Bipolar biological causes

Bipolar Disorder Causes & Risk Factors

Written by WebMD Editorial Contributors

Bipolar disorder seems to often run in families and there appears to be a genetic part to this mood disorder. There is also growing evidence that environment and lifestyle issues have an effect on the disorder's severity. Stressful life events -- or alcohol or drug abuse -- can make bipolar disorder more difficult to treat.

The Brain and Bipolar Disorder

Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters.

Three brain chemicals -- norepinephrine (noradrenaline), serotonin, and dopamine -- are involved in both brain and bodily functions. Norepinephrine and serotonin have been consistently linked to psychiatric mood disorders such as depression and bipolar disorder. Nerve pathways within areas of the brain that regulate pleasure and emotional reward are regulated by dopamine. Disruption of circuits that communicate using dopamine in other brain areas appears connected to psychosis and schizophrenia, a severe mental disorder characterized by distortions in reality and illogical thought patterns and behaviors.

The brain chemical serotonin is connected to many body functions such as sleep, wakefulness, eating, sexual activity, impulsivity, learning, and memory. Researchers believe that abnormal functioning of brain circuits that involve serotonin as a chemical messenger contribute to mood disorders (depression and bipolar disorder).

Is Bipolar Disorder Genetic?

Many studies of bipolar patients and their relatives have shown that bipolar disorder sometimes runs in families. Perhaps the most convincing data come from twin studies. In studies of identical twins, scientists report that if one identical twin has bipolar disorder, the other twin has a greater chance of developing bipolar disorder than another sibling in the family. Researchers conclude that the lifetime chance of an identical twin (of a bipolar twin) to also develop bipolar disorder is about 40% to 70%.

In more studies at Johns Hopkins University, researchers interviewed all first-degree relatives of patients with bipolar I and bipolar II disorder and concluded that bipolar II disorder was the most common affective disorder in both family sets. The researchers found that 40% of the 47 first-degree relatives of the bipolar II patients also had bipolar II disorder; 22% of the 219 first-degree relatives of the bipolar I patients had bipolar II disorder. However, among patients with bipolar II, researchers found only one relative with bipolar I disorder. They concluded that bipolar II is the most prevalent diagnosis of relatives in both bipolar I and bipolar II families.

Studies at Stanford University that explored the genetic connection of bipolar disorder found that children with one biological parent with bipolar I or bipolar II disorder have an increased likelihood of getting bipolar disorder. In this study, researchers reported that 51% of the bipolar offspring had a psychiatric disorder, most commonly major depression, dysthymia (low-grade, chronic depression), bipolar disorder, or attention deficit hyperactivity disorder (ADHD). Interestingly, the bipolar parents in the study who had a childhood history of ADHD were more likely to have children with bipolar disorder rather than ADHD.

In other findings, researchers report that first-degree relatives of a person diagnosed with bipolar I or II disorder are at an increased risk for major depression when compared to first-degree relatives of those with no history of bipolar disorder. Scientific findings also show that the lifetime risk of affective disorders in relatives with family members who have bipolar disorder increases, depending on the number of diagnosed relatives.

What Role Does Environment and Lifestyle Play in Bipolar Disorder?

Along with a genetic link to bipolar disorder, research shows that children of bipolar parents are often surrounded by significant environmental stressors. That may include living with a parent who has a tendency toward mood swings, alcohol or substance abuse, financial and sexual indiscretions, and hospitalizations. Although most children of a bipolar parent will not develop bipolar disorder, some children of bipolar parents may develop a different psychiatric disorder such as ADHD, major depression, schizophrenia, or substance abuse.

Environmental stressors also play a role in triggering bipolar episodes in those who are genetically predisposed. For example, children growing up in bipolar families may live with a parent who lacks control of moods or emotions. Some children may live with constant verbal or even physical abuse if the bipolar parent is not medicated or is using alcohol or drugs.

Can Lack of Sleep Worsen the Symptoms of Bipolar Disorder?

Some findings show that people with bipolar disorder have a genetic predisposition to sleep-wake cycle problems that may trigger symptoms of depression and mania.

The problem for those with bipolar disorder, however, is that sleep loss may lead to a mood episode such as mania (elation) in some patients. Worrying about losing sleep can increase anxiety, thus worsening the bipolar mood disorder altogether. Once a sleep-deprived person with bipolar disorder goes into the manic state, the need for sleep decreases even more.

In one study, researchers interviewed 39 bipolar patients with primarily manic or depressed episodes to determine the presence of social rhythm disruptions during the two months prior to the onset of the mood. (A social rhythm disruption is a disturbance in daily routines such as sleeping, eating, exercising, or interacting with other people, which in turn could affect patterns of brain activity tied to mood regulation.)

When comparing the results with volunteers in the control group, researchers concluded that most people with bipolar disorder experience at least one social rhythm disruption prior to a major mood episode. In addition, the researchers found that social rhythm disruption affected more bipolar patients with mania than the patients with depression. Their findings concluded that 65% of the patients with bipolar disorder had at least one disruption in their daily rhythm in the eight weeks before the onset of a manic episode.

Talk to your doctor if you have difficulty falling asleep or maintaining sleep. There are several non-addictive sleep medicines available that can help resolve sleep problems. Also, cognitive behavioral therapy has been shown to be a helpful treatment for patients with bipolar disorder who have poor sleep or anxiety and fears about poor sleep.

Bipolar Disorder Guide

Overview
Symptoms & Types
Treatment & Prevention
Living & Support

Causes of Bipolar Disorder: Genes, Biology, and Experience

Bipolar disorder is a condition that involves extreme shifts in mood. Its causes may be complex, but bipolar disorder is very treatable.

Bipolar disorder has three main types: bipolar I, bipolar II, and cyclothymic disorder (also called cyclothymia).

The mood episodes you experience and their intensity can vary depending on which type of bipolar disorder you have.

For example, you may experience mania, which is often described as an elevated, happy, and energized state. You may also experience depression that leaves you drained and disinterested in daily life.

These shifts might happen gradually, giving you time to recognize the signs of oncoming mania or depression. They can also happen swiftly, giving you little time to prepare.

If you live with bipolar disorder, you’ll already know plenty about how it makes you feel. You might know less about why you feel that way.

Hoping to learn more about its potential causes? Curious about your own chances of developing the condition? You’ve come to the right place.

Researchers studying bipolar disorder over the past decades have several theories to explain how this condition develops. Existing evidence points to a range of possible causes rather than one specific cause.

Experts believe bipolar disorder usually develops from a combination of the following factors:

genetics
brain chemistry and biology
environmental factors

If you’re noticing symptoms for the first time, you might link them to a recent source of stress, a health issue, or a new medication.

These things can absolutely trigger mood episodes, but they don’t directly cause bipolar disorder.

Bipolar disorder tends to run in families.

According to the recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), if you have an adult relative with either bipolar I or bipolar II disorder, you have an average of 10 times the chance of developing the condition yourself.

The American Psychiatric Association also reports that 80 to 90% of people with bipolar disorder have a relative living with either depression or bipolar disorder.

Related factors that influence your likelihood of developing bipolar disorder include:

family history of depression
family history of schizophrenia (research points to some genetic overlap between these two conditions)
the number of family members with bipolar disorder or other mood disorders
your relation to those family members

Generally speaking, closer kinship increases this likelihood. For example, someone whose sibling or parent has bipolar disorder has a greater chance of developing the condition than someone whose cousin or uncle has it.

Researchers have linked two key genes, CACNA1 and ANK3, to bipolar disorder. But they note that many other genes are likely to factor in too.

What’s more, since genes make up only one part of the picture, not everyone with a family history of bipolar disorder will develop the condition.

Studies on twins support this. Evidence suggests that when one identical twin has bipolar disorder, the other has a high — but not certain — chance of the same diagnosis.

Bipolar disorder also has a neurological component.

Neurotransmitters are chemical messengers in the brain. They help relay messages between nerve cells throughout the body. These chemicals play an essential role in healthy brain function. Some of them even help regulate mood and behavior.

Older research links three main neurotransmitters to bipolar disorder:

serotonin
dopamine
norepinephrine (also called noradrenaline)

Imbalances of these brain chemicals may prompt manic, depressive, or hypomanic mood episodes. This is particularly the case when environmental triggers or other factors come into play.

The role of mitochondria

Experts also believe mitochondria — which you may remember from science class as the cells that generate energy, aka “the powerhouse of the cell” — may have something to do with the development of mood disorders.

When cells don’t produce or metabolize energy as they typically would, the resulting imbalances in brain energy could lead to the changes in mood and behavior often seen with bipolar disorder.

