Maniacal depressive psychosis

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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.

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Last Updated: 08/30/2022

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Bipolar Affective Disorder (Manic-Depressive Psychosis): Causes, Symptoms, Treatment

Bipolar Affective Disorder - a violation of the mental status of a person, accompanied by a change in periods of mania, depression and intermission. This condition was previously called manic-depressive psychosis .

Mania is a special mental state in which a person resides, characterized by high spirits, a feeling of superiority over others, a sense of emancipation, reduced need for rest, etc., lasting at least a week. nine0007

Depression is a period of mental depression accompanied by sadness, depression, sleep disturbance, irritability, suicidal thoughts, etc.

Intermission (interphase) is called the “light” period in the mental state of a patient with bipolar affective disorder, in which his consciousness and activity are completely restored. It is worth noting that the alternation of mania and depression can occur without periods of intermission.


Here you can choose a doctor who specializes in the treatment of Bipolar affective disorder (Manic-depressive psychosis) If you are not sure about the diagnosis, make an appointment with a general practitioner or general practitioner to clarify the diagnosis. nine0007

Articles on the topic of bipolar affective disorder (manic-depressive psychosis):




What is the doctor who treats the bippular affect (maneuvering)


Face-to-face consultations (including at home), remote consultations (video, audio, text) — Phone, Skype, Viber, WhatsApp, Messenger, Telegram, Instagram, Facebook. Specialization: depression, anxiety, fear, panic attacks, insomnia, irritability, VSD, bipolar disorder, schizophrenia, senile dementia, obsessive-compulsive disorder, neurosis, psychosis, alcoholism, drug addiction (see below for a complete list). Leading specialist of the Center for Psychotherapy. Work experience as the head of the department in the clinical hospital "Feofaniya". Doctor of the highest category. Psychotherapist, psychiatrist, psychologist, narcologist. Experience 29years old..

  • Appointment prepayment
  • Face-to-face, video consultations: 30 minutes. — 2750 UAH, 45 min. — 3600 UAH, 60 min. — 4450 UAH..
  • On-site consultation from - 10 000 UAH.
  • The recommended duration of the initial consultation is at least 60 minutes.
  • Please bring with you the results of psychological tests sent to you the day before by our administrator; desirable (but not required) - a description (!!!) of an electrocardiogram (ECG) and a complete blood count not older than 1 year, especially for people over 45 years old. nine0007


    Irina Nikolaevna psychiatrist of the highest category with over 20 years of experience. Specializes in the treatment of mood disorders, depression, anxiety and panic disorders, obsessive-compulsive disorders, dementia, schizophrenia and others. 07 Jan Sun 08 Jan keyboard_arrow_right

    info_outline No slots available for recording


    Engaged in effective treatment of disability, depression, chronic fatigue syndrome, fears, anxiety, apathy and lethargy, sleep disorders, schizophrenia, mental disorders in the elderly and senile age . Therapeutic and preventive work among patients of psychiatric, narcological profiles. initial examination of the patient, the establishment of a preliminary diagnosis, the appointment of treatment, with further selection of supportive treatment. Also, conducts reception in English

    Multidisciplinary complex of psychiatry and narcology "Renaissance-Kyiv"

    Online consultation (Viber, Whatsapp, Telegram, Skype, ZOOM) Consultation 30 min. - 1100 UAH 45 min. -1400 UAH 60 min. - 1700 UAH Package "Premium" (Psychodiagnostics, Testing, Individual psychotherapy, Treatment prescription, Support during treatment) - 3400 UAH. Coding from alcoholism — 4900 UAH. Consultation in English 45 min.—3000 UAH. Field consultation - 3500 UAH.

    st. Ozernaya, 3 on the map

    Darnitskiy. Slavutich

    1400 UAH

    Calling to the house

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    View all doctors Psychiatrists


    There are a number of causes that cause bipolar affective disorder. In the first place here can be attributed heredity. This is because the likelihood of getting sick is higher if other family members have the disease. Another important reason is autointoxication. In this case, there is a violation of the endocrine balance and water-electrolyte metabolism. Stressful situations can burden depression, but they are not the cause of this disease. Alcohol and drug abuse are also causes of this disorder. Also, the individual characteristics of each person, brain injuries and his diseases occupy a significant place among the causes. nine0007


    Symptoms of bipolar affective disorder can appear in a person at any age. They differ from each other in each of the phases of the disease. During the manic phase, five stages are distinguished, namely:

    • hypomanic stage. A person has an increased emotional state. During this period, a person is characterized by both physical and psychological vigor. Sleep duration begins to decrease.
    • the next stage is the stage of severe mania. Patients constantly joke about something. But in between, there are short flashes of sudden anger. A person's self-esteem rises sharply, many meaningless ideas arise. The duration of sleep continues to decrease, and in this phase it is approximately 4 hours a day; nine0042
    • The maximum expression of symptoms occurs at the stage of manic frenzy. The patient's movements are abrupt. His speech becomes incomprehensible and quite often can consist of phrases or even just words;
    • the intensity of the previous symptoms begins to decrease at the next stage - the stage of motor sedation. This is especially true of motor excitation.

    In the last, reactive stage, the symptoms of mania return to normal.

