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Bipolar Disorder

   

Bipolar Disorder

Symptoms of bipolar disorder may be especially difficult to discern in children because they may be mistaken for age-appropriate emotions and behaviors of children and adolescents. Also, their symptoms of bipolar disorder may vary somewhat from adults. For example, when manic, children and adolescents are more likely to be irritable and prone to destructive out­bursts than to be elated or euphoric. When depressed, they may complain about headaches, stomach aches, tiredness, poor performance in school, poor communication, and extreme sensitivity to rejection or failure.

Women are more commonly diagnosed with type 2 bipolar disorder. In addition, women are more affected by rapid cycling bipolar disorder, a complex variant of the disorder, than men. In some patients, bipolar disorder assumes a seasonal pattern, marked by a cyclic relation between the onset of the mood episode and a particular 60-day period each year.

Bipolar Disorder Definition

Bipolar Disorder, as its name suggests, is a condition characterized by periods of high mood in addition to the low moods that occur in the more common "unipolar" depression.

Formerly called manic-depressive illness, it is characterized by the occurrence of mania (euphoria) alternating with bouts of depression. Bipolar disorder is characterized by changes from one extreme mood to its polar opposite - for instance, from depression to the euphoric or grandiose state known as mania. The mood disturbances can be so severe that the individual loses touch with reality. He or she may feel suicidal when depressed, and when manic may engage in risky or self-destructive behavior such as spending large amounts of money, gambling compulsively, etc.

Information on Bipolar Disorder

Bipolar Disorder is the form of depressive illness in which the sufferer has periods of being on a high, as well as periods of depression. It is presumed to be a chronic condition because the vast majority of individuals who have one manic episode have additional episodes in the future.

Bipolar disorder typically begins in adolescence or early adulthood and continues throughout life. It is often not recognized at first as a serious disorder, and people who have it may suffer needlessly for years or even decades. This disorder is not a character flaw, and it is not your fault. It is a serious mood disorder that affects a person's ability to function in every day activities. It affects one's work, one's family, and one's social life.

As defined by the American Psychiatric Association, bipolar disorder includes 4 main mood episodes-Mania, Hypomania, Depression, and Mixed Mood.

It should be noted that this disorder does not consist of mere "ups and downs". Ups and downs are experienced by virtually everyone and do not constitute a disorder. The mood swings of bipolar disorder are far more extreme than those experienced by most people.

The two extremes of bipolar can also rapidly change from day to day or even from hour to hour.

Manic Depression has two distinct sides-the depressive state and the manic state.

Manic-depression distorts moods and thoughts, incites dreadful behaviors, destroys the basis of rational thought, and too often erodes the desire and will to live. It is an illness that is biological in its origins, yet one that feels psychological in the experience of it; an illness that is unique in conferring advantage and pleasure, yet one that brings in its wake almost unendurable suffering.

The manic stage of bipolar disorder shares the underlying common characteristics of an elevated mood, and is characterized by an increase in the quantity and speed of physical and mental activity.

Between episodes, patients with bipolar disorder exhibit depressive moodiness and sometimes high-energy activity; disruption in developmental and social functioning is more common than in unipolar disorder.

When the sufferer is in the depressive episode they may suffer loss of interest, reduced energy, apathy, lowered concentration and attention, reduced self-esteem and self-confidence, guilt,etc.

Depressive episodes can be classed as either one of the following; mild, moderate or severe.

Classification of bipolar disorder
ICD-10 DSM-IV
Manic episode Hypomanic episode
Hypomania Manic episode
Mania Mild
Mania with psychosis Moderate
  Severe
  Severe with psychosis
Bipolar affective disorder Bipolar I and bipolar II disorders
Currently hypomanic Current (or most recent episode)
Currently manic Hypomanic
Currently depressed Manic*
Currently mixed Depressed
In remission Mixed*
  Cyclothymia
*Excludes bipolar II.  

Hypomania

The less severe form of high in bipolar disorder is hypomania. People with this form have increased energy and tend to become more active than usual. They tend to overestimate their capabilities and fail to see the obvious risks involved in their ventures.

