Capacity for abstract thinking. In recent years, cognitive difficulties are being increasingly recognized and researched as bipolar depression symptoms. Bipolar Depression in Teens Teens also experience bipolar depression, and correctly diagnosing it is often more difficult than with adults. Some of the common signs of bipolar depression disorder in teens are, Loss of interest in daily activities.
Our sense of personal and physical integrity is undermined by chronic illness. The fragility and temporality of life is intimated, and the inviolability of the body and the belief in our autonomy is threatened.
Manic depression, or bipolar affective disorder, is a chronic illness that displays a highly variable course and generally manifests in the second or third decade of life. Perhaps more prominently than other chronic medical illnesses, people with manic depression are perplexed by whether they have engendered the illness and whether it is an integral part of their personality, temperament, or nature.
This disquieting ambiguity can be difficult to resolve, and often has a profound emotional impact.
The last forty years, beginning with the discovery of the therapeutic effects of lithium, has seen encouraging developments in the treatment of bipolar disorder. Although there are no cures, significant pharmacological and psychotherapeutic advances have led to the reduction of the frequency, severity, and morbidity of episodes.
In the following, we will summarize some of the important contemporary themes of long term treatment that we believe are important for doctors, patients, and families to know. Treatment Goals and Principles The treatment plan for a person with bipolar disorder may be complex, and includes consideration of several important factors: Proper assessment is an important preliminary component of the treatment, and we cannot emphasize how much it helps to guide subsequent management.
For example, the treatment of a "mixed state" i. Initial determination of the duration and severity of episodes of mania, hypomania i. Further investigation should focus on the level of distress, amount of dysfunction at home and in the workplace, deterioration of interpersonal relationships, family history and other history of medical illnesses, risk of dangerousness to self or others, presence of psychosis, and need for hospitalization or commitment.
Definitive diagnosis of acute states of depression and mania requires discrimination from medical causes of mania and depression, such as substance abuse or hypothyroidism, with a thorough physical exam and laboratory studies.
People with a history of depression, substance abuse, psychosis, or a childhood diagnosis of attention deficit disorder may be at particularly high risk to develop bipolar disorder. Presently, the goals of treatment are: Treatment thus may be thought of as having three stages: The major goal of the acute stage is to achieve a significant response to treatment.
The acute treatment phase may be completed in as little as two or three weeks or it may take months to find the right combination of therapies. A complete recovery, whenever possible, is the goal of continuation treatment, which may require two to six months or even longer.
However, as the patient's improvement continues to consolidate towards a complete recovery, the frequency of continuation therapy visits may decrease from every other week to monthly. Maintenance treatment, which can last for decades, is intended to prevent recurrent episodes of illness. Maintenance treatment may involve as little medical contact as twice yearly visits.
The goals of this stage of treatment are best fulfilled by helping the patient to learn to monitor symptoms as potential early warning signs of a recurrent episode of illness.Manic depression -- or bipolar disorder -- includes clinical depression as a part of its diagnosis.
You can't have bipolar disorder without also having had an episode of clinical depression. Bipolar disorder is a serious brain disorder in which a person experiences extreme variances in thinking, mood, and behavior.
Bipolar disorder is also sometimes called manic-depressive illness or. Bipolar disorder is a complex disorder that likely stems from a combination of genetic and non-genetic factors.
The mood episodes associated with it involve clinical depression or mania (extreme. Jul 06, · Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks.
There are four basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity.
Bipolar 2 Depression. Is there a difference between Bipolar 2 depression versus “classic” Bipolar 1 depression? Traditionally we distinguish Bipolar Type 1 from Bipolar Type 2 according to the presence or absence of mania OR the intensity of any manic episodes.
Bipolar disorder, also known as manic depression, is a mental illness that brings severe high and low moods and changes in sleep, energy, thinking, and behavior.. People who have bipolar disorder.