Bipolar Disorder A Way of Life

According to a study in 2002, bipolar the mortality rates from suicide, heart problems, aare higher in bipolars than those in the general population. But in those treated there was a dramatc improvement in survival rates, even suicide and heart disease.
The risk for suicide is very high in bipolars and those who are left untreated. The suicide rate for bipolar disorder I patients is high and have risks being highest during episodes of mixed mania, depression and mania. However, the risk for suicide in bipolar disorder II patients is even higher than it is for those with bipolar disorder I or major depressive disorder. Patients whith anxiety disorders, have greater risk for suicide. Rapid cyclers, a more severe bipolar disorder type, does not increase the suicide rates.
Patients with bipolar disorder may have problems with short- and long-term memory. They tend to be more severe when a person has more manic episodes. Medications may be responsible for some of these difficulties. These mental difficulties may make it harder for these patients to comply with medications or to participate in psychotherapies. Manic patients are easily distrated which increases the problem.
Some bipolar patients show heightened productivity or creativity during manic phases. However when the mania is severe, the distorted thinking and impaired judgment that are characteristic of manic episodes can lead to dangerous behavior, including spending money, causing financial ruin in some cases. angry, paranoid, and even violent behaviors and nortorious promiscuous behavior. These behaviors are followed by low self-esteem and guilt during the depressed phases.
Ssmoking is prevalent among bipolar patients who have frequent or severe psychotic symptoms most commonly they are heavy smokera. Nicotine use may be a form of self-medication because of its calming effect it is a release of pent up energy. In some point of their lives patients with bipolar disorder abuse other substances most commonly alcohol, followed by marijuana or cocaine the statiscs are high. The risks for alcoholism and substance abuse in bipolar patients experiencing mixed-state episodes rather than ones of pure mania. Some studies show it is more common in men than women.
Bipolar disorder is the chemical imbalances in the brain and classic psychotherapy has not been effective for these patients. Some techniques are proving to be helpful. And with the psychological support of trained mental health professionals is beneficial to the of the problems that occur with the disorder Therapits can educate patients about the disorder and its treatments and help them comply with drug compliance. They can monitor the patient's status and detect early symptoms in manic and depressive episodes to reduce the severity of the attacks. Therapists can help patients cope with feelings of guilt and remorse that occur in response to their actions during mania. And a ptofessional can assist in helping patients deal with feelings of imperfection and despair feelings common in depression.
Therapists trained in cognitive therapy may be beneficial for many patients. This method aims to help a patient recognize negative thoughts and behavioral patterns and try to change them. It is known to be helpful for depression and anxiety Patients learn how to recognize manic episodes before they become full-blown and to change behaviors during an episode. Ways to endure depression by developing behaviors and thoughts that may help lift the negative mood.
One method for helping the patient to predict or recognize an impending episode is done using a graph and diary that records the effect of the patient's mental state of energy with physical activity Also using a diary, the patient describes each day, the mood, and its effect on physical activities. The patient also describes any significant emotional or physical events. After several months, the therapist and patient may be able to detect a pattern and possibly identify triggers of bipolar disorder episodes. The information helps the patients to make adjustments that might reduce the severity of mood swings. For example, if a predictor for either manic or depressive episodes is insomnia, the doctor can advise sleep inducing techniques or prescribe medications that might reduce the severity of the emerging mania.
Exercise is an important part of treatment, particularly for those susceptical weight gain a typical side effect of medications for treatment. It also helps increase feelings of well-being. Sleep management is of special importance for bipolar patients.
A healthy diet rich in whole grains, fresh fruits, and vegetables is important . Bipolars should be sure to maintain a regular healthy diet. They may need to restrict calories if they are on medications that increase weight.

Bipolar Rage

Do you know someone or do you have occasional outbursts of temper at times shock and surprise you? Are there times when you wonder where all of this sudden rage comes from, when you have a happy home? Is your life one that you would describe as happy, if only it wasn't interrupted by recurring bouts of irritability and anger over trivial things?

