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The different types of Bipolar Disorder
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The different types of Bipolar Disorder

Bipolar Disorder

Author: Dr Edward F.Group III, DC, Ph.D, ND, DACBN

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MENTAL HEALTH

Mental Disorders

Bipolar disorder (also referred to as manic-depressive disorder) is a medical condition that causes extreme mood changes. The person may return to a normal mood between extreme changes. These mood changes appear suddenly without reason or cause.

Bipolar disorder is common and occurs equally among males and females. Over 3 million Americans suffer from bipolar disorder. But gender can play a role in how the illness first appears and whether it is correctly diagnosed. In men, the first bipolar episode tends to be a manic one, but women usually start with a depressive episode. As a result, many women with bipolar disorder are mistakenly given a diagnosis of clinical, or "unipolar," depression-a condition more common in women than men.

Bipolar disorder often begins between the ages of 15 and 24. But there can be a huge range: Some people show symptoms in early childhood. Others may not have their first manic or depressive episode until they're in their forties or fifties.

Bipolar disorder causes extreme moods, from feeling overly energetic (mania) to feeling very sad or having low energy (Depression). Each episode of mania or depression changes a person's energy level, thought process, and behavior, and can last for hours, weeks, or several months.

With bipolar there are two "poles" to consider: mania and depression. These periods of highs and lows are also called manic and depressive "episodes." If you suffer from bipolar, you will have manic episodes where your mood soars and your mind races. There may be days where you may not be able to sleep, and you can overestimate your abilities. In periods of depression, just getting out of bed can be a major challenge. You may find concentrating difficult and you may lose interest in everything you like to do. Some people also experience what's known as a "mixed episode," where symptoms of depression accompany the mania.

The length of an episode can differ from each person and has been known to change over time. Sometimes an episode will last a few hours or days; other times, it can go on for weeks or even months. In between these episodes, most people have a relatively normal period.

There are four different forms of bipolar disorder:

  • Bipolar I disorder - Recurring manic episodes or mixed episodes, and often one or more episodes of Depression.

  • Bipolar II disorder - Depression that alternates with a milder form of mania called "hypomania."

  • Cyclothymic disorder - Moods that shift between short periods of mild mania and mild Depression.

  • Bipolar disorder not otherwise specified (NOS) - Any form of the illness that doesn't fit the above definitions.  

Each of the two phases of bipolar disorder, mania and depression, has its own set of symptoms-although some people may have a "mixed episode," in which they have manic and depressive symptoms at the same time. The severity of the symptoms can vary from person to person-and can change as the illness progresses.

Unlike other conditions that can be detected by way of blood tests or body scans, bipolar disorder can be hard to identify. Recognizing the symptoms plays a crucial role in diagnosing bipolar disorder.

The main feature of a manic episode is an excessively "high" mood or an abnormally irritable mood. The mood must last for a week or more. Along with the high feeling or irritability, a person has three or four of the following symptoms:

  • Inflated sense of self-importance

  • Decreased need for sleep

  • Loud, rapid speech

  • Racing thoughts

  • Distractibility

  • Agitation or restlessness

  • Increase in goal-oriented activities

  • Unwise involvement in pleasurable but potentially risky activities

Bipolar depression is more than just having the blues. A person in the midst of a major depressive episode experiences extreme sadness or numbness almost all day, every day, for at least two weeks. Or they may show a loss of interest in or enjoyment from their favorite activities. In addition, the person shows the following symptoms:

  • Significant changes in appetite and/or weight

  • Sleep problems

  • Loss of energy or fatigue

  • Trouble concentrating

  • Slowed speech, thinking, or body movements

  • Inappropriate feelings of guilt or worthlessness

  • Agitation or restlessness

  • Recurring thoughts of death or suicide

  • ADHD

  • Depression

  • fatigue

Bipolar disorder is a mental illness related to an imbalance of brain chemicals called neurotransmitters. Stress and other environmental factors can trigger manic and depressive episodes, but they do not cause the disease-bipolar disorder is a biological illness.

Bipolar disorder runs in the family. A person with close relatives who have bipolar disorder is more likely to be affected by the illness-this is what is known as a "genetic predisposition." Not everyone with the condition has relatives with bipolar disorder. But, your chance of developing the illness greatly increases if you have a family history where:

One parent is bipolar. Then each child has a 15%-30% chance of developing the condition. When both parents have the illness, the risk jumps to between 50% and 75%.

If you have a brother or sister with bipolar disorder, you have a 15% to 25% chance of developing the illness.

When a person has been diagnosed with bipolar disorder, any serious event or illness can bring on episodes of mania or depression. These so-called "triggers" include:

  • Chronic illness

  • Stress

  • Hormonal changes

  • Loss of a loved one

  • Drug abuse

  • Lack of sleep

  • Hypothyroidism

  • Antidepressant medications

The symptoms of bipolar disorder in children and adolescents can often be from other diseases or conditions that occur at these ages. For example, the disease may be misdiagnosed as attention-deficit/hyperactivity disorder (ADHD); in both illnesses, children exhibit distractibility, aggressiveness, and destructive tantrums.

One key way to prevent misdiagnosis is for patients to talk about all their symptoms with the doctor. Giving a complete medical history (including any information about parents or siblings with similar symptoms) can greatly increase a person’s chances of getting a proper diagnosis and treatment.

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This information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition.
In no event will The DrEddyClinic.com be liable for any decision made or action taken in reliance upon the information provided through this web site.

 


 



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