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Bipolar Disorder

— Unexplained, uncontrollable mood swings


Bipolar disorder, previously known as manic depression, is a mental disorder that causes periods of depression and periods of elevated mood. The elevated mood is significant and is known as mania or hypomania, depending on its severity, or whether symptoms of psychosis are present.During mania, an individual behaves or feels abnormally energetic, happy, or irritable.

During periods of depression, there may be crying, a negative outlook on life, and poor eye contact with others.The risk of suicide among those with the illness is high at greater than 6 percent over 20 years, while self-harm occurs in 30–40 percent.

Other mental health issues such as anxiety disorders and substance use disorder are commonly associated with both the conditions.

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Most of the patients treated for addiction are dual diagnosed with bipolar disorders ( multi, uni or bi ). Therefore, we can understand that the roots of this disease lies somewhere in the genetics and environmental issues. This is vindicated due to its close connection with addiction.

Symptoms of a manic episode is

  • 1. An overly elated, happy, and outgoing mood
  • 2. Feeling extremely irritable
  • 3. Being easily distracted
  • 4. Having racing thoughts
  • 5. Talking very fast
  • 6. Jumping from one thought to another when talking.
  • 7. Taking on a lot of new projects
  • 8. Restlessness.
  • 9. Sleeping very little
  • 10. Not feeling tired
  • 11. Unrealistically believing you can do something
  • 12. Engaging in impulsive and high-risk behaviors (e.g., poor financial investments, sexual indiscretions, shopping sprees)
  • 13. Inflated self-esteem
  • 14. Psychosis that may include delusions or hallucinations.
  • 15. Grandiosity.

Depressive Symptoms

  • 1. Feeling sad.
  • 2. Tearful
  • 3. Hopeless
  • 4. Weight fluctuations – including significant weight loss or weight gain
  • 5. Sleep disturbances – sleeping too much or other sleep problems, such as insomnia
  • 6. Restlessness or slowed behaviors
  • 7. Suicidal thoughts, planning, or attempts
  • 8. Feelings of guilt and worthlessness
  • 9. Inability to concentrate
  • 10. Indecisiveness
  • 11. Feelings of fatigue
  • 12. Psychosis – being detached from reality; delusions or hallucinations
  • 13. Anxiety
  • 14. Uncontrollable crying

Hermitage integrarted Treatment :

It is a ambiguous disease with an equally ambiguous treatment. The combination of medicines, therapy, and counsellings need to be changed dynamically.

A combination of medication, therapy, lifestyle changes, and support from family, friends and peers help individuals with bipolar disorder to stabilize their mood and to live the lives they want. Finding the treatment plan that works best for a person is critical for recovery.

Medication: Common medications used in treating bipolar disorder are lithium, and mood stabilizers.

Therapy: Both group and individual therapy is used in bipolar disorder. Common types of therapy used are Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and family-focused therapies. We believe that families, especially spouse play a key role in the management of bipolar disorder.

Healthy lifestyles changes can be an important part of overall recovery. This includes regular sleep schedule ,exercising regularly , healthy dietary pattern, etc. Some may use meditation, mind-body practices, and spirituality as resources as well.

Friends and family's support can play a crucial role because it is usually they who can notice the episode before the patient.

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