Brain structure and gray matter

Some evidence suggests people with bipolar disorder have less gray matter in certain parts of the brain, including the temporal and frontal lobes.

These brain areas help regulate emotions and control inhibitions. A lower volume of gray matter may help explain why emotion regulation and impulse control become difficult during mood episodes.

Gray matter contains cells that help process signals and sensory information.

Research has also linked the hippocampus, a part of the brain implicated for learning, memory, mood, and impulse control, to mood disorders. If you have bipolar disorder, your hippocampus may have a lower total volume or a slightly altered shape.

These brain differences may not necessarily cause bipolar disorder though. Still, they offer insight on how the condition might progress and affect brain function.

Family history can certainly increase the likelihood of developing bipolar disorder, but many people with a genetic risk never develop the condition.

Various factors from your surrounding environment offer another point of connection to consider. These might include:

personal experiences
health and sleep
external stress triggers
alcohol or substance use

Research shows that childhood trauma is a risk factor for bipolar disorder, and is associated with more severe symptoms.

This is because strong emotional distress in childhood might affect your ability to regulate your emotions as an adult. Childhood trauma can include:

sexual or physical abuse
neglect
traumatic events
extreme living situations

It’s important to draw a distinction between bipolar disorder causes, such as genetics and brain chemistry, and triggers. They interact to produce mood episodes, but they aren’t entirely the same thing.

You could begin experiencing mood episodes after certain life events, like a rough breakup, job loss, or childbirth. Certain habits, like not getting enough sleep on a regular basis or drinking a lot of alcohol, can also trigger mood episodes or make them more severe.

None of this means you’re to blame, though. No one can conclusively say who will and won’t develop bipolar disorder. Its causes lie beyond your control.

Other possible environmental factors might include:

underlying health conditions
diet
sudden, severe stress, such as a death or other loss
persistent, smaller-scale stress, such as trouble at work or family problems

Between mood episodes, you might not notice any symptoms of bipolar disorder. Still, it’s fairly common to have other conditions along with bipolar disorder.

Conditions that often occur with bipolar disorder include:

Anxiety. Research suggests at least half of all people with bipolar disorder will likely experience an anxiety disorder at some point in life.
Post-traumatic stress disorder (PTSD). Bipolar disorder has been linked to childhood trauma, so it’s understandable that many people are dealing with PTSD too.
Attention deficit hyperactivity disorder (ADHD). Bipolar disorder often occurs with ADHD, especially when mood symptoms begin before the age of 21.
Substance use disorders. The DSM-5 notes more than half of all people who meet the criteria for a bipolar disorder diagnosis also have an alcohol use disorder or other substance use disorder.
Psychosis. Delusions, hallucinations, and other symptoms of psychosis are often symptoms of schizophrenia, but they can also happen with bipolar disorder.
Eating disorders. Many people living with bipolar disorder also have an eating disorder. Bulimia nervosa and bipolar II disorder appear most strongly linked.
Migraine. Research suggests people with bipolar disorder have a much higher risk for migraine.

Treating bipolar disorder with medication can be something of a delicate balance. Antidepressants that help ease depressive episodes can sometimes trigger manic episodes.

If your healthcare provider recommends medication, they might prescribe an antimanic medication such as lithium along with an antidepressant. These medications can help prevent a manic episode.

As you work to develop a treatment plan with your care provider, let them know about any medications you take. Some medications can make both depressive and manic episodes more severe.

Also tell your care provider about any substance use, including alcohol and caffeine, since they can sometimes lead to mood episodes.

Some substances, including cocaine, ecstasy, and amphetamines, can produce a high that resembles a manic episode. Medications that might have a similar effect include:

high doses of appetite suppressants and cold medications
prednisone and other steroids
thyroid medication

If you believe you’re experiencing a mood episode or other symptoms of bipolar disorder, it’s always a good idea to connect with your healthcare provider as soon as possible.

Its causes may be complex, but bipolar disorder is very treatable. While you don’t have control over whether you develop the condition, you can take steps to manage mood episodes and other symptoms.

To get started, consider talking with your care provider about a treatment plan that works well for you. Many people find medication helps stabilize mood changes, so a doctor or psychiatrist may recommend medication as a primary treatment.

Therapy and alternative treatments can also have benefit. A therapist can help you address mood symptoms. And therapy in general also provides the opportunity to build healthy coping skills to manage stress and triggers on your terms.

Looking for more treatment info? Get a deep dive on bipolar disorder treatment here.

Bipolar personality disorder causes symptoms and treatment

The expression of various emotions, changes in a person's mood, expression of sadness and joy usually depend on many factors, from temperament and character to external events. However, if these changes are excessive, often occur suddenly for no apparent reason, produce uncontrollable emotions, or have an extremely positive or negative mood over a long period of time, the diagnosis of bipolar disorder may be high. The disease was first described by the famous German psychiatrist Emil Kleiplen at the end of 19century and was called manic-depressive psychosis. World famous people such as Van Gogh, Isaac Newton, Beethoven and Lincoln have contracted this disease. The severe form of the disease, called Bipolar Affective Disorder (BAD) in the International Classification of Diseases, is estimated to affect 3% of the world's population.

In the treatment of women, an integrated approach is often used, combining drug therapy with cognitive behavioral therapy and interpersonal therapy with a psychotherapist.

Bipolar Personality Disorder - Overview

Bipolar statistics are for people aged 14 to 44. Unlike adults, children and adolescents experience more frequent mood swings from manic depression, sometimes several times a day. 90% of young people just come out of depression or melancholy. In addition, since the barriers to diagnosis are low, Barr is characterized by the ability to live with the disease for 5 to 10 years without knowing the cause of his painful symptoms.

Bipolar disorder is most often diagnosed when a close relative has had similar problems. The cause is unknown, but symptoms can be caused by stress, overeating, and various medical conditions. However, it is impossible to get rid of the problem by isolating a person from the influence of these factors, so it is necessary to seek help from a psychotherapist.

Bipolar disorder is an irreversible disease. However, properly selected pharmacological and psychotherapeutic methods of treatment can significantly improve the quality of life and prolong the duration of phase transitions. People are still social and capable.

Symptoms and signs

As the name implies, these are two extremes of emotional or mood manifestations. One of them is depression. Depression associated with bipolar disorder is often symptomatic. Symptoms can last up to a year and can lead to a depressed mood, an inability to enjoy or be interested in events, and thoughts of self-destruction, leaving the patient feeling inferior, unwanted, poisoned, and left untouched. such as poisoning also appear. And despite medical evidence, some serious illnesses have nihilistic thoughts about suffering. Tough thoughts are realized, even suicidal thoughts and attempts may occur.

The other extreme of bipolar disorder is a hypomanic state or hypomania, the characteristic symptoms of which are an increased euphemistic emotional background, the patient is constantly moving, hyperactivity, very fast, associative speech. Patients are always happy, often hypersexual and most of the time either awake or sleeping for 2-3 hours a day.

Hyponal state often occurs after manic pole disorder with mental illness. The patient believes in his greatness, believes that he can do anything, believes that he has contributed to the world, or believes that he is a great descendant of great people. Long manic episodes with mental illness often have anger, irritability, and outright aggression. This condition leads to a very unpleasant and sometimes dangerous situation.

In addition to the typical symptoms of illness, there are many cases where mental illness occurs. Combined mental illness associated with the underlying disease. The most common disorder of this kind is anxiety, and symptoms appear, including non-specific symptoms of vegetables, such as sweating, heart rate, trembling limbs, various digestive disorders, dizziness, headache, and stuffiness.。 It is usually called a panic attack, especially when such signs are seen in public.

Types of bipolar disorder

Has bipolar disorder: type I and type II.

Bipolar I disorder is a condition where you can always see manic, over-retention, rapturous inappropriate behavior, manic depression and major depression. This type has a severe symptom, so in most cases you need to be hospitalized.

Type I Bipolar Disorder Type I type p is the type that characterizes the short-term condition and the major depression that replaces it. Hypon is a low emission activity precursor. The hypomic state is a very short time from several days to several hours, so the patient may not notice and not report it to the doctor. Only with a close meeting with the patient can determine the hypomanic state, make a correct diagnosis and prescribe treatment.

Phases of bipolar disorder

There are several stages of bipolar personality disorder.

Depression (single voluntary depression). People may have mood control, despair and frustration, complain of energy and mental focus, and may have too much or less sleep.

During the peak of bipolar depression, you can be destroyed and listed. The boundary between oneself and the outside world becomes ambiguous, making it difficult to recognize what is going on. A familiar place is new, the color of the world changes, and patients always experience a sense of déjà vu. The sound becomes irregular, and even if you are talking nearby, you can hear it from a distance.