    In turn, the depressive phase covers 4 stages:

    • At the initial stage, the patient complains of poor sleep. The person becomes depressed, the mood decreases. Although by the evening the patient's condition may improve;
    • the stage of increasing depression is characterized by the fact that a person's working capacity decreases. The mood worsens and there is a certain anxiety. The patient begins to speak quietly and slowly. Subsequently, insomnia begins, appetite disappears sharply;
    • in the next stage, the symptoms are most aggravated. This stage is called the stage of severe depression. The patient is constantly accompanied by a feeling of incomprehensible anxiety and sadness. Speech becomes very quiet and slow. People can sit or lie down for a long time without changing their posture. Very often, suicidal thoughts and actions begin to appear. The patient is haunted by thoughts about the meaninglessness of being, pushing him to commit suicide; nine0042
    • in the reactive stage, all symptoms gradually decrease. The person becomes more active.

    There are also two main phases, manic and depressive.

    The manic phase covers the following range of symptoms:

    • euphoric or aggressively irritable mood;
    • reduced need for sleep, as well as its duration;
    • constant emotional instability;

    The depressive phase includes the following symptoms:

    • depression of mood;
    • loss of appetite or its complete absence;
    • the patient speaks very slowly and quietly;
    • feeling much worse in the morning. By evening, they gradually become normal.


    The diagnosis of bipolar affective disorder is that the patient is found to have repeated episodes of abrupt mood changes. The psychotherapist determines which of the periods, manic or depressive, the patient is experiencing at the moment, and in accordance with this prescribes treatment. Also check the level of motor activity. nine0007


    Currently, with the help of special medications in combination with psychotherapy, it is possible to effectively treat bipolar affective disorder. Psychotherapy is an integral part of the treatment, because it is during it that the doctor, communicating with the patient, can find out the causes of the disease. This will accordingly improve the patient's condition, set him up for positive thoughts and help solve a number of problems. A fairly common phenomenon now is the course of family psychotherapy. Relatives and friends of the patient begin to understand the disease better and help to overcome it faster. nine0007

    In addition to family therapy, there are several methods of psychotherapy that are widely used by doctors for this disease:

    • behavioral therapy, in which models are created to combat stress;
    • interpersonal therapy that relieves tension;
    • cognitive therapy helps reduce mood swings;
    • Social Rhythm Therapy allows the patient to normalize his daily routine.

    Also widely used in the treatment of drugs such as lithium carbonate and sodium valproate. Manic-depressive psychosis is recommended to be treated with drugs such as lithium salts, finlepsin and valproic acid preparations (depakine and convulex). nine0007

    You can find and book medicines on our website in the appropriate section.

    Bipolar disorder or manic-depressive psychosis

    The age group at risk for bipolar disorder is 20-30 years old.

    There are two groups of causes for the development of bipolar disorder - these are biological (usually hereditary) and psychosocial (for example, a disease that has become a consequence of severe stress). The biological basis of bipolar disorder lies in the hormonal realm. Thus, imbalance of the hormones of the hypothalamus, pituitary gland, adrenal glands, thyroid gland and other hormone-producing organs leads to the appearance of periods of excess dopamine and norepinephrine, and periods of their acute deficiency. As for the psychosocial causes of the development of bipolar disorder, they are associated with the weakness of the body's defenses, and excessive mental stress in a certain period of time. A traumatic event can lead to an exacerbation of the manic period, and the weakening of the protective potential of mania leads to depression. Subsequently, in order to protect themselves from an acute sense of their own worthlessness, the hormonal "pendulum" is triggered again, transferring the patient into a state of mania. nine0007

    Typically, bipolar disorder is associated with seasonality. So, the euphoric, manic period, which lasts from two weeks to six months, most often occurs in spring or summer.

    Depressive period, the duration of which is from four to nine months, and most often aggravated in the autumn period, as well as in winter. The rest of the year falls on remission, that is, the period when the disease does not manifest itself in any way, and the patient feels and looks healthy. In addition, mixed states may occur between episodes of mania and depression, including mild mania or hypomania. nine0007


    At the stage of depression, the following symptoms are distinguished:

  • constant feeling of tiredness,
  • slow speech, physical passivity, unwillingness to change even posture,
  • food refusal,
  • loss of interest in social contacts, professional and other activities (including hobbies), refusal to communicate even with family members or a significant weakening of interest in such contacts,
  • depressed mood, or constant anxiety.
  • At the stage of mania, the disease manifests itself as a different set of symptoms:

  • increased restlessness, impulsivity in speech and behavior,
  • speed speech,
  • increased self-confidence,
  • nine0041 feeling of euphoria (high mood) that lasts for a long time,
  • slight mood swings (from positive to negative),
  • occurrence of hallucinations or elements of perception removed from reality,
  • delusional mindset (unreal),
  • hallucinations and delusions often do not correspond to the mood of the patient in this phase (with a euphoric mood, hallucinations can be associated with the theme of melancholy and vice versa).
  • It should be noted that symptoms tend to progress over time.


    There are the following types of bipolar disorder - classic and "blurred". In the first case, both phases of the disease are clearly expressed, in the second, the symptom of the manic phase is less pronounced.


    Treatment primarily includes pharmacological therapy. In drug therapy, as a rule, antidepressants are used, sometimes antipsychotics, anticonvulsants and other drugs to eliminate the symptoms of the disease. The main task of therapy for bipolar disorder is to choose the optimal set of drugs for each phase in order to reduce their duration and reduce intensity, and prolong the state of remission. When the patient's condition is stabilized, psychotherapy is added to the treatment, which contributes to the formation of healthy behavior in the patient, effective ways to overcome stress. In addition, family therapy is carried out to teach the patient's family members to recognize the signs of an upcoming episode, manic or depressive, as well as the correct behavior during such an episode.

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