People can and often do become overwhelmed by negative emotions that they're unable to handle it is possible that it may be occuring from bipolar disorder – and that is the cause of these eruptions

Bipolar disorder is a cycle of moods and emotional distruptions. When a person with bipolar disorder is haveing an episode, they can be very reactive and more easily provoked into sudden outbursts of anger. Irritability and anger is one of the usual symptoms of bipolar episodes in mania or depression. What may seem like an abnormally explosive reaction to you may be something that the person with bipolar disorder in an episode may not be aware of being out of the ordinary or is not consciesious of how they are reacting.

Everyone gets annoyed at times. But when having an episode a bipolar can be more volatile and unable to control their anger as easily.

Bipolar disorder can be hard to recognize when it has gone undiagnose Only a qualified professional can make that diagnosis, and many people simply cannot handle their tempers. Outbursts of anger alone cannot be used to make a diagnosis of bipolar disorder, symptoms have to be present. There are other psychiatric disorders which have symptoms of angry outbursts, such as major depressive disorder, borderline personality disorder, schizoaffective disorder, cyclothymic disorder, mood disorder caused by a substance abuse.
　
People suffering from bipolar disorder may have violent mood swings and displays of temper. Outbursts that are out of control for a normal person are thought by a person who suffers from this mental disorde to be normal behavior at times. In a violent episode bipolar sufferers continue this pattern of mood swings and violence which left unchecked can lead to incarceration.
Teenagers are difficult to diagnose with a mental disorder. The hormones, and their bodies are changing. Teenagers are naturally angry and when they display anger and tension, it is difficult to tell if they are just being a teenager or having a manic episode.
Easily provoked and erupting at any given moment if left undiagnosed and unmedicated, the bipolar sufferer displays irritability as well as the inability to handle negative situations in his life. A bipolar reacts with inappriate anger.
With treatment The right medications, therapy to recognize triggers that cause the episodes which drive the anger bipolars can recover and learn to understand their rage.

Double Trouble

The struggles and challenges of bipolars are many. This mood disorder has complications and setbacks before stability is achieved. One of the biggest issue is often substance abuse. Substance abuse and bipolar disorder and is more likely to coexist with bipolar illness than with any other mental illnesses. Alcoholics and cocaine are common for those diagnosed with bipolar disorder. Dual Diagnosis co existing with bipolars is so common that doctors look for it and expect to find it.
Self-medication has become a way in which some individuals may abuse substances in attempting to use them to relieve other problems such as anxiety, pain, sleeplessness or other symptoms of bipolar disorder.
This is a very serious issue. Why do those with bipolar disorder turn to alcohol or street drugs?
It seems that these individuals have a difficulty with bipolar disorder and they are more likely to try a drug in the first place. The drug use is a short-term release from symptoms of mania or depression and begins the cycle of substance abuse. Self-medicating treats the symptoms, not the illness. The more they use a substance other than doctor supervised medication the worse their symptoms become and they often find themselves is a situation of having worse symptoms which are very difficult to control.
For those with a dual diagnosis, double trouble, the challenges to treatment can be that the disorder is more resistant to treatment. Intoxication and withdrawal symptoms can mimic affective disorders.