Manic state (hypoanal state): full of energy, very happy or optimistic, has a great feeling of euphoria and has a very high level of self-esteem. At first glance, these are positive signs, but experiencing a large scale can cause these symptoms and emotional conditions to be extreme. Patients at this stage may unconditionally use huge sums of money or act unconsciously without realizing the risks. In conversations, words can be churned out by speaking at high speeds and thinking one by one. Such episodes may be accompanied by exaggerated delusions and serious decisions without hesitation later.

When the manic begins, the following phases are different.

Hypon increase, and emotions are raised.
Mani I - all signs become more noticeable, aggressive, irritable, cheerful and angry.
Peak phase. Nerves are always high and I can't relax. The emotional wave is extremely intense, the interaction of movement is lost, thoughts are unreasonable and abrupt, and conversations always jump from one sentence to another sentence.
Symptoms are getting better. Patients gradually relax. Exercise frustration is reduced. Thinking speed and emotional mood do not change.
Return to normal.

Mixed. Some people have a distinctive attraction to both depression and mania. In addition, phases can occur more than four times a year.

There is a bright blank period between the depression phase of bipolar disorder and the manic phase, where the general background of mood is relatively stable, continues to respond appropriately to the event, and the emotional area is controlled. This is the basic standard for remission in bipolar disorder.

Bipolar disorder in women

According to statistics, type I bipolar disorder type I is found at the same frequency of sex, and type I is diagnosed with a large number of women. It is also known that the women in the episode, mixed with a sudden cycle. There are many congenital illnesses including eating disorders, borderline personality disorders, alcohol/drug addiction, and psychotropic drugs. Women are said to be more susceptible to migraines (severe headache), thyroid disorders, diabetes, and obesity.

Special technologies have been developed for women to reduce this disease, taking into account the changes in hormonal balance between adolescence and menopause. In addition, psychotropic drugs, which are supposed to stabilize the condition, can adversely affect the growth of the uterus of the fetus from the point of view of a woman. The disease is said to progress easily in the early stages of pregnancy, but after childbirth, postpartum depression appears to be a concern. Therefore, at every stage of the development of a woman's body, talented doctors must review and adjust the treatment policy. In the treatment of women, it seems that an integrated method of combining pharmacotherapy and psychotherapist's cognitive behavioral therapy and interpersonal therapy is often adopted. This method can produce the fastest results. When the onset of a manic, the following phases are different.

Treatment of bipolar personality disorder

Hypon increase and emotions are elevated.

Mani I-all signs become more noticeable, aggressive, irritable, cheerful and angry.

Peak phase. Nerves are always high and I can't relax. The emotional wave is extremely intense, the interaction of movement is lost, thoughts are unreasonable and abrupt, and conversations always jump from one sentence to another sentence.

Symptoms are getting better. Patients gradually relax. Exercise frustration is reduced. Thinking speed and emotional mood do not change.

Return to normal.

Mixed. Some people have a distinctive attraction to both depression and mania. In addition, phases can occur more than four times a year.

What are the symptoms of bipolar disorder? How does the disease manifest itself?

There is a bright blank period between the depression phase of bipolar disorder and the manic phase, where the overall mood is relatively stable, continues to respond appropriately to the event, and the emotional area is controlled. This is the basic standard for remission in bipolar disorder.

Hypon increase and emotions are raised.

Mani I-all signs become more noticeable, aggressive, irritable, cheerful and angry.

Symptoms are getting better. Patients gradually relax. Exercise frustration is reduced. Thinking speed and emotional mood do not change.

Return to normal.

What are the causes of bipolar disorder?

Mixed. Some people have a distinctive attraction to both depression and mania. In addition, phases can occur more than four times a year.

There is a bright blank period between the depression phase of bipolar disorder and the manic phase where the overall mood is relatively stable, continues to respond appropriately to the event, and the emotional area is controlled. This is the basic standard for remission in bipolar disorder.

Trying to cure bipolar disorder on your own will not get the desired effect and eventually develop drug and alcohol addiction, which aggravates the symptoms. When diagnosing a disease, it is a good idea for a patient to write down a "mood diary" that records all the changes in their thoughts, feelings, emotions and mood. Recordings like this help doctors get to know the mental state in detail and make the correct diagnosis. If bipolar disorder is suspected, you should consult your doctor. The more people who understand that they are sick and come to the hospital for help, the more they get expert help, and the painful symptoms change into a stable state. You cannot cure the disease on your own, because you cannot understand it.

Bipolar disorder is one of the few mental illnesses for which drug treatment is 100% indicated and psychotherapy is effective. The disease is incurable, but diagnosis and treatment are very important. Treatment can reduce the number of episodes, their severity and intensity, and help prevent negative life events, a person's relationships, unemployment, and attempted suicide. Therefore, the quality of life when a patient with bipolar disorder receives treatment is several times greater than the quality of life when treatment is neglected. If you lose your reality and harm yourself or others, you will be hospitalized and outpatient care will not be allowed in this case.

Mixed. Some people have a distinctive attraction to both depression and mania. In addition, phases can occur more than four times a year.

If you suspect bipolar disorder, don't panic. The diagnosis can only be diagnosed by doctors, so make a reservation for a psychosomatic doctor who has extensive experience in treating such patients at the Medastrum Clinic. Once the diagnosis is confirmed, we will administer the necessary medications as needed, schedule psychotherapy sessions, and offer suggestions for lifestyle improvements. Please make a booking from the site or contact the administrator.

How is bipolar disorder treated? Am I going to be in a mental hospital?

Julia Khvorova, psychotherapist and clinical psychologist, answered frequently asked questions about bipolar emotional disorder (poor).

This time I answered questions received from clients who had just been diagnosed with bipolar disorder. Based on scientific evidence and information from the bar, I would like to keep the answer simple and easy.

Bad diseases are characterized by violent fluctuations. For a few months, a few weeks, or (rarely) a few hours you feel "extreme" - I feel very happy or very disgusting.

For a few months, a few weeks, or (rarely) a few hours you feel "extreme" - I feel very happy or very disgusting.

Manic and hypomic illnesses are exhilarating and intense physical and mental activities. The mental activity is different and the attention is detailed, but it is difficult to focus on one for a long time. Thinking is always "jumping", and one idea is immediately replaced by another idea. Joy is euphoric, frustration and resentment are attacked, and accusations escalate to paranoia. The amount of exercise increases, I feel sorry for sleeping (3 hours of sleep seems to be enough), and my sexual desire increases. Actions are impulsive and reckless, sometimes adventurous and even eccentric. People can be consumed by an idea. Delusions and hallucinations may occur in manic episodes.

The hypomic state is something that everyone has experienced at some point. In the state of the name, unlike the manic state, delusions and hallucinations are low, critical and low aggressions. However, the hypomic state is not the normal state for the spirit, but the brain function is enhanced. Reserved resources are used to speed up mental processes, and when depleted, they are completely exhausted. In the hypomic state the soul works, as you say. Just imagine running for life. The body quickly depletes and wipes out. The soul is the same. Hypomic state can be more uncomfortable manic and depression.

Preliminary resources are used to speed up mental processes, and when they are depleted, they begin to run out completely. In the hypomic state the soul works, as you say.

Another sign of bipolar disorder is not only mood, but prolonged depression in the lung up to a short period of time. On the contrary, there is no power or desire when you need to do something. Mental activity is even more complex, and in addition to a lack of motivation and physical strength, concentration, memory, analysis and determination are reduced. His emotional experience is dull, and acute dissatisfaction, guilt, despair, confusion, restlessness, and indifference are exceptions. Changes in appetite, insomnia and excessive sleepiness. Even if you enjoy life, you have the urge to kill yourself when you are severely depressed. Severe depression can cause hallucinations and delusions.

Bipolar Affective Disorder (BAD) Treatment Guide

These steps can be substituted for each other or at the same time. Only one pole can appear for a long time. Then even doctors might say "depression" first instead of the correct diagnosis being called "bad". Episode (break) - one month, one year, three years and five years.

For healthy people, changes in mental activity are not so inversely proportional and easier to adjust. This does not result in a decrease in daily functions, but can deal with given work and academic work, and build and maintain relationships with others.
Unfortunately, science cannot answer why bipolar disorder occurs. However, many interaction factors are known to be involved.
Currently, BPSM (Biopsychosocial Model) is being considered (Biopsychosocial Model) which is influenced by three factors of biological, psychological and social factors.
Biological factors include genetic characteristics, physiological properties and biochemical characteristics of living organisms.

Psychological factors at the onset of bipolar disorder include the amount and severity of stress, strategy, personality characteristics, emotional state, and thinking.