Special considerations
  • Remember the manic patient's physical needs. Encourage her to eat. Provide a diet high in calories, carbohydrates, and liquids.
  • Collaborate with other staff members to provide consistent responses to the patient's manipulative or acting out behaviors.
  • As the patient's symptoms subside, encourage her to assume responsibility for personal care.
  • Provide emotional support, maintain a calm environment, and set realistic goals for behavior.
  • Provide diversionary activities suited to a short attention span; firmly discourage the patient if she tries to overextend herself. Provide structured activities involving large motor movements to expend surplus energy. Reduce or eliminate group activities durIng acute manic episodes.
  • When necessary, reorient the patient to reality. Tactfully divert conversations when they become intimately concerned with other patients of staff members.
  • Set limits in a calm, clear, and self confident manner for the manic patient's demanding, hyperactive, manipulative, and acting-out behaviors. Setting limits tells the patient that you'll provide security and protection by refusing inappropriate and possibly harmful requests. Avoid leaving fill opening for the patient to test you of argue with you.
  • Listen to requests attentively and with a neutral attitude. Avoid power struggles if a patient tries to put you Oil the spot for an immediate answer. Explain that you'll seriously consider I he request and will respond later.
  • Encourage solitary activities such as writing out one's thoughts.
  • Watch for early signs of frustration (when the patient's anger escalates from verbal threats to hitting an object). Tell the patient firmly that threats and hitting are unacceptable. Explain that these behaviors show that she needs help to control her behavior. Inform her that the staff will help her move to a quiet area to help her control her behavior so she won't hurt herself or others. Staff members who have practiced as a team can work effectively to prevent acting-out behavior or to remove and confine a patient.

Treatment of Bipolar Disorder - Effective treatment is available for bipolar disorder.

Rapid Cycling Bipolar Disorder the essential feature of rapid cycling bipolar disorder is the occurrence of four or more mood episodes during the previous 12 months.

What is the cause of Bipolar Disorder? Learn about various causes of bipolar disorder such as family tree, your genes, loss of job, etc.

Lithium for bipolar disorder

What are the symptoms of Bipolar Disorder (manic episode of bipolar disorder, mixed episode)? There are various symptoms of bipolar disorder.

Bipolar II Disorder - Learn various aspects of bipolar ii disorder

Can Adolescent have bipolar disorder? Bipolar disorder can occur in adolescents and has been investigated by federally funded teams in children as young as age 6.

Bipolar Disorder Fact

Can Children Have Bipolar Disorder? Children experience faster mood swings than adults, often cycling many times within a day.

Bipolar disorder - a case study Millions of Americans diagnosed with mental illness lead healthy lives because of information discovered through clinical studies.

History of bipolar disorder - Bipolar disorder has left its mark on history.

Importance of Bipolar disorder diagnosis Diagnosis is important, because it guides treatment decisions.

What is the need of diagnosis in childhood? The importance of proper diagnosis cannot be overstated.

What are the types of bipolar affective disorder? Learn about various types of bipolar disorder.

How can u help ur child and what is the role of parents? Your child can reduce the minor mood swings and stresses that sometimes lead to more severe episodes by adhering to the following tips.

Bipolar Disorder Trileptal Trileptal (oxcarbazepine) is currently FDA-approved only for use in treating certain types of seizure disorders.

List of bipolar disorder famous people

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Type of Depression

  Hypomania
  Cyclothymia
  Major Depression
  Unipolar Disorder
  Dysthymic Disorder
  Neurasthenia
  Bipolar Disorder
      Rapid Cycling Bipolar Disorder
      Bipolar II Disorder
      Adolescent bipolar disorder
      Bipolar affective disorder
      Children Bipolar Disorder
  Manic Depressive Disorder
  Postpartum Depression
  Melancholia
  Agitated Depression
  Manic Depressive Psychosis
  Depressive Disorder NOS
  Dysphoric Mania
  Neurotic depression
  Masked depression
  Endogenous depression
  Puerperal psychosis
  Postpartum psychosis
  Winter depression - Seasonal Affective Disorder (SAD)
  Post Traumatic Stress Disorder
  Premenstrual Dysphoric Disorder (PMDD)
  Atypical depression

Depression Tip

Focus your thoughts on the little positive things. Do not let your mind race forward in time to 'what if' and do not dwell on what is past and on 'if only'.

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