Psychotherapy and Bipolar Disorder

Psychotherapyused with a medication treatment plan for mental health issues sometimes proves to be beneficial for Bipolars. There are many techniques of psychotherapy like relationship building, simple dialogue, learning communication and behaviors that work to improve bipolar living and help them to deal with relationships.
Spoken conversation is the most popular psychotherapy. But some also use written, therapeutic touch, art, and other nonverbal communicatiom. Psychotherapy is between a trained therapist and one or more patients. There are specialized psychotherapy techniques for bipolar disorder. Their benefit is increased when used in with medications.
One type of psychotherapy is where the psychologist meets with the patient regularly over a certain period. During sessions the discussions are the patient’s personal experience as well as signs of manic and depressive episodes in the past and any events leading up to them. This can be warning signs should these symptoms reappear. The patient can keep a journal on the disorder, if symptoms appear regularly. This form of psychotherapy is very effective for understanding the triggers and symptoms of bipolar disorder and helps in educating the patient about the disorder.
Psychoeducation is educating a person with goals of treatment and rehabilitation. learning about their problem, how to treat it and how to recognize signs of relapse so they can seek treatment before heir problem worsens or recurs. The goal is teaching Bipolar disorder basics, triggering factors, symptoms of onset , forms of treatment, risks associated with treatment
This helps the patient understand the disorder and helps them avoid things or situations which may aggravate it.
Cognitive therapy works on the distorted thoughts and stimuli that can cause emotional stres, which is believed to cause episodes. This type of therapy has been researched and is known to be an effective in bipolar disorder treatment. It is effective in patients who experience disruptive negative thoughts. The patient recognizes thought distortions and techniques for correcting them.
The treatment aims at helping the patient to deal with the thoughts that cause the patient stress and lead to relapses. The patient and therapist concentrate on the negative thoughts, disruptive assumptions and stressful inferences. The patient learns check their thoughts and recognize the reality of the situation.
Another treatment which stresses maintaining a day to day schedule and stability in personal relationships. Social Rhythm is believes that disruptions in daily routines and problems in interpersonal relationships can cause a recurrence of the manic and depressive episodes of bipolar disorder.
Patients understand how social relationships and roles are affected by their routines and that their moods can be affected by changes in these routines. The therapist helps the patiet see what changes cause relapses and teaches the patient how to manage stressful events and maintain positive relationships.
Family Focused Therapy focuses on family and relationships and how they contribute to changes in bipolar disorder. This treatment is used to identify problems and conflicts in the family circle that contribute to stress and problems in the family that occur because of the illness. They teach the family how to resolve them. All family members learn about the illness, treatment and support resources.
　

Coping With Bipolar Disorder

Bipolar problems will vary from person to person and the type of episode, a depressive episode may make getting out of bed in the morning and going to work difficult. The inability to function day to day is very likely to make them unemployable.
A manic episode or a depressive one can last anywhere from several hours to several months in some cases years. These variations in moods can be serious enough to affect a person’s routine. A depressive episode can make a bipolar incapable of
Another cause of bipolar problems is impulsivity. During a manic episode, the person feels like they are on top of the world and can do anything. It is common for a person s to take actions in this state that they will later regret. Bipolars are known have to run through credit cards and create huge bills or quit jobs during a manic episode. Sometimes people are sexually indiscriminate because heightened libido during an episode and may end up with sexually transmitted diseases.
A manic episode does not only bring about bipolar problems. Some people during a manic episode can be extremely productive or creative. They have a positive attitude and enthusiam to solve problems as they arise.
There are no medical tests available that can say that a person is suffering from this condition. This makes it very difficult for doctors to make a diagnosis based on symptoms a patient is suffering. And there is the problem of actually recognizing the symptoms. The time lapse between manic and depressive episodes can make it difficult to put them together for a diagnosis. A person in a depressive episode can be confused to be suffering from a severe case of depression.
There is some good news. A bipolar individual can solve all of their bipolar problems with the right doctor and the right treatment. With new research studies being done there are new medications to treat Bipolar disorder.
If you feel you are bipolar or have a friend or relative who is bipolar seek out help as soon as possible. For most people there is no reason for bipolar problems if the patient follows the prescribed treatment. Life can be qualitive and sane even with a mental disorder.