Social factors cultural / political situations, economic situation, micro social environment (family, friends, professional environment, acquaintance).
The appearance and development of the bar is not one of these factors, but the result of interaction.
Unfortunately, science cannot answer why the bar appears. However, many interaction factors are known to be involved.
Questions that cannot be answered, for example, why do they exist, “why does a loaf of despair occur. Therapy methods and communication with loved ones can help you change such ideas and get distracted.

If you take care of your treatment responsibly, you may not need to be hospitalized. If you neglect treatment, you may have an episode of manic and severe depression with a high probability and may be hospitalized. However, hospitalization does not have a cross in a person's life, but rather to get out of depression and manic episodes and return to normal life.

As mentioned above, bars have three factors: biological, psychological and social. To minimize the impact of bipolar emotional disorder on life, these three elements must be controlled. In this case, there is no need to go to the hospital, and outpatient care is sufficient.
Biological factors pay attention to drugs and a healthy lifestyle. Necessary medicine is prescribed by a psychiatrist. The medicine must be taken regularly. Do not stop without your doctor's consent. If you have any unpleasant side effects, consult your doctor and decide whether to be patient, change your dose or switch to another medication.
A healthy lifestyle can help keep all of your physical systems healthy, including your nervous system. If you're on drugs, if drugs and alcohol work in the brain at the same time, you won't get good results. In order to keep the nervous system, that is, all mental activity in good condition, stable high-quality sleep (at least 7 hours), bad habits (alcohol, drugs, smoking), regular physical activity, complete rest, daily life pattern and appropriate meals are effective.
Medicine must be taken regularly. Do not stop without your doctor's consent. If you have any unpleasant side effects, consult your doctor and decide whether to be patient, change your dose or switch to another medication.

You will be able to deal with psychological factors and control psychotherapy. Cognitive behavioral therapy (CBT) is the recommended psychotherapy for bipolar disorder. Psychotherapy does not cure illness, but can develop skills such as problem solving, effective communication, and coping strategies. New skills and habits can help you deal with stress and anxiety, as well as resolve personal conflicts. At the end of psychotherapy, you will be able to actively use these skills in your life. Depressive episodes will become easier to experience, and the consequences will be less serious. Psychotherapy contributes to the development and harmony of the personality, prevents the occurrence of some stressful situations (conflicts, destructive relationships).

Social factors influencing romantic relationships, work, study and social activities. The support of relatives and friends can have a positive impact on the emotional state and make it easier to get through the episode. A stable job is important not only for ensuring financial stability, but also for observing everyday life, expanding the circle of contacts, feeling important and needed. Hobbies with friends and peers can bring positive emotions and help take your mind off sad thoughts during depressive episodes.

Is it possible to completely remove the symptoms, to be cured?

I would like to summarize the above bars.

Is it possible to remove a bad mood (depression) and leave only a good one (hypomania)?

Control of biological factors.

How will bipolar disorder affect my life?

Observation by a psychiatrist (at least once every 3-4 months).

Take medication prescribed by a psychiatrist.

I lead a healthy lifestyle.

Adjust your routine.

Control of psychological factors.

Accept yourself with bipolar psychosis.

Take a course of psychotherapy.

Is it possible to have children while taking pharmacotherapy?

Apply self-management skills to prevent and resolve stressful situations.

Will children inherit bipolar disorder?

Minimize stressful situations whenever possible.

Control social factors.

How to explain to relatives what is going on?

Help and support for families.

Communication, hobbies with friends and acquaintances.

Prolongs social activity, communication cycle.

In this regard, it is easy to see that there are many things you can do to improve your situation. Almost everything is up to you.
Remember. When protective factors outweigh risk factors, this is a good way to reduce the frequency and intensity of episodes.

Bipolar affective personality disorder is a chronic condition. It cannot be cured permanently, but it can be minimized and sometimes completely eliminated. The combination of drug therapy, psychotherapy and preventive measures can minimize the onset of the disease. When there are more protective factors than risk factors, the symptoms of bipolar disorder either do not affect a person's life or go away completely.

No, unfortunately, it is impossible to remove depression and leave only hypomania.

Where can I go for advice and assistance?

When people with bipolar disorder take medication and follow the rules for preventing episodes, the number and intensity of episodes can be minimized and periods of rest are completely symptom-free. Under these conditions, bipolar disorder does not significantly affect life.

Bipolar disorder, like any other chronic illness, alters function through scheduled doctor visits, medications, and preventive measures.

Untreated episodes of bipolar disorder can have a significant impact on work and personal life.

BAD, like any other chronic disease, changes modes: scheduled visits to the doctor, medications, preventive measures.

In the hypomanic-manic phase, mental and physical activity increases, but the person becomes impulsive and disorganized. The work is easy, but the results are low. If you do too many things at the same time, none of them will be completed. In relationships with loved ones, hostility and aggression arise, conflicts arise. Unless you have malicious intent, you may not notice even if you anger someone close to you, and you can quickly switch to something else. Manic episodes may be accompanied by hallucinations and delusions and often require hospitalization.

Remember Bipolar Disorder

If you are depressed, you will not want to do anything and you will not have the strength to do anything, so it will be difficult for you to work and study. Severe depression causes people to skip school or quit their jobs. In relationships with loved ones, indifference, resentment and isolation appear.

In addition, such "shaking" exhausts not only you, but also the people around you. For employers, this means they are unreliable and unreliable workers. For those close to you (especially for those who are unaware of your diagnosis of bipolar disorder): Unpredictable moods can cause emotional stress, leading to misunderstandings and conflicts.

There are no contraindications for men. Women should consult their doctor before becoming pregnant. During pregnancy, your doctor may change the combination and dosage of your medications.

According to the Clinical Intervention Center, children of people with bipolar disorder have an 8% risk of inheriting the disorder. According to Bebbington (2004), the frequency of inheritance of bipolar affective disorder is 5-15%. At the same time, relatives of people with bipolar disorder are twice as likely to develop unipolar depression (i.e., normal depression without a second polarity, without mania or hypomania).

This does not mean that you will never have children. This is an occasion to consider the biological, psychological and social factors necessary for their development. Remember that children with bipolar disorder have a 65-75% chance of being healthy.

Social stigmatization of mental illness is still strong, and it is difficult for people who have been diagnosed by a psychiatrist to tell even their closest friends about it. At the same time, the support of family and friends plays a very important role in psychological well-being and gives us the strength to cope with stressful situations.

When discussing the characteristics and symptoms of bipolar disorder, always refer to the description of symptoms given at the beginning.
Why is it important to tell loved ones about your condition?
Relatives and friends may notice dangerous behavioral changes even before an attack and advise you to visit a doctor unscheduled. Doctors can adjust medications in time, reducing the duration and intensity of attacks.

Relatives do not take personally their behavior during the episode and are more likely to tolerate irritability, resentment and aggression. Less conflict and less stress for you. By informing your loved ones of your diagnosis, you will help them start green, positive, and non-traumatic communication. If you don't want to explain your situation in detail, don't be isolated, at least not from important people. Do not create new stress, such as clashes with family and friends and the collapse of human relationships. All you need to do is to reduce the amount of communication. During the episode, there is no doubt that communication with important people is reduced or less frequent.

Everyone has a lot of work, and there are times when they are busy. And only you decide to tell someone your diagnosis.

You can get support from psychotherapy groups and support organizations for patients with bipolar disorder. A special group with a certain rule that you can get to know, understand and support questions about bars, talk about bars.
There are various options for getting help from psychiatry and psychosomatic medicine.	National Psychiatric Hospital in Residence, Clinic for Psychiatry and Neurology.	Crisis Management Helpline m- You can call when you have a suicidal urge. Phone: 8 (800) 100-49-94.
A private clinic that has been approved by medical care. The truth of the license can always be verified on the website of the licensing agency and must be done. Be sure to check the truth about the formation of an expert to contact.	National Psychiatric Hospital in Residence, Clinic for Psychiatry and Neurology.	Crisis Management Helpline m- You can call when you have a suicidal urge. Phone: 8 (800) 100-49-94.
You can improve the sources if you follow the recommendation.	National Psychiatric Hospital in Residence, Clinic for Psychiatry and Neurology.	Self-reporting your mood depression, including seeking help, will help your doctor in your diagnosis (long process) and effectively allow an episode of illness (Rasim Somer Diler, Boris Birmher).
The most appropriate choice of pharmacotherapy should be performed in a hospital clinic, especially if you have severe depression or suicide. Treatment intensification has succeeded in forcing complex algorithms for manic and mixed biological treatments and reducing the patient's hospital stay.	National Psychiatric Hospital in Residence, Clinic for Psychiatry and Neurology.	Self-reporting your mood depression, including seeking help, will help your doctor in your diagnosis (long process) and effectively allow an episode of illness (Rasim Somer Diler, Boris Birmher).
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Causes of manic-depressive syndrome

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To date, the pathogenesis of MDS has not been fully elucidated. Many scientists believe that genetic factors play an important role in the development of this disease. For a long time, the disease was detected in relatives of the first and second line. However, the specific cause of the inheritance of this syndrome has not yet been established.
Also, manic-depressive psychosis is directly related to individual physical characteristics. Clinical studies have shown that this disorder is more common in people with hypochondriacal anxiety. Stressful situations can greatly affect mood, and people often do not notice the early symptoms of mental illness. It can also be caused by many things such as poor health, problems at work, or the loss of a loved one.
When examining a patient with MDS, the brain may show abnormal morphology. One of the main factors for the existence of such defects can be called a deficiency of serotonin and norepinephrine. Manic-depressive symptoms and signs can vary from person to person.
The main symptoms of this mental illness are characteristic patterns of behavior that the person cannot control. There is an alternation of manic and depressive phases. The duration of this disorder varies.

