Manic depression

manic depression

Last Updated August 24th, 2019

What is manic depression/bipolar disorder?

Bipolar, which was formerly known as manic depression, is a serious mood disorder that is characterized by extreme mood swings, spells of mania (emotional highs) and melancholia (depression).

The mania spells are accompanied by euphoria, sleeplessness, hallucinations, psychosis, grandiose delusions, or paranoid rage. The depressive episodes, meanwhile, are accompanied by severe depression, loss of interest in doing any activity, low energy, and excessive sleepiness. These mood swings, which can happen multiple times a year or rarely, can have an adverse effect on a person’s life as they are unable to think properly.

Types

There are four types of bipolar disorder

Bipolar I disorder

This type is characterized by manic episodes that last at least a week. The person who has this type of bipolar may need hospitalization due to the manic symptoms being too severe. The depressive episode, meanwhile, last for at least two weeks. Episodes with both depression and manic symptoms at the same time may also happen.

Bipolar II disorder

Bipolar II is also accompanied by episodes of mania and depression. However, bipolar is characterized by more episodes of depression than mania. Also, the mania associated with bipolar II is less severe compared to bipolar I and is known as hypomania. A person with bipolar II will have at least one spell of mania in his/her lifetime.

Cyclothymic disorder

Cyclothymia (also known as cyclothymic disorder) is a mild form of bipolar and is characterized by short episodes of mild depression and hypomania.

Mixed bipolar disorder

This type is characterized by simultaneous symptoms of opposite mood polarities during manic or depressive episodes. A person with this type may have high energy, sleeplessness, and racing thoughts but at the same time he/she may also feel hopeless and suicidal.

Causes

The exact cause of bipolar is still unknown. However, it is believed that bipolar disorder may be caused by

  • Physical chances in the brain: Studies have shown that patients with bipolar disorder have physical changes in their brains.
  • Neurotransmitter imbalances: All mood disorders have been linked to neurotransmitter imbalances. This happens when the brain has too much or too little quantities of certain chemicals known as neurotransmitter, which are known to be responsible for mood regulation.
  • Hormonal imbalances: It is believed that hormonal imbalances may also cause bipolar disorders.
  • Environmental factors: Factors like abuse (sexual, physical, and mental), stress or a traumatic event may also cause bipolar disorders.
  • Genetics: Bipolar disorder is more prevalent in people who have a first-degree relative (sibling or parent) with this condition.

Symptoms

The symptoms vary depending on the type of bipolar a person has. Some of the symptoms include

Bipolar I

During a manic episode, a person with this type feels

  • Intense enthusiasm
  • Happiness
  • excitement
  • Anger
  • Restlessness
  • Irritability
  • Increased energy
  • Less need for sleep
  • Difficulty sleeping
  • Racing thoughts
  • Difficulty concentrating and making decisions
  • Reckless behavior
  • Increased interest in sex, alcohol, and drugs
  • High self-esteem

During the depressive episode, people feel

  • Extreme sadness
  • Hopelessness
  • Low energy and constant fatigue
  • Changes in sleeping patterns
  • Loss or gain in appetite
  • Poor concentration
  • Loss of interest in formerly enjoyable activities
  • Low self-esteem
  • Aches and pains that have no apparent physical cause
  • Suicidal behavior

Bipolar II

During a hypomanic episode, a person with this type feels

  • Increase in energy
  • Feeling agitated
  • Upbeat
  • Increased self-confidence
  • Decreased need to sleep
  • Racing thoughts
  • Talking too fast or talking much more than normal
  • A tendency towards reckless behavior, such as spending too much, drinking or using drugs
  • Impaired decision making

During the depressive episode, people feel

  • Sadness
  • Emptiness
  • Hopelessness
  • Loss of interest in activities
  • Inability to sleep or sleeping too much
  • Decreased energy
  • Feelings of worthlessness
  • Guilt
  • Trouble concentrating or focusing
  • Weight gain or weight loss
  • Suicidal thoughts or tendencies

Cyclothymia

During a hypomanic episode, a person with this type feels

  • An exaggerated feeling of happiness or well-being
  • Extreme optimism
  • Inflated self-esteem
  • Talking more than usual
  • Poor judgment
  • Risky behavior or unwise choices
  • Racing thoughts
  • Irritable or agitated behavior
  • Excessive physical activity
  • Increased drive to perform or achieve goals
  • Decreased need for sleep
  • Easily distracted
  • Inability to concentrate

During the depressive episode, people feel

  • Sadness
  • Hopelessness
  • Emptiness
  • Tearfulness
  • Irritability (especially in children and teenagers)
  • Loss of interest in activities
  • Changes in weight
  • Feelings of worthlessness or guilt
  • Sleep problems
  • Restlessness
  • Fatigue or feeling slowed down
  • Problems concentrating
  • Thinking of death or suicide

Mixed bipolar disorder

This type is characterized by the following symptoms

  • Mania with mixed features usually involves, over activity, high energy, racing thoughts, irritability or agitation.
  • Depression during episodes with mixed features involves worthlessness, sadness, guilt, loss of interest in activities, low energy, and thoughts of suicide.