Bipolar Living

Bipolar disorder is a psychiatric disorder in which of one or more episodes of abnormally elevated energy levels, thinking and mood with depressive episodes. The elevated moods are called mania or hypomania. Individuals may experience also a mixed state in which features of both mania and depression are present at the same time. These moods are usually separated by periods of normal moods; but, sometimes, depression and mania may rapidly cycle, which is known as rapid cycling. Extreme manic episodes can sometimes lead to psychotic symptoms as hallucinations and delusions. The disorder includes bipolar I, bipolar II and cyclothymia, based on the nature and severity of mood episodes experienced.
Studies show that the condition is lifetime. full symptoms usually begin in late adolescence or young adulthood. Episodes can be associated with distress and disruption and a risk of suicide, especially during depressive episodes. In some cases, it can be a devastating long-lasting disorder. It has also been associated with creativity, goal striving, and positive achievements. There is evidence to say that many people with creative talents have also suffered from some form of bipolar disorder. Often creativity and bipolar disorder are linked.
Genetics contribute to the developing of bipolar disorder, and environmental factors are also aggravate the condition. Bipolar disorder is often treated with psychiatric drugs. Psychotherapy is helpful often when there has been some recovery of the subject's stability. In serious cases, in which there is a risk of harm to oneself or others, the person has to be committed to a psychiatric hospital. These cases generally involve severe manic episodes with dangerous behavior or depressive episodes with suicidal thoughts. There are widespread problems with being Bipolar. People with bipolar disorder exhibiting psychotic symptoms can sometimes be misdiagnosed as having schizophrenia a serious mental illness
The experiences and behaviors involved in bipolar disorder are often not understood by individuals. Treatment is somtimes not accepted even though there is increased public awareness of the condition.
Individuals are commonly misdiagnosed. An individual may appear simply depressed when they are seen by a medical professional. This can result in misdiagnosis of Depressive disorder (Unipolar).
The bipolar disorder diagnosis is used technically with anyone with a history hypomania and depression no matter what their current or future functioning .
For many individuals with bipolar disorder a good prognosis results from good treatment. Because bipolar disorder be often misdiagnosed, it is often difficult for individuals with the condition to receive competent treatment.
Bipolar disorder can be a severly crippling mental condition. But, most individuals with bipolar disorder can live full and satisfying lives. Medication is often needed to enable this. Persons with bipolar disorder may have periods of normal or near normal functioning between episodes.
Prognosis depends the right medicines and dosage, a competent medical doctor and therapist; and good physical health, which includes exercise, nutrition, and a low stress level. Other factors that lead to a good prognosis, is having insight and recognizing any change from the norm such as sleep patterns, energy levels, and thinking habits..

Differences between Bipolar II and Bipolar I

Bipolar I and II disorders also called manic depressive disorder are mental illnesses. Both are chacterized by changes in moods ( the overall feeling about life) cycling between highs and lows periodically. These cycles are depression or low and elation highs.
In bipolar II disorder, the up moods never reach full blown mania. The less intense moodswings in bipolar II disorder are depression and hypomania.
People with bipolar II disorder have had at least one hypomanic episode in life. Most people with bipolar II disorder also suffer from episodes of depression.
In between episodes of hypomania and depression, people with bipolar II disorder return to normal moods and continueto live a normal life.
Symptoms of bipolar disorder usually start in the late teens and early 20's. Nearly everyone with bipolar II disorder develops it before age 50. People with an immediate family member with bipolar are at higher risk.
During a hypomanic episode, elevated mood can be either euphoria or as irritability.
Symptoms during hypomanic episodes usuaolly are thinking rapidly jumping from one idea to the next. Rapid and loud speech
Increased energy, with hyperactivity, restlessness and a decreased need for sleep
People experiencing hypomanic episodes are fun to be around. can often seem like they have an extrovert personality making jokes, taking an intense interest in activities, and influencing others with their positive mood.
Hypomania can also lead to erratic and dangerous behavior. People in hypomanic episodes can spend money they don't have, act out sexually, and have other impulsive or risky behaviors.
The majority of people with bipolar II disorder experience significant depressive episodes. These can occur suddenly after hypomania, a crash or much later. Some people cycle back and forth between hypomania and depression, while others have long periods of normal mood in between episodes.
Untreated, hypomania can last anywhere from a few days to several months in rarer cases years. For most symptoms continue for a few weeks to a few months.
Depressive episodes in bipolar II disorder are similar to a regular depression, with depressed mood, loss of pleasure, low energy and activity, feelings of guilt or worthlessness, and thoughts of suicide. Depressive symptoms of bipolar disorder can last weeks, months, or rarely years.
Bipolar I is a more severe disorder than bipolar II. People with bipolar I disorder experience true mania -- a severe, abnormally elevated mood with erratic behavior. Manic symptoms lead to serious disruptions in life, causing legal or major personal problems.
In bipolar II disorder, the symptoms of elevate mood never reach full-on mania. Bipolar II can be thought of as a milder form of bipolar disorder.
A person with bipolar II experiences hypomanic episodes but not manic episodes. The difference between mania and hypomania is a matter of severity - hypomania generally does not impair a person's mental functioning and thy do not need to be hospitalized.
They do not exhibit psychotic symptoms such as hallucinations or paranoia as with bipolar I disorder.
In most cases, people with bipolar disorder experience more periods of depression than periods of mania. Bipolar disorder can be either severe or mild, and can have either frequent or infrequent mood swings.
Most people with bipolar I have episodes of both depression and mania. In very rare cases, they experience only mania. Bipolar I is distinguished from bipolar II by the severity and duration of the manic phase, which can last anywhere from a week to several months, and the experience of delusions.

