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Bipolar disorder relapse symptoms


SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

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    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

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Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator

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Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Bipolar disorder - causes and signs, diagnosis and treatment

Bipolar disorder is a psychopathological disease that manifests itself with sudden changes in mood, alternating episodes of mania and depression. Relapses last weeks and months. Manic-depressive psychosis, as the disease was previously called, if left untreated, can destroy a career, family relationships, and in especially severe cases, lead to suicide.

The pathological condition occurs with the same frequency in both sexes, the peak falls on the most active age of 15-25 years. Episodes respond well to medication and psychotherapy.

Bipolar personality disorder: symptoms and signs

Mental illness occurs with the change of 2 affective states - depression and mania, which in many manifestations are opposite to each other. The clinical picture depends on the phase of the course:

Phase Stages Symptoms Phase highlights
Manic 5 stages Hypomanic Increased emotional mood Emotional instability
Sleep problems
Vigor physical and psychological
Severe mania Non-stop jokes Aggressive-irritable mood or euphoric mood
Outbursts of anger
Sleep duration 4 hours
Lots of nonsense ideas
Manic frenzy Unintelligible speech Sleep disorders - reduced need and duration
Lots of jerky movements
Motor calming Physical and mental activity is reduced
Reactive Return to normal
Depression proceeds in 4 stages Initial Depression, bad mood Oppressed, depressed mood
In the evening the condition improves
Sleep disorders
Growing depression Increased anxiety Decreased or absent appetite
Deterioration of mood
Decreased appetite, performance
Insomnia
Severe depression Severe anxiety Thoughts about the meaninglessness of life, feeling of uselessness
Suicidal thoughts
Immobility
Reactive Symptoms improve and go away

Causes of bipolar disorder

The disease affects 1. 5 to 2.4% of the population. Scientists consider the connection of the disease with such provoking factors:

  • genetic predisposition;
  • head injuries;
  • hormonal imbalance;
  • traumatic life events - severe stress, loss.

Motivation for treatment

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Diagnosis of bipolar disorder

Modern flexible diagnostics at the Profi-Detox clinic is the first decisive step towards complete recovery. With any treatment, specialists begin with a careful thoughtful study of the symptomatic picture, a careful questioning of the patient, and, if necessary, his relatives.

At this stage, the ability of professionals to ask the right questions and make decisions about the choice of tactics is indispensable. For such cases, experienced doctors work in the clinic: a psychiatrist, a neuropathologist, a psychologist, an endocrinologist, a therapist.

To rule out organic pathology, the clinic conducts:

  • laboratory tests;
  • instrumental diagnostics;
  • diagnostic imaging.

Free consultation

+38 (067) 126 04 04

How is bipolar disorder treated?

Patients with bipolar disorder require mandatory medical attention. Since in its absence, an attack of mania or depression can drag on for up to a year or more. In "Profi-Detox" preference is given to proven, modern methods.

The combination of drug therapy with psychotherapeutic and physiological effects is the most effective. Fortunately, bipolar disorder responds well to treatment, and patients return to a productive life within 1-3 months.

In our clinic, the doctor works with the patient individually and chooses specific regimens, timing of medication and dosage. As a rule, the course may include:

  • mood stabilizers;
  • antidepressants;
  • antipsychotics;
  • anticonvulsants.

Patient transfer

We arrive at the address within 45 - 60 minutes.

Free consultation

Call with any question.

Guaranteed anonymity

No one will know that you are in treatment.

Cognitive Behavioral Therapy is an integral part of the treatment of bipolar disorder, aimed at regulating mood and eliminating pathological changes. During classes, patients develop the ability to positive thinking, learn to control negative thoughts.

Interpersonal Therapy - Therapist teaches how to relieve stress and avoid relapse. This improves the thinking and behavioral reactions of the patient, he begins to painlessly respond to various unpleasant situations.

Family therapy involves relatives who learn to understand the disease and help the sick person. The main task is to reduce the stress load in various domestic situations.

In our clinic, patients with bipolar disorder receive professional treatment and return to a happy and fulfilling life.

Treatment of bipolar affective disorder in St. Petersburg

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  • Bipolar disorder treatment

Usually the symptoms of bipolar disorder are attributed to personality traits or mood swings, which are logically explained. And, as a rule, even close relatives may not suspect that a person suffers from one of the most common mental disorders.

