Tag: sleeplessness

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.

A Personal Experience with Acupuncture

Let’s follow Susan as she goes to her first acupuncture treatment. Susan is a little hesitant, thinking of many needles sticking out of her in funny places so that she can’t find a place to sit easily. Her friend Marie had recommended this acupuncture clinic as a possible help for Susan’s recent problems of sleeplessness and depression. Susan was very surprised that Marie had ever visited an acupuncture clinic, as Marie didn’t seem to be someone that would visit something this unusual. And anyway, Marie always seems so remarkably healthy, attending the gym on a regular basis and still having lots of energy to spare. Susan was surprised to find out that Marie had been going to this acupuncture clinic for more than three years. She was even more surprised to find out that the first visit was suggested by Marie’s doctor – her family physician. Susan had no idea that a regular doctor would recommend a visit to an acupuncture clinic.

It turns out that a few years ago Marie had very intense cramps, and after a discussion with her doctor, they decided acupuncture might help to reduce or eliminate these. After having that treatment, Marie had discovered that some people visit the acupuncture clinic periodically just to keep in good health. Marie really enjoyed the way she felt, and so continued with the periodic visits as a kind of “tune up,” as she called them.

Though this is Susan’s first treatment at the acupuncture clinic, it is her second visit. Her first visit was to sit with the acupuncture practitioner to take several vital signs and to have a long discussion about her symptoms. Susan explained that she was hoping to get relief from the sleeplessness and depression through the treatments at the acupuncture clinic. She was surprised at the number of questions that she hadn’t thought about. She hadn’t noticed if the sleeplessness was the same on every night, or if she got to sleep more easily on some nights. She hadn’t noticed if she easily returned to sleep if she was awakened once she was asleep. She hadn’t thought about whether the sleeplessness started after they turned off the central heat in the house, now that spring had come. There were so many questions about that. There were questions she had expected, like that her depression could be related to the fact that her best friend at work had left for a new job. There were also surprising questions about patterns that she noticed about any previous depressions that she might have had. Once all the questions had been answered, Susan was asked to return another day for her first treatment in order to obtain the most beneficial results.

Susan pulled into the parking lot, still a little nervous. The acupuncture practitioner was a very nice and calm woman, but still… Twenty minutes later, Susan was sitting in a comfortable chair with about 18 needles at various points on her arms and ears. She was very comfortable, and inserting the needles did not hurt at all. After sitting there for 15 minutes, the acupuncture practitioner came in, removed the needles, and that was it. Susan was amazed! A sequence of 6 treatments had been prescribed initially, and they agreed to revisit Susan’s symptoms when these were done. She was so happy it was so easy!

Stress, High Blood Pressure, and Acupuncture

When a person is under stress, their body starts what is known as a stress response. A number of chemicals are released into the bloodstream, the heart beats faster, breathing becomes more rapid, and muscles tense up. If the person is planning on running away from a large animal, these are all very good responses. For the businessman at his desk taking a phone call, these are not good reactions. The body easily takes care of an occasional response like this, the chemicals are cleaned out, and the body becomes relaxed once again. However, when this reaction occurs a number of times a week, the stress starts to affect the resting state of the body. Muscles no longer entirely relax, and the frequent release of these chemicals create other problems. Chronic stress can cause such problems as sleeplessness, stomach and digestion problems, panic attacks, and pain of some sort (such as frequent headaches). Long term problems related to stress include strokes, high blood pressure, and colitis or other bowel problems.

A person may try to handle stress on his or her own, by finding something to mask it. Alcohol, caffeine, cigarettes, and even lots of sugar can make the person feel better. One of the most common “pills” after a stressful moment is a cup of coffee and a doughnut, or possibly a cigarette. Physicians can also prescribe medications to combat some of these symptoms, both psychological and physical. Antidepressants, one of the more common medications for this, only offer short-term relief at best.

The obvious answer is to remove the source of stress. However, many times that simply is not possible. Is there another solution? One of the most successful results from acupuncture is the relaxation of the patient, followed by the removal of tension from the body. This relaxation response produces a decreased heart rate, lowered blood pressure, and increased energy and possible tissue regeneration. There is frequently a feeling of well being and self-confidence. As the acupuncture treatment stimulates and redirects the vital energy of the body, each muscle and organ system begins to function the way that it should. Acupuncture is not only used to relieve the stress response of a patient, but also in a number of cases it has made the doctor prescribed antidepressant unnecessary. With wider use of acupuncture, there could be a substantial reduction in the consumption of drugs such as Prozac.

Standard acupuncture techniques using needles are very effective to combat chronic stress. If this were more widely accepted by Americans under routine stress, we would have a much healthier population. In addition, acupuncture treatments that use low levels of electricity have been found to be even more successful in lowering blood pressure. Several researchers that use electric stimulation have been able to regrow tissue in animals, and this without any scars. The combination of using acupuncture therapy for blood pressure management and possible healthy tissue regrowth is a very exciting topic for people with heart and circulatory problems

Acupuncture is one of the most successful treatments for this American problem. Not only do the symptoms decrease, but the acupuncture treatment results in a healthier body as well.