Tag: Cognitive Behavioral Therapy

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.

All About Bipolar Disorder Treatment

Bipolar disorder treatment is not new. Men of medicine were treating for it before they even knew what it was. Yet every year new medications and methodologies are added to the bipolar disorder treatment.

Although first recognized in the second century A.D., bipolar disorder has struggled as a diagnosis to become accepted. Bipolar disorder treatment up to and through the 1960’s, if any, was usually comprised of either locking the patient away or leaving him or her to fend for him or herself.

In the 1970’s manic-depression, as it was then called, began to become seen as an accepted diagnosis and therefore, bipolar disorder treatment began in earnest. At that time, laws were enacted and standards set to help those who sought bipolar disorder treatment.

In bipolar disorder treatment, the first thought may be the use of medications. They are, actually, a powerful tool in the management of the disorder. One only needs look at the vast array of medications that is available to see that medication has been extensively used in bipolar disorder treatment.

Lithium carbonate was the first major breakthrough in the medications for bipolar disorder treatment. It belongs to a class of medications called “mood stabilizers”. These medications help to prevent or ease manic episodes. They also help to ward off the extremes of depression, such as suicide.

Bipolar disorder treatment may also include the use of other mood stabilizers that were originally used as anticonvulsants. These have been shown to have a great effect on mood. Some of these, such as valproic acid and carbamazepine, are tried and true. Lamotrigine, gabapentin, and topiramate have also been used for this purpose but not conclusively proven effective.

Caution must be taken in the use of antidepressant therapy as a part of bipolar disorder treatment. Mood stabilizers are usually tried first, because antidepressants can trigger manic episodes or rapid-cycling. If an antidepressant must be used, there are certain ones which are less likely to cause these problems. One of these is bupropion.

The treatment of psychotic symptoms has evolved quickly in modern times. At first, there were powerful anti-psychotics. The first of these were said to put the mind in a “mental strait-jacket”. They virtually stopped all thought. They also had an intense side effects known as tardive dyskinesia. This causes permanent neurological damages. Researchers, then were trying to find alternatives that would cause less, or even no, damage in bipolar disorder treatment.

Other anti-psychotics were tried, and found to have fewer neurological effects. The newest of these medications are actually relatively safe when used as prescribed. They are also very helpful in bipolar disorder treatment both in psychotic episodes and even in simple mania. Some of the newer ones are risperidone and olanzapine.

Talk therapy is also used in bipolar disorder treatment. It can be useful to help a person to recognize and deal with symptoms of the disorder. Cognitive behavioral therapy can help a person to identify destructive patterns of thinking and behavior, and help him or her to act in ways that will have a positive influence on his or her disease process.

Other types of talk therapy are used in bipolar disorder treatment to help a person to deal with the devastating consequences of the illness and to explore the history of that person’s disease. Talk therapy has been used successfully in bipolar disorder treatment.

All of these components constitute a lifelong process. Medication and talk therapy can contribute to effective bipolar disorder treatment today. No one knows what science will bring to bipolar disorder treatment in the future.

Borderline Personality Disorder VS Bipolar

Borderline personality disorder and bipolar are often mistaken as being the same thing. They are also often misdiagnosed, one for the other. This is because the symptoms for both illnesses are startlingly similar.

Borderline personality disorder is actually less common and less known than bipolar. Borderline personality disorder accounts for only about twenty percent of hospitalizations for mental illness each year, while bipolar accounts for about fifty percent of hospitalizations. Borderline personality disorder is most common in young women, whereas bipolar is equally common in both men and women, as well as all age groups.

Borderline personality disorder and bipolar patients both experience mood swings that may involve violent outbursts, depression, or anxiety. However, while bipolar patients typically cycle through these moods over a period of weeks or months, borderline personality disorder patients may have bursts of these moods lasting only a few hours or a day.

Borderline personality disorder patients also undergo periods of having no idea who they are in terms of personality, likes, dislikes, and preferences. They may change long term goals frequently, and have trouble sticking to any one activity. Acting with impulsiveness, going on major unaffordable shopping sprees, excessive eating, or engaging in risky sexual relationships can also be experienced. These are also symptoms of mania in bipolar patients.

Borderline personality disorder patients may also undergo periods of worthlessness, feeling mistreated or misunderstood, and emptiness. These symptoms coincide with symptoms of depression in bipolar patients.

Another symptom of borderline personality disorder involves how they deal with relationships. Relationships are often viewed in extremes. Either the patient is totally in love or hates with a passion. A patient may be completely in love one minute, then hate someone totally due to a small conflict or situation. Fears of abandonment often lead to suicide threats, rejection, and depression in the patient. These relationship issues can also be found in bipolar patients.

Treatments of borderline personality disorder and bipolar are also similar. A combination of therapy and medication is typically preferred by the psychiatrist. Cognitive behavioral therapy, while successfully implemented with bipolar patients, was originally developed for use with borderline personality disorder. Various medications can also be prescribed for either mental illness with successful results.

Like bipolar disorder, little is known about the actual causes of borderline personality disorder. There is a lot of controversy about genetics versus environment in this area. However, it appears through research that, while bipolar is definitely hereditary and biological in nature, borderline personality disorder is more likely to be a result of environment and situational stimuli.

As you can see, many similarities exist between bipolar and borderline personality disorder. It can often be quite difficult to distinguish one illness from the other, even for doctors and psychologists. If you suffer any of the symptoms discussed here, it is important to obtain the assistance and diagnosis of a licensed professional for appropriate diagnosis and treatment of your symptoms. You should never attempt self diagnosis and treatment for symptoms such as those associated with bipolar and borderline personality disorder without the help of a psychiatrist or psychologist. Doing so may cause your symptoms to worsen, and make treatment less successful in the future.