Diagnosis

When diagnosing any bipolar disorder, other mental illnesses like schizoaffective disorder, schizophrenia, delusional disorder, or schizophreniform disorder have to be ruled out. As lab tests or imaging tests cannot be used, bipolar disorder has to diagnosed by analyzing symptoms, including their severity, length, and frequency.

Cyclothymic disorder

For at least two years, many periods of hypomanic and depressive symptoms (see above), but the symptoms do not meet the criteria for hypomanic or depressive episode.

During the two-year period, the symptoms (mood swings) have lasted for at least half the time and have never stopped for more than two months.

Treatment

Bipolar I

Bipolar I disorder is very treatable. Medication alone or a combination of talk therapy (psychotherapy) and medication are often used to manage the disorder over time. Each person is different and each treatment is individualized. Different people respond to treatment in different ways. People with bipolar disorder may need to try different medications and therapy before finding what works for them.

Medications

Mood stabilizers are the most commonly prescribed type of medication for bipolar disorder. Anticonvulsant medications are also sometimes used.

Psychotherapy

manic depressionIn psychotherapy, the individual can work with a psychiatrist or other mental health professional to work out problems, better understand the illness and rebuild relationships. A psychiatrist is also able to prescribe medications as part of a treatment plan. Because bipolar disorder is a recurrent illness, meaning that it can come back, ongoing preventive treatment is recommended. In most cases, bipolar disorder is much better controlled if treatment is continuous.

Electroconvulsive therapy

In some cases, when medication and psychotherapy have not helped, a treatment known as electroconvulsive therapy (ECT) may be used. ECT uses a brief electrical current applied to the scalp while the patient is under anesthesia. The procedure takes about 10-15 minutes and patients typically receive ECT two to three times a week for a total of six to 12 treatments.

Support groups

Since bipolar disorder can cause serious disruptions and create an intensely stressful family situation, family members may also benefit from professional resources, particularly mental health advocacy and support groups. From these sources, families can learn strategies to help them cope, to be an active part of the treatment and to gain support for themselves.

Eat a healthy diet

You may be surprised to know how diet plays an important role in relieving your stress and depression.  Studies have found that people consuming high fat foods and processed foods are more likely to suffer from psychological disorders as compared to others who consume a healthy diet.

Diet plays an important role in determining how hormones are secreted.  Studies have claimed that avoiding high sugar content foods, caffeine, and alcohol can reduce the number of anxiety and panic attacks.  Adding foods rich in lean protein, omega-3 fatty acids, and fiber can overall improve immune system and regulate the hormonal balance.  This in turn helps in providing a more stable and calm mind.

Meditation and yoga

Meditation is an important way to have a control on mind.  Similarly, yoga postures help the body to concentrate and prevent harmful thoughts to affect the mind.  The best part is that both meditation and yoga can be performed at the comfort of your house.  There is no specific time or place needed to perform meditation and yoga.

Apart from having a control over the mind, it also increases the cognitive level of thinking.  This type of therapy is highly beneficial for people suffering from bipolar disorder where the mind seems to be wandering even if the person is physically present and addressing a completely different subject.  This wandering of mind can be prevented by practicing meditation and yoga.

Bipolar II

Treatments for bipolar II are similar to those for bipolar I — medication and psychotherapy. Medications most commonly used are mood stabilizers and antidepressants, depending on the specific symptoms. If depression symptoms are severe and medication is not working, ECT (see above) may be used. Each person is different and each treatment is individualized.

Cyclothymic Disorder

Treatment for cyclothymic disorder can involve medication and talk therapy. For many people, talk therapy can help with the stresses of ongoing high and low moods. People with cyclothymia may start and stop treatment over time.

Bipolar disorder and creativity

A number of creative people in the arts have been reliably diagnosed as having bipolar disorder such as writers Ernest Hemingway, Robert Lowell, Theodore Roethke, and Virginia Woolf, composers Robert Schumann and Hugo Wolf, artists Jackson Pollock, probably Vincent Van Gogh, Edvard Munch, and Arshile Gorky, actors Vivian Leigh, Dick Van Dyke,  Jason Robards, and Robin Williams

There may now be a scientific explanation as to why many creative people have bipolar disorder. Several recent studies have showed that people who are genetically predisposed to bipolar disorder are more likely than others to show high levels of creativity, particularly in artistic fields where strong verbal skills are helpful.

