Bipolar
Bipolar disorder, formerly referred to as manic-depression,
is marked by the occurrence of mania (euphoria) alternating with
bouts of depression. Bipolar disorder is characterized by changes
from one extreme mood to its polar opposite -- for instance, from
depression to the euphoric or grandiose state known as mania.
Severe episodes of mania or depression may include
symptoms of psychosis (or psychotic symptoms). For this reason,
people with bipolar disorder are sometimes incorrectly diagnosed
as having schizophrenia, another severe mental illness.
Common psychotic symptoms of bipolar disorder are
hallucinations (hearing, seeing, or otherwise sensing the presence
of things not actually there) and delusions (false, strongly held
beliefs not influenced by logical reasoning or explained by a
person's cultural beliefs).
Psychotic symptoms in bipolar disorder tend to reflect
the extreme mood state at the time. For example, during a manic
bipolar state, a person may experience delusions of grandiosity,
such as believing one has special powers, position, or wealth;
a person in a depressed bipolar state may experience delusions
of guilt or worthlessness, such as believing that one is penniless
or has committed some terrible crime.
Thus, people with bipolar disorder may feel suicidal
when depressed, and may engage in risky or self-destructive behavior
such as spending large amounts of money, compulsive gambling,
etc., when manic.
It may be helpful to think of the various mood states
in bipolar disorder as a spectrum. At one end is severe depression,
above which is moderate depression, and then mild low mood (mild
low mood is often called "the blues" when it is short-lived, but
is termed dysthymia when it is chronic). Then there is a normal
or balanced mood, above which comes hypomania (mild to moderate
mania), and then severe mania.
Bipolar disorder typically begins in adolescence
or early adulthood and continues throughout life. Bipolar is often
not recognized at first as a serious disorder, and people who
have it may suffer needlessly for years or even decades until
a proper diagnosis is made. Left untreated, bipolar disorder can
have a devastating, negative impact on every aspect of a person's
work, family, and social life.
People with a family history and genetic background
that includes bipolar disorder are at increased risk of developing
this condition in their lifetime.
Today, much more is known about the causes and
treatment of bipolar disorder. It cannot be emphasized enough
that bipolar disorder is not a character flaw, but a serious medical
condition.
However, contrary to the popular misconceptions
about bipolar disorder today, it is not a purely biochemical (physical)
disorder, and cannot be successfully treated with prescription
drugs alone. There are biological and psychological components
to every bipolar disorder, and the best form of treatment for
bipolar patients is a combination of medication and psychotherapy.
With the proper treatment, bipolar disorder can be effectively
managed, and patients can go on to lead a normal life.
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