Bipolar Disorder (aka manic depression)
Bipolar is a treatable illness marked by extreme changes in mood, thought, energy and behaviour. It is NOT a character flaw or sign of personal weakness. Bipolar usually begins in late adolescence (often appearing as depression during teen years) although it can start at earlier or later stages of life. It is as common in men as in women although men tend to begin with a manic episode, women with a depressive episode. Bipolar is found among all ages, races, ethnic groups and social classes. The illness tends to run in families and it is thought to have a genetic link. The illness can negatively affect spouses and partners, family members, friends and coworkers.
SYMPTOMS
Most people who have bipolar disorder talk about experiencing "highs" and "lows"-the highs are periods of mania, the lows periods of depression. These swings can be severe, ranging from extreme energy to deep despair.
Symptoms of Mania-the "highs"
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Increased physical and mental activity and energy
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Heightened mood, exaggerated optimism and self-confidence
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Excessive irritability, aggressive behaviour
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Decreased need for sleep without experiencing fatigue
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Grandiose delusions, inflated sense of importance
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Racing speech, racing thoughts, flight of ideas
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Impulsiveness, poor judgement, distractibility
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Reckless behaviour
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In the most sever cases, delusions and hallucinations
Sympoms of Depression-the "lows"
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Prolonged sadness or unexplained crying spells
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Significant changes in appetite and sleep patterns
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Irritability, anger, worry, agitation, anxiety
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Pessimism, indifference
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Loss of energy, persistant lethargy
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Feelings of guilt, worthlessness
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Inability to concentrate, indecisiveness
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Inability to take pleasure in former interests, social withdrawl
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Unexplained aches and pains
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Recurring thoughts of death or suicide
The Different Types of Bipolar Disorder:
Bipolar 1 Disorder is characterized by one or more manic episodes or mixed episodes (symptoms of both a mania and a depression occuring nearly every day for at least 1 week) and one or more major depressive episodes. Bipolar 1 disorder is the most severe form of the illness marked by extreme manic episodes.
Bipolar 11 disorder is characterized by one or more depressive episodes accompanied by at least one hypomanic episode. Hypomanic episodes have symptoms similar to manic episodes but are less severe, but must be clearly different from a person's non-depressed mood. For some, hypomanic episodes are not severe enough to cause notable problems in social activities or work. However, for others, they can be troublesome.
Cyclothymic disorder is characterized by chronic fluctuating moods involving periods of hypomania and depression. The periods of both depressive and hypomanic symptoms are shorter, less severe, and do not occur with regularity as experienced with bipolar 11 or 1. However, these mood swings can impair social interactions and work. Many (not all) people with this form develop a more severe form of bipolar illness.
Treatments for Bipolar Disorder
Several therapies exist for bipolar disorder disorder and promising new treatments are currently under investigation. It can be very difficult to treat. Your treatment may include medications and talk therapy.
Helping A Friend
Most importantly, friends and family who know someone with bipolar disorder should learn about the illness. If you are concerned about a friend or family member, help him/her get an appropriate diagnosis and treatment. This may involve helping the person to find a doctor or therapist and make their first appointment. You may also want to offer to attend the first appointment for support. Encourage the person to stick to treatment. Keep reassuring the person that, with time and help, he or she will feel better.
Offer emotional support. This involves understanding, patience, affection, and encouragement. Listen tentively when they are talking to you. Resist the urge to act as a therapist or try to come up with answers to the person's concerns. DO NOT put down feelings expressed, but point out realities and offer hope. Invite the depressed person to go out with you (for walks, to the movies, etc.). Be gently insistant if your first invitation is refused.
NEVER ignore remarks about suicide. Do not promise confidentiality if you believe someone is close to suicide. If you think immediate self-harm is possible, contact their doctor or dial 911 immediately.