Phases of the disease

Clinical manifestations of the manic phase

Elevated mood, which may be completely inappropriate in certain situations.

Unproductive thoughts are scattered here and there.

motivational excitement

energetic action. People run, try to dance and move their limbs.

Overexpression.

Some patients may have an atypical clinical presentation. At the same time, irritability and motor passivity predominate. Nervous excitability may be absent, making it difficult to make a correct diagnosis. Mania quickly turns into depression.

Treatment of manic-depressive psychosis

Clinical picture of the depressive phase.

Depressed. Depressive mood swing.

Facial expression "stony", pensive.

slow thinking.

Inhibition of movement. In some cases, they look at one point without saying a word, and are completely immobilized.

get insomnia.

I have no appetite.

People always blame themselves.

Extremely low self-esteem.

Against the background of constant anxiety, suicidal thoughts arise. Depressive psychosis has been found to play an important role in most suicides.
To date, there are three phases: depressive, manic and mixed phases.
period of depression

TIR treatment in our clinic

This stage is characterized by a reduced emotional background. People become passive, reserved, or aggressive (often children). No matter how bright the news is, there is admiration that is not "enlightened". My diet has not changed, but I often lose weight. Some people completely refuse food, while others fall into a fever. There are changes in parasomnia. Someone is worried about insomnia, someone stays longer than a day, but at the same time someone does not feel rested. Patients often complain of a breakdown, a sense of guilt for unfulfilled plans, headaches, and lethargy. Many people blame themselves for everything that happens around them, and seriously consider suicide, considering the latter the only way to solve the problem.

manic period

This stage directly depends on the severity of mental illness. Many people come to surgery with a heightened emotional background. They talk a lot, laugh and start to rejoice. However, such moods can quickly lead to irritability, tearfulness, and depression. Patients often complain of an uncontrolled flow of thoughts and ideas. I think there are different thoughts like wanting to change jobs, wanting to travel, wanting to start an independent business. However, such situations are usually short-lived. The strange and inadequate behavior of the patient is noticed by others.

mixed state

The disorder is characterized by alternating periods of depression and mania. Depending on the patient, there are those who give many times a day. This condition is difficult to distinguish from depression in the elderly.

Bipolar personality disorder symptoms in women

People who are very depressed, impulsive and aggressive from fatigue, hysterical or simply uneducated are often seen by others as suffering from bipolar disorder. But this is far from the truth.

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Experts from the Korsakov Psychiatric Clinic talked about what kind of disease is bipolar disorder, what are its symptoms, how does it leaks and how to treat it.

Since its foundation, the Korsakov Medical Center has been helping people with various mental disorders. Thanks to the efforts, professionalism and diligence of the doctors of the clinic, hundreds of patients got rid of their condition, learned to control their condition and returned to a normal social and personal life.

Psychiatric treatment at the Korsakov Clinic is carried out anonymously and without registration. The institution offers a full range of medical services, from specialist consultations, consultations and diagnostics, to comprehensive examination of materials, comprehensive treatment, rehabilitation and prevention of mental illness.

You can make an appointment with a psychiatrist, call a doctor at home, get advice on any topic of interest to psychiatry, or call the 24-hour medical center: _____.

Bipolar disorder: symptoms and features of the disease

Bipolar affective disorder (manic-depressive disorder) is characterized by frequent and abrupt changes in mood, emotions and human behavior (from manic hyperactivity, joyfulness and omnipotence to depressive apathy, worthlessness and lack of strength for life) . mental disorder characterized by the disease is cyclical, with clearly defined periods of exacerbation and remission. If timely treatment of this disease is not started, the duration of remission will be significantly reduced over time, and the symptoms of relapse will become severe and intense, which will significantly worsen the life of patients and their families.

Exacerbations of bipolar disorder are common in the fall-winter and winter-spring seasons. This is due not only to a gray runny nose, from which healthy people are sad, but also to weakened immunity at this time of the year.

Statistics show that women are more likely to suffer from bipolar disorder. But scientists say that men and women suffer at about the same rate. However, women are more likely to seek professional help for emotional or psychological disorders, which is reflected in the statistics.

The main symptom of bipolar disorder is the frequent alternation of mania and depression. To learn more, you need to pay attention to the symptoms of each period.

Signs of a manic phase.

Feelings of happiness, euphoria or high spirits for no reason, lasting more than 3 hours.
People do not need sleep, even if they do long physical work without sleep. Your sleep is short and shallow, and you wake up feeling rested and full of energy.
Patter. Words are outside of thoughts, so the meaning of what you say often does not reach the interlocutor.
The patient first does something and only then thinks. They often take on multiple projects at the same time and never finish what they start. Labor productivity is greatly reduced.
I have lost the ability to fully understand myself. I overestimate my abilities and think that they are better than others.
Dangerous Behavioral Gambling can bet on a large bet knowing that the probability of winning is low.

Signs of the phase of depression

Long and moral sadness that suddenly happens for no reason.
People close their hearts, silence and don't even try to communicate and face all the problems of themselves.
I am losing interest in life. The problem looks bigger than it really is and I can't enjoy my favorite theme.
Anorexia has no appetite or is hungry.
A difference appears. People can't concentrate on anything.
Suicide wish comes out. It is destroyed and useless, losing the meaning of life.

Causes of bipolar disorder

genetic. Relatives are said to have had the same diagnosis or received primary bipolar disorder. In addition, if there is no stress factor that causes disability, the disease may not appear throughout your life.

There is chronic fatigue, overwork and mental weakness. These stresses, such as disappointment in personal life, loss of important people, dismissal and great misfortune, often cause devastation in people's hearts. Against this background, bipolar disorder often develops.

Hormone change before menstrual syndrome, pregnant women and menopause have the most clear bipolar disorder.

Melancholic temperament, excessive sympathy, delicate. A melancholic person is stressed and takes it severely. Therefore, delicate people often become bipolar.

Organic damage and trauma to the brain causes various mental illnesses and illnesses.

Use drugs, alcohol and hard drugs.

How to help someone with bipolar disorder

If your loved one notices signs of a bipolar emotional disorder, you should not expect the situation to normalize. In order not to worsen the situation, you need to get a qualified doctor as soon as possible and get the necessary treatment.

It is important to understand that everyone has a strange mood. However, if nature is excessive and inconvenient for people, we cannot help the physician's authority.

Treatment of mental disorders in Russia is carried out only after the voluntary consent of the patient, unless it is provided for in the current law of the Russian Federation. Therefore, it is important for people to know their problems, solve them and improve their quality of life. It is a good idea to talk about the need for treatment when the patient is in the depression stage. This way you will be sensitive to other people's advice, listen to your pain and be ready to share.

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Treatment of bipolar disorder at the KORSAKOV clinic

During the acute phase, people feel healthy and happy, so they refuse to take medication. In the case of a manic, electrotherapy, carried out in parallel with group, individual, family and behavioral psychotherapy, is very effective.

Psychotherapy allows you to normalize the mental state of the patient and achieve a long-term state of remission. In addition, therapists often work with patients to find and investigate the underlying causes of bipolar disorder.

During treatment, people learn to control themselves and their condition, fight depression, and not go crazy with mania.

The Korsakov Medical Center employs highly qualified psychiatrists, psychotherapists and clinical psychologists who successfully treat various mental disorders in adults and children (this is evidenced by numerous positive reviews from former patients). Your doctor will select the most effective treatment program for each person.

