Tag: mania

CBT as Treatment for Bipolar Disorder

Bipolar disorder, known by many as manic depression, is a mental illness caused by a combination of factors, including neurological, biological, emotional, and environmental factors. It is most commonly described as mood cycling or mood swings, in which the patient cycles through moods of depression, mania, and normal behavior.

There are many treatment options for bipolar disorder. The most common treatment for bipolar disorder includes a combination of medication and therapy. However, some patients are not candidates for medication treatment. Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great. Additionally, patients may not have a case of bipolar disorder severe enough to warrant medication. Other patients may choose to avoid the route of medication until it becomes absolutely necessary.

In response to these special cases in which medication treatment is not a viable option for bipolar disorder, that Cognitive Behavioral Therapy, or CBT, was developed. CBT is a type of therapy that assists patients in recognizing triggers and causes for their manic and depressive states. The patient can then learn techniques to avoid these triggers, and cope with symptoms during episodes. Seventy percent of bipolar disorder type one patients that undergo CBT experience one or fewer episodes within four years of starting the CBT treatment.

There are two main goals that are met by using CBT as treatment for bipolar disorder. The first goal is to recognize manic episodes before they become uncontrollable, and consciously change how they react to the episode. The second goal is to learn techniques, reactions, thoughts, and behaviors that can help to offset depression. These goals are realized through various techniques and activities prescribed by the therapist. With CBT, the treatment of bipolar disorder rests with the patient, who is given homework in the form of exercises and reading, which helps them to understand their condition and learn methods to cope with it.

The first step to successful treatment of bipolar disorder through CBT is to develop a treatment contract with the patient. This is a treatment plan that the patient agrees to follow, and also involves the patient’s promise to complete all homework assignments and take any prescribed medication as directed. Because the success of CBT depends largely on the patient’s responsibility and desire to cope with bipolar disorder, this is an important first step to successful treatment.

The second step to successful treatment of bipolar disorder through CBT is to monitor and grade moods. This is done with various worksheets that the therapist gives the patient. The patient may record their mood for the day, how many hours they have slept, their level of anxiety, and their level of irritability. Those with type two bipolar disorder may need to record their mood two or more times per day, as their moods cycle more often.

Understanding the pattern to mood cycling can help the patient then undergo the next step to CBT treatment for bipolar disorder. This step of CBT for treatment of bipolar disorder requires the patient to do homework in the form of worksheets and reading that will help the patient to understand how their thoughts effect their emotions. By understanding these things, the patient will be able to then practice altering their thoughts in a rational way to make emotions more rational as well, decreasing the number and severity of depressive and manic episodes.

The next step to CBT treatment for bipolar disorder is to learn how to recognize triggers. Triggers are the thoughts, emotions, situations, times of year, events, or environments that set off a depressive or manic episode. By learning how to understand and recognize their triggers, the patient can then learn to avoid the triggers entirely, thereby decreasing the number and severity of depressive and manic episodes.

Overall, CBT is a viable and quite successful treatment for bipolar disorder, and can be a healthy alternative to medication in some cases. If you feel you may be a candidate for CBT, you should contact your doctor or therapist to discuss this and other bipolar disorder treatment options.

What Are the Symptoms of Bipolar Disorder?

From historical figures to celebrities to everyday people, there are many people with bipolar disorder. Whether one hears of these people on television or in real life, the question often arises as to how they know they have bipolar disorder. So, what are the symptoms of bipolar disorder?

Since there are two distinct parts of bipolar disorder, there are also two separate sets of symptoms of bipolar disorder. These symptoms of bipolar disorder many times reflect opposites from the manic to the depressive sides of the illness.

The most obvious of the opposites in the symptoms of bipolar disorder is level of energy and activity. In depression, the person will feel a loss of energy and suffer from fatigue. That person may even appear to be slow. On the other hand, the manic person will have an increased level of energy and much more than usual activity.

Degree of self-esteem is another of the symptoms of bipolar disorder. A depressed person feels unworthy or is guilt-ridden. A manic, though, is so full of him- or herself that he or she has unreasonable ideas of him- or herself or even delusions of grandeur.

This loss of self-esteem may be what leads the depressed person to be indecisive, and overblown self importance that urges the manic to become reckless. Neither the depressed person nor the manic one sees these decision-making processes as symptoms of bipolar disorder. But that is exactly what they are.

The symptoms of bipolar disorder differ from the depressive to the manic mostly because the general themes are different. In depression, everything is slow, dull, small, introverted, and hopeless. In mania, things are overblown, huge, fast, outgoing, and full of impossible dreams.

Some symptoms of bipolar disorder seem, on the surface, to be similar. For example, The poor concentration of the depressed person may appear similar to the distraction of the manic person. They both, in fact, have trouble holding a thought in their heads. This happens for different reasons, though. The depressed person has fewer thoughts but just cannot focus on any, while the manic person has excessive thought and goes rapidly from one to the next.

Sleep cycles vary in both depressed people and manic people. This is one of the symptoms of bipolar disorder which cause trouble for both. The depressed person may not care whether he or she sleeps or not, sometimes sleeping for long periods and sometimes not bothering to go to bed. The manic person will most surely feel little or no need for sleep. He or she may go without sleep for days.

The symptoms of bipolar disorder which vary the most from depressives to manics happen at the far ends of the spectrum. A person who is extremely depressed is likely to think dark thoughts about death, suicide, and even plans to commit suicide. The person who is manic enough can have strange thoughts such as delusions, and bizarre perceptions such as auditory and visual hallucinations.

If a person is truly bipolar, he or she will display some, if not all, of the symptoms of bipolar disorder on both the depressed and manic sides of the line. Because this illness is so serious and can have life changing consequences for the person with it, it is important to recognize the symptoms of bipolar disorder.