The symptoms of mania can include rapid speech, insomnia, disconnected thoughts, grandiose ideas, hallucinations, extreme irritability, paranoia, violent behavior, a marked increase in strength, and openly promiscuous behavior.

People with cyclothymic disorder alternate between hypomania and mild depression. It is not as severe as bipolar I and II, but persists for longer periods with no break in symptoms. Cyclothymic disorder can later become full-blown bipolar disorder in some people, or can continue unchanged.

Most people with bipolar disorder have an average of 10 manic or depressive episodes over a lifetime. Some, however, experience much more severe symptoms called rapid cycling. They can cycle between lows and highs many times in one day. To be considered a rapid cycler, you must have at leat 4 mood swings in a year.

During a Mixed Episode, symptoms of both mania and depression occur at the same time. The excitability and agitation of mania with depression and irritability. This combination of high energy and agitation along with depression makes the mixed episode the most dangerous for risk of suicide.
The suicide rate for bipolars both I and II is decreasing due to better medications which are used to treat the disorder. Commonly bipolars can expect to see fewer episodes and the intensity of the episodes decreased.

A Secret

Shall I share a secret? Kitchen utensils what do they make you think of Thanksgiving Day, family gatherings? Do you know what they remind me of ? The time I almost plunged a carving knife through the palm of my hand to see if I could hit an artery when I was 14 years old. Such a large thought for such a small child.

Train whistles in the distance at night. Memories of traveling to places unseen, NYC and the Worlds Fair. For me I think of the time when I almost jumped in front of one while I was so depressed that I could think of no other way to stop the pain. Fortunately or unfortunately a man I never knew made a comment to bring me back from the brink.

All of these reminders of my years when I thought ending my life would end the pain. When medications did not work or worked inadequately . The years I popped my pills by handfuls wishing I would not live to see the daylight and waking up disappointted to see the sunshine.

All of these thoughts revisit me when I am depressed still, only now after horror stories of attempted suicides gone wrong. told to me by wise doctors and therapists, stop me and have for the past 20 years.
So that is one of my secrets. I have many many more, maybe I will share again with you.