Bipolar affective disorder is difficult to diagnose at an early stage of the disease. Therefore, we recommend that the patient himself or his relatives begin to keep a diary, recording daily the features of the psycho-emotional state and key events that affect the occurrence of depressive and / or manic episodes. Such a diary will help the doctor determine the type of disease and prescribe the necessary treatment for bipolar disorder, and in the future to monitor the dynamics of the state of health.

Bipolar affective disorder is treated as an outpatient or inpatient clinic. At the peak of a depressive episode, when there is a risk of suicide, as well as to reduce the timing of the selection of pharmacotherapy, treatment of bipolar disorder should be carried out in a hospital. Bipolar personality disorder, left untreated, can progress and cause a deterioration in quality of life. Over a long distance, the disease inevitably leads to family conflicts, alcoholism or drug addiction, social degradation and, ultimately, suicide.

With the right treatment for bipolar disorder, you can stabilize your psycho-emotional state and eventually achieve remission. Usually, it takes 15 to 20 days of hospital treatment to stabilize the psycho-emotional state. Achieving remission is possible subject to compliance with the prescribed drugs, with periodic outpatient visits to the attending physician to correct therapy.

Doctor's consultation on the treatment of bipolar disorder:

+7 (812) 407-18-00

Thank you for your trust!

  • Post-discharge management
  • Psychotherapy for couples and families
  • Psychosocial personality correction

Service Price
Outpatient treatment
Psychiatric consultation 5 000 ₽
Psychotherapist appointment 5 000 ₽
Reception of the chief physician Bocharov A. V. (Associate Professor, Ph.D.) 6 000 ₽
Psychiatric consultation at home 6 000 ₽
Treatment in a hospital
Delivery to hospital Is free
Standard Chamber 8 900 ₽
3-bed superior room 12 000 ₽
2-bed superior room 15 000 ₽
1 local VIP room 19 500 ₽
Doctor's appointment 2 weeks after discharge Is free

Causes of bipolar disorder

The main causes of bipolar affective disorder include genetic predisposition, disturbances in the metabolism of neurotransmitters and changes in nerve cells, and severe stress. In other words, the disease can occur in any person, regardless of age, gender and social status.

Genetic causes

Genetic causes of bipolar affective disorder are a risk factor for the development of the disease. It should be emphasized that the disease itself is not inherited. However, inherited features of the regulation of neurotransmitters in the brain increase the risk of developing bipolar disorder in close relatives (for example, siblings) by 4–7 times.

Metabolic disorders in the brain

Another cause of bipolar disorder may be a metabolic disorder in the brain. An abnormal increase and decrease in the concentration of biologically active chemical compounds (mainly dopamine, serotonin and norepinephrine), which transmit nerve signals, is the cause of the manic and depressive phases.

Severe stress and the “biological defect” model

The psyche of each person has an individual threshold for resistance to stress. And the word "stress" does not necessarily mean difficult life situations - be it a dismissal, financial problems, family conflicts, divorce, or the death of a loved one. Stress factors can be an upcoming birthday, puberty, marriage or the birth of a child.

Fig. Zubin and Spring's stress-vulnerability model.
a) Low vulnerability, BD can only develop under severe stress.
b) High vulnerability, BAD develops even under low intensity stress.
c) Individual vulnerability, corresponds to the intensity of stress.

Symptoms of bipolar disorder

Treatment of bipolar disorder in our clinic

Typically treatment of bipolar disorder is carried out in the hospital of the clinic. The conditions of the hospital allow to reduce the duration of treatment - to conduct an examination, quickly normalize the patient's psycho-emotional state, select drugs and their minimum effective dosage, conduct dynamic monitoring and adjust pharmacotherapy.

Examination

On the day of hospitalization, the patient undergoes an examination, which includes:

  • psychodiagnostics;
  • consultation of a therapist;
  • consultation with a neurologist;
  • laboratory tests;
  • EEG.

Lab tests include blood tests for hormonal status (generally, thyroid problems are found in people with bipolar disorder). Pathology of the thyroid gland directly affects mood swings, therefore, when treating bipolar disorder, it is important for a doctor to know the patient's hormonal background, for example: to prescribe drugs that normalize the thyroid gland, or to exclude lithium, which inhibits its work.

Drug treatment

Based on the results obtained, the doctor will prescribe a treatment for bipolar disorder - he will select drugs that relieve autonomic symptoms and normalize the psycho-emotional state (normotimics, antidepressants). Usually, the first signs of improvement in mental health are observed on the fifth day after the start of drug treatment for bipolar disorder. However, the final correction of psychopharmacotherapy can take up to 10 days.

