Tag: bipolar disorders

Exploring the Various Bipolar Disorders

Bipolar disorders are not all alike. There are even specialized categories for the bipolar disorders which doctors use to distinguish one kind from another. This makes it easier for them to discuss the particular types of problems a patient might be having. A fairly benign and often overlooked member of the family of bipolar disorders is hypomania. It is overlooked for good reason. It is seldom a problem for the person who has it. It may even increase his chances for success by making him more outgoing, quick thinking, and optimistic. Treatment is rarely sought and seldom needed.

The most common disorder to be thought of as one of the bipolar disorders is bipolar I. This encompasses all those who suffer from alternating manic and depressed states. Those with bipolar I go from having the highest opinion of themselves to having little regard for their own well being. They go from periods of fast and outlandish activity to times of desperation and thoughts of death.

Of all the bipolar disorders, bipolar I is perhaps the most difficult to treat. Mood stabilizers such as lithium or anticonvulsants are useful. If depression, or especially mania, turns into psychosis, an antipsychotic medication is called for to bring the patient back to reality.

The difficulty comes in treating simple depression in bipolar I. An antidepressant would seem to be in order but, for the person who may become manic, it may be dangerous. It could start a cycle of rapid changes from depression to mania and back again in relatively short order. In the bipolar disorders this problem is most prevalent in bipolar I.

Dual diagnosis is another of the bipolar disorders. This is the combination of any bipolar disorder with alcohol and/or drug abuse. Most often, the abuse, in this case, of alcohol or drugs comes after the onset of one of the bipolar disorders.

These substances are used by the person with bipolar disorder to alleviate the symptoms of the illness. A stimulant may seem to help a person to overcome depression, and a depressant, such as alcohol may be thought to lessen the over activity of mania, for example. In reality, the abuse of drugs and/or alcohol only makes the episodes more severe in the end. This is not an answer for those with bipolar disorders.

Less obvious, but also considered one of the bipolar disorders, is MDD, or major depression. People with MDD spend most of the time that they are ill being depressed. They may have minor and short manic episodes, but the depression dominates. For these people, life is grim, unsatisfying, and perhaps seems unbearable. Episodes of depression for these people may last for months or sometimes years.

Treatment for these people is usually less complicated. They may respond well to antidepressants, talk therapy, and even to something as simple as exercise. There is less chance of triggering a manic episode, so treatment is less risky in these bipolar disorders.

There are many bipolar disorders. There are also many ways to treat these bipolar disorders. The trick is to match a disorder to the correct treatment and to encourage the patient to follow that treatment to the best of his or her ability. Having words to describe the different bipolar disorders makes it that much easier for the doctors and others to do their parts.

About Bipolar II Disorder

Bipolar disorder is also known as manic depressive disorder. It is a mental illness that presents itself as mood swings or mood cycling. Many people do not realize that there are actually two types of bipolar disorder. Bipolar I disorder is typically defined as raging mood cycling with episodes of extreme mania and depression, as well as the occasional mixed episode. Bipolar I patients may also experience psychotic or hallucinating symptoms.

Bipolar II disorder is typically defined as rapid mood cycling with episodes of hypomania and depression. Bipolar II disorder does not occur with psychotic or hallucinating symptoms. Additionally, hypomania is defined as a milder form of mania, in which the patient has a period of hightened happiness or elation. Depression with bipolar II patients is often more severe than in patients with bipolar I disorder. Suicide, suicide threats, suicide attempts, and thoughts of suicide are much more common in bipolar II patients than bipolar I patients.

A diagnosis of bipolar II disorder is typically made when the patient has had one or more major depressive episodes, at least one hypomania episode, no manic episodes, and when no other reason for symptoms can be found.

Symptoms of depression with bipolar II disorder include decreased energy, unexplained weight changes, feelings of despair, increased irritability, and uncontrollable crying. Symptoms of hypomania include sleeplessness, racing thoughts, distractibility, excess energy, and rash judgements. These symptoms are similar to mania, but are less severe.

Treatment of bipolar II disorder typically involves a combination of medication and therapy or counseling. Medications typically prescribed for treatment of bipolar II disorder include anti-depressants such as Celexa, as well as mood stabilizers such as Topomax. Mood stabilizers are vitally important in treatment of bipolar disorders, because antidepressants alone can cause the patient to enter into a manic or hypomania episode.

Bipolar II disorder is actually often misdiagnosed as clinical depression. This is due to the fact that depression is most often present, and hypomania episodes rarely come to light in therapy sessions due to their upbeat nature. It is typically through treatment by antidepressants that the correct diagnosis is made, because the patient will spin into a hypomania episode almost immediately if the diagnosis should be bipolar II disorder rather than clinical depression.

Counseling or therapy treatment options for bipolar II disorder may include traditional counseling methods, discussion of triggers and life style changes that can lessen the severity of episodes, and cognitive behavioral therapy. Patients with a mild case of bipolar II disorder may benefit from counseling or therapy alone without medication. However, this is less common with bipolar II disorder than with bipolar I disorder, due to the nature of the severity of the depressive states.

It is vitally important for people with symptoms of bipolar II disorder to seek the help of mental health professionals as soon as symptoms become evident. Bipolar II disorder patients account for at least half of the suicides each year. To prevent suicidal behavior, it is important for bipolar II patients to be properly diagnosed at an early stage, so that ongoing treatment of the illness can begin and be continued in order to avoid suicidal behavior.