Psychiatric treatment is carried out without registration, while maintaining the anonymity of the patient. The cost of services is fixed and reflected in the official price list of the clinic.

If treatment is started at the very beginning of the disease, it is possible to get a long-term remission until complete recovery, so do not be afraid to contact a specialist.

The concept of bipolar affective disorder combines several similar chronic pathologies of the psyche. It is characterized by periodic cycles of depression and arousal. The name "manic-depressive disorder" describes this characteristic well.

What is bipolar disorder

At the same time, there is a tendency to periodically or periodically fall into uncontrollable depression and distress. People are unable to self-regulate these mood swings. They don't follow strong efforts. Also, the patient cannot always critically assess his position. A bad attitude of the Spirit often manifests itself in life circumstances, and many lose control of their actions during periods of euphoria.

The depressive stage of bipolar disorder has classic symptoms.

Low motivation to study or work.

I do not feel pleasure

Many years of experience, a tendency to self-restraint.

In severe cases, there is a complete despair of existence and a desire to end life. A depressed person may seem somewhat irritable or just melancholy. The duration of unconsciousness ranges from several days to several months.

Mania develops immediately after depression or on the background of emotional stability. It is characterized by a state of euphoria and excitement. In some patients, behavior, aggression and extreme anxiety predominate. Almost everyone has lost the ability to correctly assess reality. Control at this stage seems eccentric, drunk, unreasonably happy, irresponsible and distant. The patient's behavior is devoid of logic and often looks insane. Psychosis lasts hours, days and weeks. Auditory hallucinations, visual hallucinations, and delusions may occur during this time.

During the period of hypomanic, there are signs similar to manic, but not as noticeable. With this type of handicap, the ability to control the action is partially supported. The patient, who is easy to perceive at the same time, is very energetic, reacts strongly to what is happening around, and expresses himself as a result of the performance. It is not easy to assess the lack of effect of this action from this part, since the patient's behavior is often reasonable and effective.

Types of bipolar disorder

Depending on the characteristics of mental polarization and the period of expression, this is an independent pathology.

In the life of a patient with bipolar type 1 disorder, there was at least one acute manic that progresses after long-term depression. This illness is usually accompanied by mental illness.

Bipolar disorder (type two). In this disease, depression is replaced by hypomic diseases, and there is no acute mental illness.

The periodic progress of the rod is characterized by frequently changing suppression and a manic state. It often occurs in young people and people under the age of 40.

In mixed bipolar disorder, depression and manic episodes occur at the same time. This is the most painful state of despair with anxiety and emotional outburst.

There are different types of bars, men and women of all ages. The weight of the symptoms varies for the most part. The stage of depression is often long, worn out, and only the stable mood declines. With low manic frequency or short manic frequency, these people give the impression that there is no problem. In the case of young people, disability becomes more visible.

Any type of bar makes up 1% of the population. About one third of the total becomes serious. However, this mental illness rarely leads to a decrease in mental abilities. During remission, patients can be inferred and explain their actions as they are the same as others. Negative emotions often push the rod, abuse alcohol and strong substances, and contribute to obstacles.

Diagnosis of bipolar disorder

Reasons to doubt the bar

Transition from causality to intense joy from a gloomy state?

Suddenly interested in travel, strangers, new research, etc., and suddenly gets a new idea.

There are times when insomnia and anorexia, with acute anxiety and euphoria.

For a long time it will show irritation and irritability after the desire to immediately resume all subjects from disappointment.

If these symptoms appear regularly, you should seriously work on your mental health.

Avoid discerning the cause of the bar.

Functional disorders, organic brain damage.

Psychological traumatic brain injury.

Psychiatrists distinguish bipolar disorder from schizophrenia, neurosis, endogenous depression, anxiety disorder, and other types of emotional disorders. In conversation with patients and their relatives, physicians confirm that manic, hypotomy, and mixed episodes have preceded. Anesthesia, those that can cause onset, and trauma are also important. The severity of the condition is determined using a specific scale.

Therapy for Bipolar Disorder

Bar refers to stable mental disorders, but well adjusted. The goal of treatment is to maintain a stable mental and behavioral status. For this, two groups of pharmaceutical preparations are used.

Antidepressants - to prevent depression.

Antipsychotics - used to relieve agitation and other symptoms of mania.

The mode is selected individually. Treatment is usually done at home. Patients with CASO are hospitalized only in the acute psychotic stage. Medication support can relieve or completely eliminate pain in all stages of disability. Strict adherence to the doctor's instructions can lead to remission. You may have to take medication for the rest of your life. If the disorder is mild, medication may be dispensed with. In such cases, cooperation with a psychotherapist is necessary.

All materials on this site are for educational purposes only and are not intended for medical advice, diagnosis or treatment. Site operators, authors and authors of articles are not responsible for any consequences or losses resulting from the use of site materials.

Bipolar affective disorder (BAD) is a chronic mental illness characterized by dramatic fluctuations in mood, energy levels, activity, concentration and ability to function in daily life.

Basically, there are two types of bipolar disorder (BAD I, BAD II) and mood disorders, and some researchers refer to the whole group as "bipolar spectrum disorders". All types, from feelings of emptiness, hopelessness and lethargy (depressive phase) to high emotionality, excessive energy, increased social activity and risk-taking (manic phase or its mildest form, hypomanic phase). Bipolar disorder is characterized by disturbances in mood and behavior. fluctuations. .

A key component of bipolar disorder is the presence of periods of ups and downs (phases) during which mood, energy and activity levels differ significantly from the individual's normal range.

Bipolar I disorder (formerly known as manic-depressive disorder, MDP) is characterized by the presence of at least two phases of mania and depression, with one phase predominating (so-called "dominant polarity") in different patients. differ and should be taken into account when choosing a treatment. A mixed phase is also possible, in which manic and depressive symptoms appear simultaneously.

It is characterized by a long, intermittent course of mental state normalization.

Bipolar II disorder is characterized by the presence of depressive and hypomanic phases, usually with a predominance of depressive episodes. There are no manic episodes in this type of bipolar disorder.

The duration of the breaks varies, but often tends to increase in stages.

Cardiovascular disease is characterized by multiple episodes of isolated hypomania and hypomania for at least 2 years, never reaching the level of a full depressive or hypomanic episode. However, they are symptomatic in at least half of the cases, and the period of mood stability is usually less than 2 months.

Symptoms and signs of bipolar disorder

People with bipolar disorder experience severe emotional swings that affect their personal functioning in daily life, relationships with loved ones and overall well-being.

Each phase of bipolar disorder is characterized by symptoms, but sometimes individual symptoms from different phases are combined (so-called "mixed state") and occur simultaneously.

The main signs of bipolar disorder are changes in the manic phase (hypotanic state) and the depression phase. The individual symptoms of the various phases may be combined (mixed state). The main differences between bipolar disorder and normal mood swings are their severity and intensity, as well as their duration (at least during onset), which is significantly different from the normal state of people. This is obviously surprising to the man and those who know him well.

Symptoms of each phase of bipolar disorder.

The energy level rises, the thirst for activity lasts, the challenge to try many things at the same time, elevated emotions, etc.

Feel like an overestimation of self-esteem, your own importance and magnitude.

Frustrated, irritable, nervous

Lack of concentration, instability of attention.

The need for sleep decreases.

Decreased appetite

The content of the conversation increases, the speed of the conversation is very fast, the content of the story changes frequently.

Feeling of quickening thinking, "flight of thinking" and "leap of ideas".

Increased social activities and attraction to entertainment.

The tendency to take risks, reduce social obligations, critical thinking.

Concentrator behavior, often alcohol, drugs, important and wasted money, casual sexual relations, dangerous driving.

Fooling around, excessive guilt.

Sleep disorder: insomnia or dreams increase.

Appetite changes from normal (decrease or increase).

I feel like I'm doing a lot of pointless communication, I don't want to get into conversation.

Suppression of mental movement or agitation (excitation).

Interest in all activities has decreased, and even classes that were joyful (in normal situations in normal situations) will not be able to feel joy (Angdonia).

I can't handle the helplessness, the simple everyday life, and I'm not motivated.

Frequent alcohol, drug abuse.

Hypanic: difference in mania and cause of treatment

Hypomica is a mild form of mania. Nowadays, people often don't think they are sick, and on the contrary, they tend to think that health, function, and performance are improving. On the other hand, the hypomic state can also cause negative outcomes such as an outflow of money, clashes with colleagues, and intimate and casual sexual relationships.

The main problem at present is that if proper treatment is not provided for hypomia, it will turn into detailed manic episodes or into deep, long-term depression.

At first glance, the hypomic state seems harmless, but in fact it often develops into severe mania or is replaced by deep depression.

