Tag: Bipolar Disorder Bipolar disorder

Psychiatric Evidence of Bipolar Disorder

Bipolar disorder, or manic depression, is a serious mental illness that has eluded doctors for decades. For many years, bipolar disorder patients were diagnosed as psychotic or Schitsophrinia. However, about twenty years ago, manic depression became a more common diagnosis. Psychiatric specialists still, however, did not really understand the illness.

Over time, more psychiatric evidence has come to light that proves that bipolar disorder, as it is now called, is actually caused by chemical imbalances in the brain. Other factors, both medical and situational, can be involved as well. In the last few years, psychiatric specialists and researchers have determined that bipolar disorder actually has varying degrees of severity, as well as types of symptoms.

Studies of bipolar patients conducted by psychiatric professionals and researchers has long suggested that bipolar disorder runs in families, or, in other words, is hereditary. Through careful study and research of the functions of the brain, it has now been determined how this illness is indeed hereditary and biological in nature.

According to research posted in the American Journal of Psychiatry in 2000, patients with bipolar disorder actually have thirty percent more brain cells of a certain class that have to do with sending signals within the brain. These additional brain cells cause patients’ brains to actually behave differently, making them predisposed to have periods of mania or depression.

According to researchers, this type of brain cell regulates moods, how someone responds to stress, and cognitive functions. When the extra brain cells are present, a congestion of cells regulated one type of mood or cognitive function is overloaded, and therefore causes a bout of mania or depression. It is not yet known by psychiatric researchers, however, why patients with bipolar disorder have these additional brain cells. To discover this, more genetic research will be required.

In addition to brain cells and brain chemistry, it has also been speculated by psychiatric researchers that various genes in the genetic makeup of bipolar patients can also contribute to the cause of and hereditary nature of bipolar disorder. Studies have been ongoing experimenting with removal of the gene in mice. The evidence suggests that circadian genes, which regulate mood, hormones, blood pressure, and heart activity may be linked to bipolar disorder. Specifically, the absence or abnormality of the gene actually seems to bring about mania episodes.

All in all, more research needs to be done. Medical and psychiatric researchers and doctors have a lot more to learn about the brain and how it functions. While current treatments seem to work for bipolar disorder, they also have severe side effects. Often, medications prescribed for bipolar disorder have to be monitored, dosages modified, or medications switched entirely for patients to maintain balance. The more we learn about the brain and it’s functions, the more we can learn about the physical, biological causes of bipolar disorder. The more we learn about the causes of bipolar disorder, the more likely it will become that effective treatments can be found that offer little side effects and more permanent treatment options for bipolar patients.

Childhood Treatment Options for Bipolar Disorder

Bipolar disorder, or manic depression, has in past years only been found in adults, while children with similar symptoms have been mistakenly diagnosed as have attention deficit disorder (ADD), or attention deficit hyperactivity disorder (ADHD). However, in recent years, psychiatrists and pediatricians have found that bipolar disorder definitely rears its ugly head in childhood as often as it does in adolescent or adult years.

Diagnosis of bipolar in childhood increases the chances for bipolar patients to have successful treatment and ordinary, uninhibited lives as adults. However, treatment options of bipolar in childhood is a controversial subject. Many doctors wish to medicate first, and regulate with therapy in addition to medications. However, many parents and some psychologists disagree with these methods.

Overall, many parents discover that once their child has been put on bipolar medications, the child seems to lose some of their personality traits that endear them to the parents. Children, and adults, who have been overly medicated or medicated when not absolutely necessary lose a sense of who they are. Some medications can make children overly despondent, seeming “out of it” or “spacey.” This causes concern for parents and doctors, and raises the question of whether or not the child is really better off on medication.

Play therapy can be quite effective in helping children with bipolar disorder live more successful childhoods. This play therapy typically involves placing children in various hypothetical situations in which they must work out a logical and emotionally healthy solution. While play therapy is very successful in some children, it is not enough for others. In certain childhood cases of bipolar disorder, the mood swings and symptoms are so severe that the child is not able to control their actions or emotional reactions to stimuli and situations.

Cognitive behavioral therapy is a fairly new method of therapy for bipolar patients in which the patient learns to recognize symptoms of their illness, triggers for mood swings and inappropriate behavior, and alternatives to inappropriate behavior. Cognitive behavioral therapy also allows the patient to discover what he or she can do to avoid manic or depressive episodes, and how to manage the episodes more effectively. In adults, this treatment option is very viable, and works well both in conjunction with and without medication treatment.

However, cognitive behavioral therapy requires a level of problem solving and critical thinking that is not often present in childhood. For this reason, it is not commonly used in children with bipolar disorder under a certain age or maturity level. Some believe that the techniques learned through cognitive behavioral therapy could be equally viable in treating childhood bipolar disorder if the exercises and learning could be geared toward children. This, however, could prove difficult.

In the end, treatment options must be discussed with pediatricians, psychiatrists, psychologists, parents, and teachers. Everyone involved in childhood must be involved in the treatment process in order for it to be successful. If a parent or teacher has concerns about the effects of childhood treatment for bipolar disorder in their child or student, those concerns should be expressed immediately so that changes in treatment can be made. Additionally, parents should not be afraid to change doctors if they feel their child is not benefiting from treatment or medication.

Celexa and Bipolar Disorder

Bipolar disorder, or manic depression, is a mental illness that manifests itself as mood swings or mood cycling between depressed, manic, or normal moods. There are two types of bipolar disorder. The first type, sometimes called raging bipolar, manifests itself as almost constant mild mania, with periods of sever mania alternating with depression. Mixed episodes where the patient displays both manic and depressive symptoms at the same time can also occur with this type of bipolar disorder.

