Living with a bipolar disorder diagnosis isn't easy. However, knowing, as they say, is half the battle. Once a diagnosis is established, a person has two main choices right off. They are whether to let the disorder take control of one's life, or to fight it with every weapon in the modern psychiatric and psychological arsenal.
If fighting for normalcy is the answer, then a bipolar disorder diagnosis can make one aware of what one is fighting. Bipolar disorder can touch every aspect of a person's life, so someone with a bipolar disorder diagnosis will need to be wary on all fronts.
First of all, if there is a bipolar disorder diagnosis then there must have been some sign of the disease. The more severe this manifestation is, the more likely one is to take notice. It is important, though, to treat the illness as soon as a bipolar disorder diagnosis is obtained.
Early treatment can often help prevent some of the more extreme manic highs and depressive lows of bipolar disorder. The earlier treatment is successfully begun, the less the devastating effects of the disease on the person with a bipolar disorder diagnosis.
Early treatment is helpful. The challenge is to keep someone interested in taking medications or engaging in talk therapy when there has been no crisis to set him or her on this path. Such a person needs to be convinced that their bipolar disorder diagnosis is accurate.
For others, the first signs of illness are so overwhelming they consider their bipolar disorder diagnosis to be a relief. For them, it is just good to know that there is a name for what is happening to them and that there are treatments.
For these people, it is extremely important to keep taking medications that are prescribed. This is a responsibility one has to oneself when he or she gets a bipolar disorder diagnosis. If the medication seems to be causing problems, it is important to contact the prescribing doctor to discuss the matter. If no satisfaction can be obtained, finding another doctor is even preferable to simply stopping the medications on one's own.
Those with a bipolar disorder diagnosis usually are given the recommendation to take some form of counseling, or talk therapy. Some may balk at the notion that talking to a therapist can effect their disease. The truth is that these therapies have been shown to have a positive effect on those with bipolar disorder diagnosis.
There are other actions a person with a bipolar disorder diagnosis can take to help lessen their illness. These include the ways a person takes care of him or herself in day to day life. It may seem obvious that a person should eat and sleep in reasonable amounts and times, or do an adequate but reasonable amount of exercise. A person with a bipolar disorder diagnosis will probably find that these common acts do not come naturally. However, with some conscious effort they can begin to see some difference.
A bipolar disorder diagnosis can certainly seem to complicate one's life. It can lead one to take medications, submit him or herself to talk therapy, and take the time and energy to regulate his or her own personal habits. On the other hand, all these concessions to the disease can help a person to live a much calmer and more fulfilling life than that person would had he or she never gotten their bipolar disorder diagnosis. In other words, it doesn't have to be the end of the world.
The difference between bipolar disorder and major depression is that bipolar disorder involves "energized" or "activated" mood states in addition to depressed mood states. The duration and intensity of mood states varies widely among people with the illness.
Fluctuating from one mood state to another is called "cycling" or having mood swings. Mood swings cause impairment not only in one's mood, but also in one's energy level, sleep pattern, activity level, social rhythms and thinking abilities. Many people become fully disabled, for some period of time, after being diagnosed, and during this time may have great difficulty functioning.
The vast majority of people diagnosed with suffer from depression. In fact, there is at least a 3 to 1 ratio of time spent depressed versus time spent in a normal mood or hypomanic or manic during the course of the bipolar I subtype of the illness. People with the bipolar II subtype remain depressed for substantially longer. Up to 37 times longer than bipolar I.
A 2003 study by Robert Hirschfeld, M.D., of the University of Texas, Galveston found bipolar patients fared worse in their depressions than unipolar patients.
In terms of disability, lost years of productivity and potential for suicide, bipolar depression is now recognized as the most insidious aspect of the illness.
Severe depression may be accompanied by symptoms of psychosis. These symptoms include hallucinations and delusions. They may also suffer from paranoid thoughts of being persecuted or monitored by some powerful entity such as the government or a hostile force.
Intense and unusual religious beliefs may also be present, such as patients' strong insistence that they have a God-given role to play in the world, a great and historic mission to accomplish, or even that they possess supernatural powers. Delusions in a depression may be far more distressing, sometimes taking the form of intense guilt for supposed wrongs that the patient believes he or she has inflicted on others.
Treatment for Bipolar Disorder
Currently bipolar disorder cannot be cured but it can be managed. The emphasis of treatment is on effective management of the long-term course of the illness, which can involve treatment of emergent symptoms. Treatment methods include pharmacological and psychological techniques.
A variety of medications are used to treat bipolar disorder. Most people with bipolar disorder require combinations of medications.
Relapse of Bipolar Disorder
Even when on medication, some people may still experience weaker episodes or have a complete manic or depressive episode. The following behaviors can lead to depressive or manic relapse:
* Discontinuing or lowering one's dose of medication without consulting one's physician.
* Being under or over medicated. Generally, taking a lower dosage of a mood stabilizer can lead to relapse into mania. Taking a lower dosage of an antidepressant, may cause the patient to relapse into depression, while higher doses can cause destabilization into mixed-states or mania.
* Taking other psychotropic or recreational drugs such as marijuana, cocaine, or heroin. These can cause the condition to worsen.
* An inconsistent sleep schedule can destabilize the illness. Too much sleep can lead to depression, while too little sleep can lead to mixed states or mania.
* Excessive amounts of caffeine can cause destabilization of mood toward irritability, dysphoria and mania.
* Inadequate stress management and poor lifestyle choices. If unmedicated, excessive stress can cause the individual to relapse. Medication raises the stress threshold somewhat, but too much stress still causes relapse.
Disclaimer - The information presented here should not be interpreted as medical advice. If you or someone you know is suffers from a bipolar disorder, please seek professional medical advice for the latest treatment options.
Both Li Ming Wong & Heather Colman 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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