Frequency to change stages

In classic bipolar progression, if the patient is fully restored between phase and phase, separation will be broken. It can be used indefinitely, for example, several years, several decades. However, the phase can be changed without returning to the standard on the way (continuous progress), sometimes the opposite phase occurs after some phase at one pole.

There is individual variation in the frequency of changes and may be replaced every few years, months or weekly. Increasing posture formation, fast circulation flow type (4 times per year or more per year), ultra-high circulation circulation flow type (emotional phase more than four times per month) is disadvantageous.

Causes of bipolar disorder and hazards

Despite many studies, the properties of the bad are not well understood. Many researchers have a general acceptance that the universal cause of bipolar disorder is not one. Bad is a multifunctional disease and its onset affects:

✔ Genetic factors (genetic priority), their roles are quite high.

✔ Changes in the structure of the brain, the exchange of mediators, the interaction of the nervous network between individual areas of the brain.

Environmental factors such as physical or psychological trauma, stress, and major life changes (biological psychological disease model).

Type I develops poorly almost the same frequency between women and men, mostly for the first time in adolescents to early adulthood, while in me it is more common in women, and the age of onset is slow (25 to 35 years). This characteristic often develops after pregnancy or after childbirth. Symptoms may occur during childhood or old age.

What is dangerous for bipolar disorder?

The risk of suicide in bipolar disorder is very high and is said to be 20-30 times higher than the general group.

Bipolar disorder has a negative impact not only on direct parties, but also on the quality of their relatives and friends. Socially unacceptable behavior, problematic behavior, alcohol and drug abuse, and an increased risk of other mental and physical illnesses are just some of those that have a negative impact on a bipolar disorder's life.

Bipolar disorder is a very high risk of suicide. The completion rate of suicide in bipolar disorder is 20% over the lifetime, which is much higher than recurrent depression, 20-30 times the population average.

How to diagnose the bar? What research do you need to do?

The diagnosis of bipolar disorder is very difficult. Until now, there is no examination method with a sufficiently reliable device and tools such as MRI, CT, EEG and analysis, excluding organic causes of disability, examination of other organs and prescriptions for specific drugs. It is only used for contraindicated identification.

Diagnosis based on.

✔ Investigate symptoms.

✔ Thorough clinical assessment.

If necessary, use a psychological measurement scale (psychological diagnostic test).

At that time, it is often necessary to study not only the contraction of the patient's disease, but also in detail with the progress of the disease, genetic primary factors and reactions (if prescribed). 。

In many cases, an accurate diagnosis is only possible through mechanical and regular monitoring of patients.

A particular problem in diagnosing bipolar disorder is the highly variable nature of the symptoms and course of the disease. Barr's symptoms very often share many similarities with other psychiatric disorders such as recurrent depression, schizophrenia and schizophrenia-prone disorders, personality disorders, and substance abuse (PAV). It can also coexist with other mental illnesses. For example, anxiety disorder, eating disorders, attention syndrome and attention hyperactive syndrome. Patients with bars are more susceptible to substance abuse, social and work violence, and are often at increased risk for physical illnesses such as migraines, heart disease, and diabetes.

In particular, when distinguishing type I with psychotic symptoms from schizophrenia and bar type II with recurrent depressive disorder, misdiagnosis is very common, with an incidence of over 40%.

Therefore, it often takes 8 to 10 years before a correct diagnosis is made. During this time, a person usually visits many doctors of different specialties. Incorrect diagnosis and incorrect treatment of the patient with a rod usually leads to a significant deterioration in the state of health.

It is important to refer the diagnosis to a psychiatrist who specializes in the diagnosis and treatment of bipolar disorder, as this greatly reduces the likelihood of misdiagnosis and inappropriate treatment.

If bipolar disorder is suspected, it is important to refer the person to a bipolar psychiatrist who has specialized knowledge, drugs, techniques, and protocols for treating bipolar disorder.

Diagnosis of Barr's disease is often difficult even for experienced professionals, especially in the absence of objective information from relatives or romantic partners, in the presence of mental disorders, psychotic symptoms, and substance abuse. An integrative approach to diagnosis and treatment, regular contact with a doctor, constant monitoring, including during intertitis, as well as the possibility of observation and a second opinion can significantly reduce the frequency of errors in diagnosis and increase the effectiveness of treatment. .

Accurate diagnosis and the choice of the right treatment method significantly improve the patient's ability to cope with symptoms and significantly affect the quality of life in general.

Bipolar disorder is a mental illness. It was first classified as an independent pathology in 1896, at the end of the 19th century.

What is bipolar disorder?

The simple answer to bipolar disorder is sudden spontaneous mood swings. He had previously been diagnosed with manic-depressive psychosis. This is now called bipolar affective disorder (Barr).

Feeling better or worse can happen to normal people. However, for people with bipolar disorder, the duration is different. Since patients cannot control their emotions, they cannot "get out" of depression on their own without professional help. At the same time, the disease also significantly reduces the quality of life. You can lose your job, lose friends, destroy family relationships. People around do not understand the patient's changes and consider him a negation of the person's character.

The first symptoms of the disease can appear at any age. However, it is more common in people between the ages of 25 and 45 and less common in older people, especially women in the menopausal stage.

Causes of bipolar disorder

Doctors distinguish the following causes of mental illness:

There is a genetic predisposition. It is more likely that a relative has a disease. But this factor can manifest itself only under the influence of adverse environmental conditions.
Physical exhaustion, mental stress Causes of this type include the process of divorce, a serious illness or death of a loved one, a difficult financial situation, problems in school or at work, etc., which greatly affect the emotional background of a person, including any stressful situations. .
Hormonal imbalance. Therefore, the risk group mainly includes women during pregnancy, after childbirth, in menopause, etc.
Features of depot character The diagnosis of bipolar disorder is most often made in people with depression. Characterized by a strong sense of responsibility and a desire for order, this desire often causes stress.
Biological factors Associated with brain damage due to various injuries, including stroke and viral infections.
Alcoholism, use of psychotropic drugs.

Classification by type of polarity

Bipolar disorder is characterized by alternating episodes of mania and depression. Between them there is a period of stability, during which the patient's emotions become calmer. This "enlightenment" can occur over a fairly long period of time, from 3 to 10 years.

Bipolar affective disorder is divided into several types depending on their duration and the correct sequence of phases.

Correction type. Diseases flow in the right order. After the past phase, a period of opposite moods begins. So mania becomes depression and depression becomes mania.
This is the wrong person. With this course of bipolar disorder, the chronology is disturbed. Mania is again replaced by a surge of emotions, and depression is replaced by a depressed sad state.
monopolar type. Cophasic manifestations are characteristic. The symptoms and signs of this bipolar disorder are more common in women. The difference from the wrong one is the complete absence of the second step. The patient is characterized by alternating periods of depression and interruptions, or only mania.
bipolar type. Classic two-phase alternation with a plateau in between. This symptom of bipolar disorder is most common in men.

Bipolar personality disorder is also classified according to the severity of the psychosis.

Phases of bipolar disorder

The phase period is determined individually in each case. It could be several months or several years. However, doctors can identify general trends that are common to all patients. Over time, the period of depression increases to about three times that of the manic phase.

Manic period

Bipolar mental illness seems to be the most manic period. There are several stages of development.

Hypomania This stage is characterized by growing excitement and emotion. The patient realizes that he has become surprisingly strong. He is always creative, actively communicates with people and is ready to work hard. However, attention in this state is extremely unstable. I can't focus on one job and always change my job one by one. Everything remains incomplete.
Mania. The above features are gaining more distinct severity. There is added a strong negative emotional negative defeat. People become aggressive, frustrated, hot and furious.
Peak phase. At this stage, all signs of the peak. Patients are always nervous and cannot relax. All emotions "heat up" to the limit, movement coordination is lost, and thinking becomes irrational and unusual. Some people can't finish any sentence at the end and always jump from one sentence to the next.
Symptoms are getting better. Patients gradually relax. Exercise frustration is reduced. Thinking speed and emotional mood do not change.
Return to normal. Symptoms and signs of bipolar disorder of bipolar disorder gradually become zero, and the patient returns to normal.

Symptoms and signs of the manic period of bipolar disorder.

Mood inspiration, happy feeling.
Physical activity
Course of acceleration of mental process.
Self-esteem increases.
Excessive sociability.
It tends to be an extreme hobby.
Spent too much money.

The bipolar period in the manic period is expressed in great energy. People feel psychic and imagine they are superheroes. He is attracted by the completion of a great work, unreasonable danger. Such patients are also characterized by gambling. A person who spends a lot of money unreasonably. He can "lower" all the accumulated funds in the evening.