The second type, sometimes called rapid cycling bipolar, manifests itself as almost constant depression, with alternating periods of mania and severe depression that can often last a few hours or a few days before cycling to the next episode.

Depression symptoms include oversleeping, extreme sadness, feelings of worthlessness or despair, irritability, anger, and withdrawl. Manic symptoms include sleeplessness, increased energy levels, distractibility, racing thoughts, obsessive behaviors, and extreme happiness.

There are many treatment options for bipolar disorder. Most patients with bipolar disorder require a combination of medication and therapy or counseling for successful treatment of symptoms. However, minor cases of bipolar disorder may not require medication, but may require instead cognitive behavioral therapy. There are some cases, such as in patients with a history of drug abuse, where medication may be recommended but is not a viable treatment option. These cases typically also use cognitive behavioral therapy to assist patients in coping with their illness.

Celexa is an anti-depressant, commonly used with bipolar patients. Celexa, or citalopram, is a serotonin reuptake inhibitor, or SSRI. This family of medications has the effect of balancing serotonin levels in the brain, which are thought to be responsible for mood stabilization.

Celexa is most successful as a treatment for unipolar depression and bipolar disorder type two patients. This is because it is an anti-depressant. Serotonin, the chemical in the brain that balances moods and particularly controls strong emotions, often presents imbalances in the form of depression. Celexa corrects these imbalances, giving the patient relief from depression.

Celexa is most successful as a treatment for bipolar disorder type one patients when used in combination with a mood stabilizer. As an anti-depressant, Celexa alone causes bipolar disorder type one patients to swing into a manic episode. Used in combination with a mood stabilizer or anti-psychotic, however, can allow for a balance of moods to take place, ending rapid or raging mood cycling.

Celexa has several possible minor side effects when used for treatment of bipolar disorder. Common side effects include drowsiness, cotton mouth, nausea, and trouble sleeping. Less common side effects include abdominal pain, anxiety, gas, headache, heartburn, increased sweating, pain in muscles or joints, increases or decreases in weight, weakness, and vomiting. If these side effects persist or become unbearable, you should contact your doctor.

Celexa can also have several possible major side effects when used for treatment of bipolar disorder. Common major side effects include a decrease in sexual desire or ability. Less common major side effects include agitation, confusion, blurred vision, fever, increase in urinal frequency, lack of emotion, decreased memory, skin rashes, and trouble breathing. If you experience any of these side effects you should contact your doctor immediately.

Friends, family and patients with bipolar disorder should keep in mind that even when using anti-depressants such as Celexa, suicide, suicide threats, and suicide attempts can still occur. Always be aware of the signs that can lead to suicide so that medical treatment can be found before an attempt is made.

Bipolar disorder should, in all cases, be treated with a combination of Celexa, or other medications, in conjunction with therapy or counseling. Bipolar disorder patients are encouraged to take active part in their treatment plans. Additionally bipolar patients should not attempt to self medicate or treat symptoms with medication alone. If you show symptoms of bipolar disorder, you should contact your doctor about Celexa and other treatment options.

About Type 1 Bipolar Disorder

Bipolar disorder, also known as manic depression, is a mental illness caused by a number of factors including neurological, biological, emotional, and environmental factors. It is typically characterized as mood cycling from manic, or extra happy, moods to depressed, or extra sad, moods.

Many people are not aware that in the last few years doctors have begun diagnosing bipolar disorder as two different types, based on how the moods cycle in the patient. Bipolar disorder type 1, also known as raging bipolar disorder, is diagnosed when the patient has at least one manic episode lasting at least one week or longer. Bipolar disorder type two, also known as rapid cycling bipolar disorder, is diagnosed when the patient has at least one manic episode and one depressive episode within four days to one week.

Hypomania is a severe form of mania that typically occurs in bipolar disorder type 1 patients. This state occurs because the patient is almost constantly up; the normal state for the patient is 1 of mania. Therefore, mood cycling in bipolar disorder type 1 patients often involves mania combined with the mood change. Mania combined with mania creates hypomania. Hypomania also can be accompanied by psychotic symptoms such as the patient becoming delusional or having hallucinations. This is a very simplistic way to describe how hypomania and mixed episodes occur.

Mixed episodes also often occur with bipolar disorder type 1. A mixed episode is hard to explain to the general public. It consists of being both happy and sad, up and down, all at the same time. Generally, this translates into the patient being very depressed emotionally, but displaying symptoms of mania such as inability to concentrate and lack of sleep.

Bipolar disorder type 1 is the most common type of bipolar disorder, and the most treatable. Because bipolar disorder type 1 typically manifests itself in the form of long manic periods with possibly one or two short depressive periods each year, treatment options are much more simple. Since mania requires one type of medication and depression requires another type of medication, the ability to treat only mania makes finding effective medications a much simpler task. Mood stabilizers are also quite effective with type 1 bipolar disorder, without the use of mania or depression medications.

The symptoms that the bipolar disorder type 1 patient experiences determines the type of mania medication used to control the excessive moods. In cases of mild but constant mania, lithium is the drug of choice. However, in cases in which mixed mania or hypomania are consistently present, a stronger drug or anti-psychotic, such as Depakote, is typically prescribed.

Bipolar type 1 is also the likeliest candidate for treatment via Cognitive Behavioral Therapy (CBT). This is because the patient is most often in a state that allows them to easily focus their mind on rationalizing situations, recognizing triggers, and suppressing severe episodes. However, when the patient displays symptoms of hypomania, as some bipolar type 1 patients often do, cognitive behavioral therapy is not as effective during these episodes.

Overall, bipolar disorder type 1 is easily controlled through appropriate treatment and medications. If you experience any symptoms of bipolar disorder type 1 you should contact your doctor to make arrangements for diagnostic testing and to discuss treatment options. Ultimately, the patient is responsible for their own illness, and therefore, their own treatment.