Depression in Adolescents

Depression in adolescents is a disorder which occurs due to persistent sadness, loss of interest, loss of self worth and discouragement. Depression is normally a temporary reaction towards situations of stress. Depression is a normal part of the maturation process of adolescents. It is even induced due to production of sex hormones. Adolescent females are depressed twice more than adolescent boys according to a study.

Adolescent behavior is normally marked with good and bad moods. The transition from a good mood to bad mood and vice-versa, can take minutes, hours and even days. That is the reason why true depression is very difficult to find out. Depression in adolescents can be caused due to bad school performance, break up with boyfriend or girlfriend, and failing relations with friends and family. These causes can lead to persistent depression. Other serious causes are chronic illness, obesity, child abuse, stressful lifestyle, poor social skills, unstable care giving and depression in family history.

Symptoms of depression in adolescents are eating disorders, weight change, irritable mood, excessive sleeping in daytime, excessive temper, criminal behavior, memory loss, fatigue, self preoccupation, sadness, difficulty in concentrating, worthlessness feelings, loss of interest, self hatred, obsession with death and thought & attempts of suicides. When these symptoms are being noticed for more than two weeks, it is important to get treatment for the adolescent. Depression not only affects interpersonal relationships, but school performance as well. Depressed adolescents are more prone to take onto drugs and alcohol as an attempt to overcome their depression. Such problems require intensive treatment.

The doctor will take blood test and perform physical examination to determine the cause of depression. The adolescent can also be tested for substance abuse such as smoking, heavy alcohol consumption, marijuana smoking, and usage of other drugs. After the physical examination, psychiatric evaluation is also done to understand the cause of sadness, loss of interest and irritability. Depression can also lead to the development of other psychiatric disorders such as schizophrenia, mania and anxiety. It is also important to determine whether the adolescent poses a risk for himself/herself and others. Family and school personnel can provide valuable information about the adolescent to the doctor.

Treatment for depression for adolescent is similar to the treatment of depression for adults. Along with the treatment, the adolescent are given antidepressant medication and psychotherapy. Antidepressant medications include tricyclics, Prozac, selective serotonin reuptake inhibitors or SSRI. Some of the medicines increase the risk, so it is a good idea that parents discuss the possible risks with the doctor. Only some of the antidepressant medications are meant for children and adolescents. Adolescents with severe depression need to be hospitalized as they are more prone to kill themselves.

Family and school support is necessary to tackle the depression of the adolescent. Parents can get their children admitted in emotional growth schools, boot camps or wilderness programs, to solve the behavioral problems. These programs consist of non medical staff and confrontational therapies. But care must be taken as some of the programs can in turn harm children who are depressed and sensitive. Adolescents, who get caught due to criminal offense, should be taken special care of by their parents. It is best that the child face the consequences and learn a lesson from it. Depressed adolescents respond well to treatment if they are treated comprehensively and early. More than half of the adults are known to have depression when they were in their teens.

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Panic Attack Medications Can You Live Without Them?

Medications, a quick fix solution, are the most common way out of panic attacks. They are, for sure, not the ultimate solution to all behavioral dysfunction and many people have become well without the aid of them. Nonetheless, they are still being prescribed for two reasonsbecause they work and because they are convenient.

But can people with panic attacks truly live normally without the medications? For those who believe in their capacity to help themselves intro treatment other than taking pills and tablets, they can. Sadly for those who are used to the idea of resorting to meds for cure, it may be a bit hard not to take them.

People who depend too heavily on medication for the alleviation of panic attack symptoms know for a fact that dependence will ultimately occur. Along with the possibility that they will not get cured of their behavioral condition, they also will create another problem for themselveshow to recover from dependence on the medication? This truth is perhaps further exacerbated by the fact that panic attack medications are not the typical over the counter drugs that one could easily get over with.

Oftentimes, these drugs (e.g. valium and antidepressants) are meant to cure serious cases of mental disorders. Eventually, the patients will no longer suffer from only one condition but two serious conditions. The bonus? The addiction adds and aggravates the unpleasant experiences accompanying panic attacks. This is the common experience of people who rely too much on laboratory-produced substances.

Apart from drug dependence, panic attack medications can also trigger side effects at varying degrees. Typical examples of side effects are slower reflexes, light headedness, lack of energy, nausea, dizziness, upset stomach, blurry vision, disorientation, memory loss, confusion, impaired judgment, reduced brain activity, slurred speech and depression. Beyond the typical side effects, panic attack medications can also pose added risks overtime especially when certain combinations of medications are used.

Another problem that may be experienced are the paradoxical effects they could elicit. Paradoxical effects include those conditions that are excited by the use of specific medications which include irritability and anxiety at the less serious levels, and mania, aggression and hallucination at the more advanced stages.

Further, panic attack medications come with hefty price tagsnot really the best way of exacerbating your already serious behavioral disorder.

However, despite all the negativities surrounding panic attack medications, their effects should not be counted as entirely useless or dangerous. They were made to provide symptom relief and possible cure to start with. Thus, not all effects are bad. Nonetheless, it must be remembered that relief from the symptoms should not be entirely dependent on their effects. They must only be used when extremely necessary. Otherwise, these medications, which are by nature foreign chemicals, might destroy something in you that is beyond repairable.

The truth is, there are a number of ways to cure yourself from panic attacks apart from depending on medications to give you the solution. Behavioral therapies as well as cognitive approaches are among the best alternatives to drugs. Group and individual therapies are also good options. But despite all the promises of these therapies and treatments, if the person lacks the determination to take himself out of the grip of panic attacks, all these may prove useless.

Over the years, medical professionals and patients alike proved that only the person, the patient of panic attacks, could find the cure for his condition.