A rising mood is often associated with the emergence of aggression and anger. People do actions and behaviors that are not appropriate for the current situation. Sometimes they laugh at funerals, or they keep crying at weddings.

Exercises are expressed by restlessness and calmness. Patients cannot stay in one place for a long time. Speeding up the mental process in the manic stage means unproductive thinking. The patient's conclusions are all superficial. People have a lot of ideas in their heads, but none of them have a logical conclusion.

At this time, the "winning" cognitive function is only for memory. In the case of bipolar mania, a large amount of information can be easily remembered.

If you notice an unpleasant sign of your relatives' actions, please contact the balance center. For inquiries by phone, please contact +7 (499) 495-45-03.

Bipolar Depression

The clinical presentation of depression in bipolar disorder is similar to that of classic depression, but lasts longer. If you visit this stage many times, each time will be longer. Depression can last for several years. These symptoms cannot be managed on your own, so you need the help of specialists.

The telephone number of the Ikui Librium clinic is always +7 (499) 495-45-03. Experts advise and suggest what to do to "liberate" loved ones from depression.

Symptoms of bipolar depression.

Bipolar depression usually starts in the morning and improves in the late afternoon. You lose your appetite, interfere with your sleep, lose your motivation, and narrow down your interests and socializing. He does not want to get involved with friends or relatives, gives up all his work and hobbies, does not go to the company and does not go to class.

Most people spend the whole day in bed. He has too much time to think. Begin to understand all the actions you have taken since the manic period. Introspection is inspired by you, creating guilt for what you have done.

All the internal problems that the patient has worsened have worsened. I am very concerned about the complex appearance, low self-esteem and a serious economic situation. Get to know your longing, worthlessness and lack of value.

Decreased appetite and insomnia lead to weight loss. Many women suffer from menstrual periods and nervous fatigue. In addition to depression, symptoms of bipolar emotional disorder can be seen, such as annihilation and detection. The line between your ego and the outside world becomes ambiguous. They experience an "interruption" in real perception.

A familiar place is new.
The ambient color scheme changes. Patients look at everything in different colors.
The sound becomes smaller. Even if you are talking nearby, I feel that people can hear voices from far away.
The patient always experiences the feeling of looking and "sees" the same scene of his life many times.

Depression contributes to the obsession with mental disorders. Some people think that this is an incurable disease and no one will help. Depression, emotional fatigue and remorse can cause suicide. In such a situation, it is very important to always take care of patients.

What should I do if my relatives have signs of bipolar disorder? In any case, do not make your own diagnosis and prescribe a remedy. This is something you can do without an experienced doctor. At the Ikui Librium Mental Health Center, competent psychiatrists. Experts will give you advice and tell you what to do and what measures you should take.

If your loved ones have suicide, you need to worry. For inquiries by phone, please contact +7 (499) 495-45-03. A specialist will visit your home, consult and consult, and make suggestions necessary for future treatment. If necessary, we will support transport to the clinic. We will prepare a comfortable live environment and observe your relatives in a 24 hour system. The medical staff always covers the medication, food intake and water intake of the patient, and the doctor analyzes the impact of the chosen course of treatment and adjusts them in a timely manner.

Provides services under strict anonymity. All information about the patient and his medical history remains in our wall.

Consequences of bipolar disorder

Bipolar disorder has a negative impact on a person's social status. People around you do not understand the goals and behavior of the patient and unnecessarily attack or get angry. The family often collapses due to illness.

When you get depressed, people are locked at home. A patient who caused social divisions and lost contact with society. If you are absent for a legitimate reason, you will be fired and released by educational institutions.

Diagnosis

Many of the symptoms and signs of bipolar disorder are similar to other mental illnesses such as schizophrenia, neurosis, and mental illness. In addition to mood disorders and behavioral disorders, changes in cognitive areas are often observed. For this reason, the diagnosis of the disease is accompanied by a certain number of difficulties. To make an accurate diagnosis, it is necessary to observe the patient for a long time. This will be judgment material.

Characteristic symptoms of this disease
Severity, expression characteristics.
Rod type, phase difference time.

To clarify the diagnosis and distinguish it from others, the doctor uses an additional method in the form of a test.

BSD bipolar personality disorder.
TONG TES T-JEDEGH depression.
The Altoma n-It scale helps to distinguish between ordinary depression and mental illness.
Cyclotomy test.

Physicians diagnose and select individual treatment policies based only on the results of all tests and interviews.

The Ikui Librium Clinic allows you to diagnose mental illnesses. Our doctors will have a modern method of research, identify the problem and help them find effective means to solve them.

Treatment

The treatment of bipolar disorder is a complex treatment of pharmacotherapy and psychotherapy. Doctors choose an individual medication and use based on sex, age, and symptoms. This will be prescribed to the patient.

Attip antipsychiatric drug t-affects the symptoms of mania and depression.
Make your mood and tension stabilize
Anti-range agent t-Improve mood.
Normochemist (normal): usually used in the early stages of the disease.
Sleeping pills ... to normalize sleep.

During pharmacotherapy, doctors carefully observe the effects of the drug and understand the patient's condition. For example, taking antipsychotics can significantly reduce weight and develop diabetes. For this reason, we regularly monitor physical abilities to avoid complications and side effects.

After removing the main symptoms of bipolar disorder, the doctor completes the course of psychotherapy. Individual guidance is provided to the patient.

Recognize mood changes, detect their precursors and block attacks.
Suppress the expression of violent emotions.
Turn negative thoughts into positive thoughts.
restore interpersonal skills

The support of family and friends is important. Family therapy cycles are offered to the patient's relatives. Working with a psychiatrist can help you understand what bipolar disorder means and how it manifests. Knowing basic information about the behavior of people with this mental illness, we can better understand the causes of our patients' aggressive outbursts, anticipate upcoming mood changes, and help our patients in time.

Clinic Equilibrium offers both inpatient and outpatient treatment. After discharge, the patient's relatives must ensure that the patient visits medical procedures and psychological trainings every day, as well as monitor the implementation of all doctor's recommendations.

The right choice of treatment can lead to a stable remission and save the patient from painful symptoms of disability.

Learn more

Bipolar biological causes

Bipolar Disorder Causes & Risk Factors

In this Article

The Brain and Bipolar Disorder

Is Bipolar Disorder Genetic?

What Role Does Environment and Lifestyle Play in Bipolar Disorder?

Can Lack of Sleep Worsen the Symptoms of Bipolar Disorder?

Bipolar Disorder Guide

Causes of Bipolar Disorder: Genes, Biology, and Experience

The role of mitochondria

Brain structure and gray matter

Bipolar personality disorder causes symptoms and treatment

Bipolar Personality Disorder - Overview

Symptoms and signs

Types of bipolar disorder

Phases of bipolar disorder

Bipolar disorder in women

Treatment of bipolar personality disorder

What are the symptoms of bipolar disorder? How does the disease manifest itself?

What are the causes of bipolar disorder?

How is bipolar disorder treated? Am I going to be in a mental hospital?

Bipolar Affective Disorder (BAD) Treatment Guide

Is it possible to completely remove the symptoms, to be cured?

Is it possible to remove a bad mood (depression) and leave only a good one (hypomania)?

How will bipolar disorder affect my life?

Is it possible to have children while taking pharmacotherapy?

Will children inherit bipolar disorder?

How to explain to relatives what is going on?

Where can I go for advice and assistance?

Remember Bipolar Disorder

Causes of manic-depressive syndrome

Symptoms of manic-depressive psychosis

Phases of the disease

Elevated mood, which may be completely inappropriate in certain situations.

motivational excitement

Overexpression.

Treatment of manic-depressive psychosis

slow thinking.

People always blame themselves.

TIR treatment in our clinic

Bipolar personality disorder symptoms in women

Bipolar disorder: symptoms and features of the disease

Signs of a manic phase.

Signs of the phase of depression

Causes of bipolar disorder

How to help someone with bipolar disorder

Treatment of bipolar disorder at the KORSAKOV clinic

What is bipolar disorder

Types of bipolar disorder

Diagnosis of bipolar disorder

Therapy for Bipolar Disorder

Symptoms and signs of bipolar disorder

Symptoms of each phase of bipolar disorder.

Hypanic: difference in mania and cause of treatment

Frequency to change stages

Causes of bipolar disorder and hazards

What is dangerous for bipolar disorder?

How to diagnose the bar? What research do you need to do?

Causes of bipolar disorder

Classification by type of polarity

Phases of bipolar disorder

Manic period

Bipolar Depression

Consequences of bipolar disorder

Diagnosis

Treatment