Bipolar disorder is a difficult illness to manage and to treat. Many who have it may ask themselves, "Why me? What caused all this?" There are great disagreements as to the causes of bipolar disorder. They all tend to go back to the old nature/nurture controversy. In other words, does a thing happen to a person because of who he or she is, or because of the environment he or she grew up in?
The nature side of bipolar disorder causes has always been seen in family histories. This, however, can be misleading. Families often pass behaviors on from one generation to the next, regardless of whether family members are natural relatives or adopted ones.
The scientific concept of correlation without causation may account for shared histories of bipolar disorder in biologically unrelated siblings. This concept is easy to grasp. For example, a man could state that all summer, every time he got a sunburn he ate fish. So, did the sunburn cause the man to eat fish? No, but the act of fishing both caused the man's skin to burn and allowed him to catch a fish, which he then ate. In a similar way, bipolar disorder can occur in families without anything in one family member's bipolar disorder causing the bipolar disorder of another.
Also, for whatever reason, people with bipolar disorder are often drawn to each other. In this case it is unclear whether the families formed come together because of their shared genetically similar predisposition towards bipolar disorder, or whether some members of the families are genetically more prone to bipolar disorder but the illness of some other members of the family becomes exaggerated more than it would in another environment.
Research into the genetic causes of bipolar disorder is often done using twin studies. It is assumed that twins will have environments that are as close as is possible. Identical twins are used to show the effects of genetics, since they will share the same genetic materials. Fraternal twins are used as a control group. While these twins share nearly identical environments with their twins, the fraternal twins have less genetic material in common.
It has been shown through these twin studies, and other studies where identical twins are compared to adopted siblings, that there does seem to be a genetic basis for bipolar disorder. Only one percent of the population has bipolar disorder. Fraternal twins, who share some genetic information, are 20 percent more likely to have the disease if one has it. The percentage for identical twins is even higher, at around 60 to 80 percent chance of one having it if the other does.
Environmental causes of bipolar disorder are more difficult to assess. Bipolar disorder has been proven to have a chemical basis in the brain, but the chemical reactions can be caused by any number of factors. A history of losses early in life can be a contributing factor, as can any major source of stress. Physical illnesses such as cancer and others can lead to a depressive state, which is then often followed by mania.
Neither genetics nor environment can fully explain the causes of bipolar disorder. Research is constantly being undertaken in both areas. In the meantime, the nature/nurture controversy is just beginning to heat up.
Causes Of Bipolar Disorder
Bipolar disorder, also known as manic depression, is a life-long illness affecting the chemistry of the brain. In classic cases, it causes severe mood swings from manic episodes of extreme highs to depressive episodes of debilitating lows, with relatively normal periods in-between. According to the National Institute of Mental Health, over 2 million people age 18 and older have been diagnosed with bipolar disorder.
Unfortunately, there is no cure for bipolar disorder at this time. But as with any chronic illness, such as diabetes, heart disease or epilepsy, proper treatment, management and understanding of the illness is crucial. Most people with bipolar disorder can lead full, productive and satisfying lives by taking crucial steps to control and manage their illness.
Some key steps to consider if you or a loved one have bipolar disorder include:
1. Find a mental health professional you trust. A person diagnosed with bipolar disorder needs to establish a relationship with a trusted mental health professional where an open and honest exchange can take place.
2. Take medication as prescribed. This is first and foremost the most important step in taking control of bipolar disorder. It is the one element that needs to be strictly adhered to. In order for medication to work effectively it must be taken consistently and for the long term. It may be tempting to stop taking medication as symptoms lessen and one starts feeling better. However, this could have devastating consequences.
3. Reduce Stress. Mental health professionals typically believe that increased stress can trigger an episode of manic depression. Finding time to relax, sharing extra responsibilities, or simply talking to someone during a stressful event may help to bring on an increased feeling of calmness.
4. Do not become isolated. Do not try to "handle" bipolar disorder alone. Seeking out the comfort and understanding of family and friends is central to a person's treatment. It can be very helpful to join a bipolar disorder support group because the people there understand the feelings and difficulties of living with the illness. They can lend insight and encouragement to a person confronting a diagnosis.
5. Maintain a healthy lifestyle. It is important to establish regular healthy routines such as exercising the same time everyday, going to bed at the same time each night and waking up at the same time each morning. Maintain a healthy diet and get plenty of sleep, because erratic sleep patterns can increase the symptoms of bipolar disorder. Do not use caffeine or recreational drugs.
6. Become an expert on bipolar disorder. Become involved in understanding the symptoms and treatment of bipolar disorder and the effects it can have on family and friends. Consult a qualified mental health professional with questions and concerns. Read books about the illness or listen to lectures by experts. Learn as much about bipolar disorder as possible because knowledge is a powerful tool in taking out the mystery of the illness.
7. Enhance life with enjoyable things. Make it a priority to engage in things that bring about feelings of joy, happiness, and accomplishment. Hobbies or activities that enhance a sense of peace or relaxation serve one well in dealing with the confusion of bipolar disorder.
A diagnosis of bipolar disorder does not have to mean the end of one's world; rather it can be considered a new beginning. One that, at last, provides an explanation and ultimate relief from some of the unexplained and destructive behaviors a person might exhibit, freeing them to live rich and fulfilling lives.
Both Li Ming Wong & Susan Nickerson Dc Pt are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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