Manic depressive disorder - WatsonsHealth

MANIC DEPRESSIVE DISORDER

Manic depressive disorder, also known as bipolar disorder, is a major brain illness where an individual experiences severe variance in thought, mood, and behavior.

Those with bipolar disorder usually go through phases of depression or mania. They might also experience mood swings.

While some with the manic depressive disorder may have depressed states, others can have manic phases. It may even be likely to have both depressed and manic signs and symptoms concurrently.

Types

There are many types of manic depressive disorder: bipolar I, bipolar II, bipolar not otherwise specified, cyclothymic disorder, and rapid-cycling bipolar disorder.

Bipolar I

This form brings about manic or mixed episodes that last for at least one week. The person may also have severe manic symptoms that necessitate mental facility care. If you happen to have depressive episodes, they would often last for at least two weeks.

Bipolar II

This type shows a pattern of depressive episodes combined with hypomanic episodes that lack “full-blown” manic (or combined) episodes.

Bipolar Disorder Not Otherwise Specified (BP-NOS)

This type is regularly diagnosed when an individual has signs and symptoms that do not meet the diagnostic criteria for bipolar I or bipolar II. Nonetheless, the individual experiences mood alterations that are differ from their usual behavior.

Cyclothymic disorder (Cyclothymia)

Cyclothymic disorder is a milder form of bipolar disorder wherein a person has mild depression mixed with hypomanic episodes lasting for at least two years.

Rapid-Cycling Bipolar Disorder

Within one year, patients with this disorder have four or more occurrences of major depression, mania and hypomania.

It can be found in those with severe bipolar disorder and in people who have been diagnosed at an early age, such as during the mid to late teens, and is more common among women than men.

The signs and symptoms of bipolar disorder would often include shifts along with changes in energy, activity levels, sleep patterns and behaviors.

Persons who are manic depressive may often experience a depressive or manic episode along with lengthy durations of unstable moods. They often have highs and lows in their moods.

Bipolar disease more often results in troubles with job performance, school activities, or broken relationships. The sufferers may sometimes even commit suicide.

 

Symptoms

Symptoms of a depressive mood episode include the following:

  • Emptiness or worthlessness
  • Lack of interest in activities
  • Changes in behavior
  • Fatigue
  • Low energy
  • Poor memory
  • Restlessness or irritability
  • Changes in eating and sleeping patterns
  • Suicide thinking or attempt
  • Intense excitement or euphoria
  • Restlessness and irritability
  • Racing thoughts
  • Rapid speech
  • Agitation

In most instances, manic depressive symptoms start earlier before a person reaches 25 years of age. Bipolar signs and symptoms can differ in intensity from low to extreme depression, or hypomania to extreme mania.

Diagnosis

The psychiatrist will start by asking questions about symptoms and medical history, along with information on alcohol or drug use. He or she may additionally request laboratory exams to rule out another medical problem.

 

Medications/Treatment

There is no effective treatment for bipolar disorder. It is considered a long-term illness and should be carefully managed throughout life. Treatment usually comprises both medication and psychotherapies, such as cognitive behavioral therapy.

Medicines that may be given include the following:

  • Mood stabilizers such as lithium
  • Atypical antipsychotic medicines
  • Anti-anxiety medicines
  • Anti-seizure medicines
  • Antidepressants to treat symptoms of depression

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