations
- Reading body language
- evaluation of speech characteristics
- combination, and the results of the performances of the knowledge and experience
Although bipolar disorder strike anyone at any time, it usually can be traced back, or a genetic component or a crippling physical, mental or emotional stress, such as child abuse or PTSD (post-traumatic stress disorder), resulting in a huge amount of anxiety and stress . The genetic side, children, siblings or parents whose manic depression up to six times the likelihood of inheriting the disease. Other correlations tendencies and bipolar disorder, since it is not a Germanic heritage, high IQ, or an artist or a scientist. Musicians, composers, poets, painters, philosophers, photographers, comedians, TV personalities, sculptors, etc., are at increased risk of bipolar compared to the general population. My occasional famous study of 277 individuals revealed 84% of these areas suffer (ed) mood disorders. I can identify at least five triggers that launch a bipolar episode:
- stressors (including major life events); physical, mental and emotional
- lack of sleep is a serious circadian rhythm disorder
- seasonal changes
- The adverse effects of
When a religion, Christianity considers a large part of those mental disorders that guilt, shame, lack of faith, weak, selfish, selfish, storytellers, guilty or demon-possessed. Or "It's just an excuse, you can try your attention." Those judgments as a result of personal upbraiding, avoiding public ridicule or ostracism. The affected person & # 39; s beliefs, not if you do not mind. Other major world religions or mental quarantine or eliminate people (disabled) by using all means, including murder. It is interesting to note the statistical incidence of people & # 39; and mood disorders do not affect the particular religious belief or affiliation.
depression is the number of
three reasons for doctor visits in America today, and the class of psychiatric drugs prescribed for only the second analgesics (painkillers). Historically, doctors took an average of four to ten years to accurately diagnose cases of bipolar disorder. Even today, just under 49% of manic depression treatment. Most of the rest, are not aware of the disease, unwittingly self-medicate "feel-good" drugs, food, alcohol and self-serving (hyper) sex. Denial can be mental patient & # 39; s best friend. Bipolar disorder is very much like a "roller coaster mood," arising from the rapid ascent of mania, depression, suicidal descents even slower loss of confidence, identity and neurotransmitter imbalances. Disturbing thoughts competition rate, whereas mania. When we feel envy depression who are not used. You have to understand a train others to help no matter how impossible it seems. And you have to live "in the moment" every day. The only real task is to prevent mood swings, to steal the reason is the loss of hope that the desire to die.
Fortunately, these numbers gradually trend higher awareness and better today & # 39; and many campaigns against stigma and discrimination targeting the mentally ill. Stigma of the disease fueled by the popular media persons that characterize bipolar crazy homicidal maniac killer, a / suicidal intentions. Stigma means. "Disapproval and shame" This alienates the victims deserved create prejudice against them and creates a social harm that has been suffered a strong blow to the horrible mental illness. Stigma every bit as inadequate mental patient than would be the heart or cancer! The impairment considers himself a public "killjoy" and hide it as much as possible. He and others like him often do not reproduce the self-esteem and confidence to share the emotional battles. All social aberrance seems to be their equal and opposite form, use the "phobia". If the criminals fear the mentally ill branded "psycho-phobes?" This was the experience of being a "normal" drunks and "happy" drunks, there are "average" and "happy" people who suffer from episodes of bipolar disorder. The "average" of violent and only those who abuse drugs and alcohol. After all, people are not born violent, you & # 39; It made.
bipolar people will suffer an average of 8-10 episodes in their lives. It's hell on earth without a cure. This can only be addressed. The impact on society include these facts:
- manic-depression is almost second highest reason for federal disability award
- Unemployment mood disorder, 50% higher than the average in the USA
- bipolar patients life is 9.2 years shorter than the nominal American age 78 years
Because drug therapy is often 2-3 weeks to start showing therapeutic effect may be indicated for patients with hospital & # 39; s security of mood disorder episode. Unfortunately, the "new and improved" healthy patient perspectives, beliefs and behavior patterns buddies improved compared to the previous behavior is indeed haunted family and friends, and may cause the separation of way. Co-dependency disappears. Outpatient counseling is often necessary to either prevent it or deal with its aftermath ordeal. A new setting can be a great boon to mental health problems. Whether or manic depressive, individual & # 39; s feelings be moderated renovated stable range. Julie A. Fast described a "central" Bipolar & # 39; s life to be as beautiful, fun and enjoys a & # 39; s talents. I also found these aspects of stability to be true, and I reached a state of fear for the rest ..
clinical depression For me, the cunning enemy, producing the worst suffering. The simplest definition "anger inward." Depressed patients have to find a non-harmful, non-harmful way vent those demons of anger dangerously poor brakes deepening depression.
Imagine when you wake up buried under six feet of total hopelessness heard the cries go, do not know how to turn on the coffin claustrophobic. Clinical depression & # 39; and hopelessness worse! Suicide is easy to become a viable, attractive option. The Marybeth Smith's words, "… I just want to end the pain." The wild mood swings of bipolar disorder the sufferer has nothing to do with the will, the will or choice. Depression, a man unwittingly begins to sink into the abyss of hopelessness.
"You're always the path of a depression, but do not always think of a way out of [of one]." – Dr. Lewis Britton
At this point, the only option is whether drug therapy or ECT. Because of psychiatric treatment usually involves only 15 minutes' medicines control, "the patient should request a referral to a psychologist, who can offer needed to" talk therapy "to patients to develop thinking, behavior, lifestyle and countless other questions. Patients should be tested, regardless of the psychiatrists and psychologists can communicate with each other to create a holistic continuum of care. The patient must learn to live habits including eating, exercise and sleep habits. Mood disorder behavior is involuntary and relearning healthy physical, mental and emotional habits are essential for further mental chaos. Friends and family do not sympathize with or feel that it is never "been there."
Serenity is my final mental health. It's almost a majority of almost eliminating the stress in my life and it feels good. Not a problem any more disturbing or disorder, probably has already survived the worst that could happen to me in both extremes of bipolar mania and depression. In addition to volunteer support groups for psychiatric and psychological help, both physical and online. Internet forums and communities where their members to stay on track can be very helpful for depressed people and manic-depressive like episodes, doctors, drugs and the like hashed over and disputed created the self-revelation, sharing and caring.
I am often asked whether there are 1) higher number of mentally ill persons today, 2) when the band moves down in the psychiatric community to drum up more patients, or 3) that there were always so many people in the past who have misunderstood , misdiagnosed or left out of consideration. I am inclined to say that it is an amalgam At the risk of all three, or simply "politically correct". I say this because I believe that all three statements can be easily linked to the increasingly rapid development of technology & # 39; and an increasing impact on humanity over the past decades. But it & # 39; m definitely open to any suggestions to the contrary.
conclusion, "manic depression" is still a "hot-button" topics today among health professionals, the media, patients and the public confused. Good intentions litter blogs and websites on the Internet is accurate and erroneous content and advice, and these sites need to be fact checked and discussed. Although not entirely academic standards, a Wikipedia search for "bipolar disorder" is probably the most practical and the exact source of the average inquisitor. After reading it myself, it's a mental patient recommends that all stakeholders.