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Bipolar Disorder


Once commonly known as Maniac Depression illness, has mood swings from mania or depression (Two poles/ Bi polar ) punctuated by periods of stable mood in between Bi-polar Disorder I : Recurrent episode of mania and depression.

Mania
At least 3 of the following must be there for the most of the the day nearly every day for 1 week or longer
  • High energy , activity
  • Good / Euphoric mood
  • Irritability
  • Racing and Jumbling Thoughts
  • Reduced concentration
  • Less Sleep needed
  • Unrealistic belief in one's ability and power
  • High spending
  • Increased sexual drive
  • Abuse of drugs like alcohol, sleeping pills
  • Provocations or aggressive behavior

Depression
5 or more symptoms of most of the day, nearly every day of a week or weeks or longer
  • Sad/ Empty mood
  • Feeling of hopelessness
  • Feeling of Guilt /worthlessness/ helplessness
  • Sad/ Empty mood
  • Loss of interest in activities once enjoyed
  • Decreased energy- slowdown
  • Difficult concentrating, making decisions
  • Irritability / restless
  • Loss or gain of weights due to changed appetite
  • Chronic pain / non specific bodily symptoms
  • Thought of death, suicidal / suicidal attempts

Recovery
  • Follow and Stick to treatment plan
  • Medication as prescribed by psychiatrist
  • Psychotherapy
  • Planning for crisis (high &low moods)
  • Taking care of whole self
  • Exercise
  • Healthy food & Sleep habits
  • Keeping away from alcohol / smoking / drugs
  • Create support system of family , friends and organization

Treatment
Medication: The three primary goals of medication are
  • Stabilizing the mood
  • Prevention of replace
  • Recovery from the present episode( Mania /depression)

  • Four main types of medications are available and used
  • Mood stabilizer
  • Anti fit /convulsion medicines
  • Anti Psychotics
  • Anti depressants

Psychotherapy
Help manage the mood states that can interferes with daily activities
  • Family focused Therapy
  • Inter personal & Social Rhythm Therapy
  • Cognitive Behavior Therapy

Famous people who has Bipolar Disorder
  • Virginia Wolf
  • Vincent Van Gogh
  • Winston Churchill
  • Ludwig van Beethoven
  • Isaac Newton
  • Vivien Leigh

Intriguing facts
  • Many people with these symptoms of bipolar disorder don't know that they have it, thinking these mood swing are just a normal part of life
  • 60% of these who have bipolar Disorder abuse alcohol or drug during their lifetime
  • TAbrupt discontinuation of medicine leads to recurrence & potentially hospitalization or suicide
  • People who undergo intensive psychotherapy in addition to medicine have better life satisfaction & better
   


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