Bipolar Disorder and Suicide

People with bipolar disorder are at great risk for suicide if they are not getting treatment. The National Mental Health Association reports that 30%-70% of suicide victims have suffered from a form of depression. Men commit almost 75% of suicides, even though twice as many women attempt suicide.

Risk factors for suicide include:

  • Having mental and substance abuse disorders
  • Family history of mental or substance abuse disorders
  • Having attempted suicide previously
  • Having a family history of physical or sexual abuse
  • Having family members or friends who have attempted suicide
  • Keeping a firearm in the home

Facts

  • Bipolar depressive episodes tend to look a lot like classic depression.
  • The length of mood episodes can vary from person to person.

Facts

  • It can take a while to receive a proper diagnosis of bipolar disorder, which is often misdiagnosed as depression.
  • Treatment almost always involves medication, but effective drugs and dosages vary widely by individual.

Facts

  • Bipolar disorder medications can affect pregnancy and birth control.

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Dos and Don'ts

Dos
  • Address mood swings one step at a time.
  • Speak with family or friends about your thoughts.
  • Follow a healthy sleeping pattern.
  • Seek medical treatment when things are getting out of hand.
Don'ts
  • Follow an unhealthy dietary regimen.
  • Indulge in alcohol and substance abuse.
  • Follow a stressful lifestyle.
  • Avoid social encounters.

 

 

 

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Hysteroscopy Hysteroscopy is a minimally invasive tool to help specialists view the uterus to diagnose and even treat several…
beta 2 glycoprotein 1 IgG
Beta 2 Glycoprotein 1 IgG Beta 2 glycoprotein 1 antibody test involves detecting and measuring the presence of the IgG class of beta…
cystatin C
Cystatin C Test Cystatin C is a specific single-chain protein that is found in body fluids and is a biomarker for…
Diabetes blood test
Diabetic Profile The diabetic profile is a set of tests used for testing and monitoring the various kinds of Diabetes…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
about mediterranean diet
Why you should be adopting a Mediterranean style of diet today Ever wondered why the Mediterranean diet is so healthy? One simple solution to lowering risk of several deadliest…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders? Do you want…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
vital organ diseases
Common diseases that could cripple your vital organs Brain, heart, kidney, lungs, and liver - these vital organs are indeed vital for your survival. However, these…
Salt dangers
Sodium chloride: The wonders and dangers of the simple table salt Sodium chloride is a salt containing sodium and chlorine ions at a 1:1 ratio. It is edible and…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
Did you know drinking alkaline water could be the healthier choice for you? Ever wondered how safe is your drinking water in terms of pH? Recent studies have revealed that Alkaline…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Oxidative Stress: Understanding the most lethal phenomenon happening in your body right now Free radicals cause damage to the body, which is known as oxidation.  The amount of oxidation caused by…
Hydroquinone: Is it the best topical treatment for hyperpigmentation? Darkening of the skin due to high melanin levels is called hyperpigmentation.  Hydroquinone interferes with melanin production thus treating…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
colposcopy
Colposcopy Colposcopy is a simple, quick and non- invasive diagnostic tool to look closely inside the vulva, vagina, and…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
immunoglobulin M
Immunoglobulin M Test Immunoglobulin M is the largest and the first produced antibody which helps in the prevention or fighting of…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
Beware of these common foods that cause high bodily inflammation! Maybe its the long list of inflammatory foods in your diet that is making you frequently sick. Find…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…
quinoa salad
Quinoa : A prodigious superfood you need to include in your diet today! Quinoa - what is so special about this native South American grain that has taken the world by…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
bananas exercise
10 health reasons why you should go “bananas” over bananas! Bananas:The world's most popular fruit comes with a host of unbelievable health benefits. Find out how you can…
Coconut sugar: What is it and is it healthier than table sugar? In the long list of things that the wonderful coconut gives us, coconut sugar is another remarkable addition.…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
C-Reactive Protein Test A CRP or c-reactive protein blood test is an important diagnostic tool used to determine the risk of…
thyroid_scan
Thyroid Scan Thyroid scan is a diagnostic procedure that aims to view the thyroid gland and detect any growths or…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
lp-pla2
LP-PLA2 Test The LP-PLA2 test is a test which is carried out to assess the levels of Lipoprotein-Associated Phospholipase A2…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…