 By Wena

Bipolars and Moodswings

A person is diagnosed with Bipolar Disorder when they experience different moods within a normal period of time. This problem is also termed as manic Manic Depressive. Bipolar means two poles of emotions at extreme ends of a pole. They experience mood swings from very high to very low in quick succession of time sometimes as quickly as in a day depending on the severity and type of the disorder.
A good analogy is a magnet positive high on one side and negative low on the other. There are different phases of Bipolar Disorder each with different symptoms called episodes.
The first episode is Depression where the person will feel sad for a long time. Normal activities are difficult like getting out of bed, things that are normally enjoyed no longer are. They may stop eating and sleeping or sleept abnormally long periods of time. The second is Maniathere is a good mood the smallest thing brings pleasue and productivity and motion is constant. After a period of time if untreated the happy mood changes to becoming irritable and angry. The third is Hypomania which is a milder form of Mania. It starts with the person feeling satisfied and happy with things in their life overall. When there is a shift in these moods in th space of a day it is called a Mixed Mood.
These episodes are dangerous the person is at risk of being suicidal burning out and making poor judgements finanacially to the point of bankcurptcy.. If there are more than four episodes of depression or mania within a year then it is termed as rapid cycling.
When Manic, the symptoms include more energy, less need for sleep, a restless mind, quick to get distracted, racing thoughts and very talkative and confident, this is more risky if things appear to be going bad.
When depressed, the person feels sad, loses interest in normal things, feels guilty about small things, gets feelings of worthlessness and hopelessness, and will either sleep a lot or too little. There can be a change in weight and a feeling of being tired all the time. Problems in making decisions, concentrating on a particular job and perhaps restlessness.
There are things that trigger mood swings part of treatment is becoming aware of them. The triggering factors can be events that have occurred in the person's life. All events from happy ones to sad and unpleasant ones can act as the trigger for both manic and depressive episodes. Things like an unbalanced sleep schedule, a change in the dosage of drugs an increase in alcohol intake, or irregular doses of medication will also act as a trigger. There are herbal products that may not be used by Bipolars and might act as a trigger. Thyroid or other health conditions make the person at risk for depression. It is important for physical tests be done for diagnosing Bipolar Disorder. A person may have a physical condition that is mimicing a mental disorder.
But each person is different and each person will experience different reasons for setting off an episode. Even seasonal changes or holidays, illness, marriage, divorce of a friend and other socially relevant incidents in one's life can act as a trigger. Keeping a daily journal is helpful in keeping track of moodswings and relieves the stress of daily living as a Bipolar.
Bipolar Disorder is a treatable mental disorder and the majority of people in treatment can expoect to see favorable results with medication and/or therapy and live a life relatively free of Moodswings .

Bipolar Disorder Day by Day Living

　
Bipolar problems will vary from person to person and will also depend on the type of episode, whether it is a manic episode or a depressive one. One of the main causes of bipolar problems is the duration of the mood of the person suffering from the disorder. A manic episode or a depressive one can last anywhere from several hours to several months. Rapid cyclers can go from days of mania to days of depression. The length of time that a episode has can determine the severity. They can be severe or serious enough to affect a person’s total routine. For instance, a depressive episode can make a bipolar incapable of getting out of bed in the morning and going to work. The inability to function day to day is very likely to lead to a person having to go on disability.
Another of a bipolar's problems is the impulsivity. During a manic episode, the person feels like they can do anything. It is common for a bipolar to take actions in this state that they will later regret. Bipolars have been known to run up huge bills or quit jobs during a manic episode. Sometimes people are heightened sexually during an episode and may end up with a sexually transmitted diseases.
Sometimes during a manic episode peope can be extremely productive or creative. They have a lot of pent up energy and the belief that all problems are not problems at all and can be easily solves. No mountain is too big to move.
Coping with a bipolar disorder is not an easy thing to do. Since it is classified as a mental illness there is a stigma that goes with it. Many people do not want to deal with it. This serious disorder seems to be becoming more frequently found in the general population and a large amount of research is going on to help Bipolars live a normal and productive life.
If you have been diagnosed with a bipolar disorder or feel you have the signs, there are help. You must think about not only yourself but family and friends in your life. Bipolar illnesses can cause problems with not only those close to you, but at your place of employment as well.
Make sure you have not only a good doctor, but one you are comfortable with. You need a professional you can talk with like your best friend so they will be able to properly treat you. There are a number of different bipolar disorders and each one needs treated differently.
Once you have been professionally diagnosed as bipolar you may need to let your closest family members and friends know. If they can understand what the problem is you will have a support system started.
The most impotant thing you can do when diagnosed with bipolar disorder is to become as knowledgeable about your illness. When you understand the signs and symptoms you can take control and to stop a mood swing before it gets out of hand.
One unavoidable problem is to have to be prescribed a regiment of medication. This should not be seen as a weaknees or dependecy. There are many illnesses both mental and physical that require daily medication.
The most important thing a bipolar needs to do is stay on their prescribed medication and consider it as a part of their life. Almost all of the problems that arise with bipolars is because they chose to stop taking their medication because they felt they no longer needed it.
Living with a mental illness is not easy but it can be accomplished. With the medication and knowledge of the disorder available today, there is no reason for anyone to live as an untreated bipolar and suffer the moodswings that go with it.
　
　
　
　
　
　
　
　www.lovetohatebywena.blogspot.com

