Tag: talk therapy

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.

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.

What To Do If You Have A Bipolar Disorder Diagnosis

What To Do If You Have A Bipolar Disorder Diagnosis

Living with a bipolar disorder diagnosis isn’t easy. However, knowing, as they say, is half the battle. Once a diagnosis is established, a person has two main choices right off. They are whether to let the disorder take control of one’s life, or to fight it with every weapon in the modern psychiatric and psychological arsenal.

If fighting for normalcy is the answer, then a bipolar disorder diagnosis can make one aware of what one is fighting. Bipolar disorder can touch every aspect of a person’s life, so someone with a bipolar disorder diagnosis will need to be wary on all fronts.

First of all, if there is a bipolar disorder diagnosis then there must have been some sign of the disease. The more severe this manifestation is, the more likely one is to take notice. It is important, though, to treat the illness as soon as a bipolar disorder diagnosis is obtained.

Early treatment can often help prevent some of the more extreme manic highs and depressive lows of bipolar disorder. The earlier treatment is successfully begun, the less the devastating effects of the disease on the person with a bipolar disorder diagnosis.

Early treatment is helpful. The challenge is to keep someone interested in taking medications or engaging in talk therapy when there has been no crisis to set him or her on this path. Such a person needs to be convinced that their bipolar disorder diagnosis is accurate.

For others, the first signs of illness are so overwhelming they consider their bipolar disorder diagnosis to be a relief. For them, it is just good to know that there is a name for what is happening to them and that there are treatments.

For these people, it is extremely important to keep taking medications that are prescribed. This is a responsibility one has to oneself when he or she gets a bipolar disorder diagnosis. If the medication seems to be causing problems, it is important to contact the prescribing doctor to discuss the matter. If no satisfaction can be obtained, finding another doctor is even preferable to simply stopping the medications on one’s own.

Those with a bipolar disorder diagnosis usually are given the recommendation to take some form of counseling, or talk therapy. Some may balk at the notion that talking to a therapist can effect their disease. The truth is that these therapies have been shown to have a positive effect on those with bipolar disorder diagnosis.

There are other actions a person with a bipolar disorder diagnosis can take to help lessen their illness. These include the ways a person takes care of him or herself in day to day life. It may seem obvious that a person should eat and sleep in reasonable amounts and times, or do an adequate but reasonable amount of exercise. A person with a bipolar disorder diagnosis will probably find that these common acts do not come naturally. However, with some conscious effort they can begin to see some difference.

A bipolar disorder diagnosis can certainly seem to complicate one’s life. It can lead one to take medications, submit him or herself to talk therapy, and take the time and energy to regulate his or her own personal habits. On the other hand, all these concessions to the disease can help a person to live a much calmer and more fulfilling life than that person would had he or she never gotten their bipolar disorder diagnosis. In other words, it doesn’t have to be the end of the world.