Psychotherapeutic assistance

After stabilization of the psycho-emotional state, the patient begins attending group psychotherapy sessions. Group sessions with psychotherapists and psychologists of our clinic are held daily. Under the guidance of experienced facilitators, the patient will have the opportunity to work through their experiences and fears, get rid of pathological patterns, and receive professional help from psychologists and psychotherapists with clinical experience.

Post-discharge management

Discharge is usually done after remission, 14-21 days treatment for bipolar disorder . Then the patient continues to take the prescribed drugs and visit the attending physician once every 1-3 months for 1 year. Subject to the achievement of stable remission, after 1 year, in some cases, it is possible to completely abandon the drug treatment of bipolar disorder.

Treatment of bipolar disorder in St. Petersburg is carried out at: st. Marata, 78. We take on complex cases, including the treatment of adolescent patients and patients with drug resistance.

Treatment of bipolar comorbidities

Psychotherapeutic treatment of bipolar disorder

Psychotherapeutic treatment of bipolar affective disorder, as an adjunct to pharmacotherapy, allows a faster deep remission. Such treatment begins already in the hospital and can be continued after discharge. The number of sessions, their frequency and the form of psychotherapy (individual, family or hypnotherapy) you can choose together with the doctor.

In addition to individual psychotherapy sessions that correct the patient's personality, family consultations are possible. At family therapy sessions, relatives can better understand the nature of the disease and learn the right behavior that contributes to a speedy recovery. In addition, studies show that psychotherapeutic care reduces the number of hospitalizations for relapses.

Cognitive Behavioral Therapy

Cognitive Behavioral Therapy corrects the pathological patterns of behavior and thinking that occur in patients with bipolar affective disorder. In addition, during psychotherapy sessions, the patient will be able to learn to recognize relapses of the disease, cope with them on their own or seek help in time, preventing a full-blown episode.

Family Therapy

If bipolar disorder has caused a deterioration in relationships with those closest to you, we recommend that you seek the help of a family therapist. The doctor will help relatives understand the features of the disease, resolve interpersonal conflicts and restore harmony in the family.

Individual sessions of psychotherapy help overcome mood swings during the formation of stable remission. By learning to control the psycho-emotional state, as well as working through pathological patterns, it becomes easier for the patient to cope with exacerbations of the condition, which may occur for some time after undergoing treatment in the hospital.

Consequences of not getting help

To describe what bipolar disorder is in simple terms, it is necessary to understand the specifics of the condition in which people with this disease find themselves. Living with bipolar affective disorder is not easy. People learn to live with bipolar disorder over the years, experiencing rapid ups and downs in both career and family life. Imagine that you are walking on a zebra - now you are full of strength and enthusiasm, and the next minute you stop in a stupor and everything falls out of your hands: life loses its meaning, achievements no longer seem so significant, you want to escape from everyday life, hide from your eyes relatives, change their place of residence and work.

Add to this state of misunderstanding on the part of relatives and friends, who begin to consider you frivolous and incapable of finishing what you started to the end. At some point, you quarrel with relatives and, it would seem, nothing keeps you in this familiar and gray life. You can stay in this state for months, and then everything starts all over again. You are full of strength and enthusiasm - set yourself bold tasks, hardly sleep, call friends and want to hug strangers (just like that, because you are full of boundless love).

However, few "lucky ones" with bipolar disorder manage to experience a depressive episode on their own from year to year. Moreover, the depressive state distorts reality no less than the euphoria of the manic stage. It can take years or decades to learn how to "live" with bipolar disorder. But many do not succeed in doing this - and the lives of these people cannot be envied. Unfortunately, some of them are socially degraded or commit suicide.

Bipolar disorder in women

If you do not seek help in time, bipolar disorder in women can lead to family conflicts, divorce, promiscuity, and the development of borderline mental disorders. To a lesser extent, women with bipolar disorder are prone to alcoholism and drug addiction, although this scenario cannot be completely excluded.

Bipolar disorder in men

The development of bipolar disorder in men causes deterioration of relationships at work (possibly dismissal), family quarrels, seeking relationships on the side, addiction to alcohol and / or gambling (gambling, Internet surfing). Ultimately, domestic violence is not ruled out against the backdrop of a depressive episode.

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