Living Bipolar Day by Day

People with bipolar disorder, also called manic depression, are especially at risk for suicide. Nobody wants to talk about suicide. The stigma, shame, and suffering are, for most, unspoken. And doctors say, for bipolars the threat of suicide is very real.
People with bipolar II disorder have a particularly high risk for suicide, particularly when they are in the depressed phase of their illness. Individuals with mixed-manic episodes , states in which they have intense signs of both depression and mania simultaneously, may have an even higher chance of becoming suicidal.
　
The suicidial incidents are greater when people talk about feeling suicidal or wanting to die, discussing death or writing about itFeeling hopeless, trapped — that nothing will ever change or get better. Are feeling helpless — that nothing one does makes any difference, feel like a burden to family and friends, that others would be better off without me. Lack a of purpose in one's life. Start withdrawing from friends, family, activities make previous suicide attempts. Experience recent loss of a friend or acquaintance through suicide. Have family members who have committed suicide. Begin putting affairs in order, organizing finances or giving away possessions to prepare for one's death. Engage in risky behavior, putting oneself in harm's way or in situations where there is a danger of being injured or killed, are incarcerated
　
Someone who is talking about suicide should always be taken seriously and receive immediate attention, from a mental health professiona
If you are feeling suicidal: Tell someone you can trust a family member, friend, teacher, minister, or rabbi. Call a doctor, emergency room, 911, or a suicide-prevention hotline. Stay with other people don't put yourself in the position of being alone. Stay away from drugs and alcohol.
Suicidal feelings pass if they are not acted on, most of the time, for most of the people.
　
People with bipolar disorder who have experienced mania or hypomania (less severe than mania) describe periods of emotional intensity, creativity, energy, and productivity as an advantage to being bipolar. This idea to bipolar symptoms can be so strong that bipolar patients may actually stop taking their medications because they are missing the high .
While a some of bipolar patients stay in the state of hypomania without progressing to the more dangerous mania, it is not so for the majority of people with bipolar disorder.
　
Symptoms of depression are far more common and frequent among people with bipolar disorder than the highs of mania.
An example is the artist Vincent van Gogh which shows the course that mania can take. Although van Gogh was never diagnosed with bipolar disorder, certain patterns of depression followed by high-energy productivity and creativity imply bipolar disorder. While his moods improved and moved toward mania, he was incredibly productive, producing works of art that are admired and beloved to this day. But as the days passed, he was unable to paint at all. Meanwhile, his personal life bore many of the signs of bipolar disorder, including suicide at 37.
　
The advantages of being Bipolar: Productivity. People with bipolar disorder sleep less as they become manic and have more energy. As a result, they are often more productive than their peers. The lack of sleep and high-energy work can eventually lead to burnout and may contribute to symptoms of psychosis, such as paranoia and hallucinations. Confidence. Feeling more self-confident is one of the benefits described by people with bipolar disorder. Unfortunately, as mania increases, this self-confidence can become unrealistic delusions about power and success, leading to poor life choices and impulsiveness. Charm. Along with greater energy and self-confidence, people with bipolar disorder may be more outgoing and charming as their mood improves. This can draw people to them, making them the life of the party. But ,when fully manic there is increasing irritability, impulsiveness, irrational behavior or speech, and risk-taking also can drive people away. Euphoria. Intense joy and pleasure in life, including a heightened awareness of details, may also be experienced by bipolar patients as they approach mania. This perception of the world in bright and little things are more clearr . Insight. Many people with bipolar disorder experience a feeling of greater intellectual ability and insight as they approach mania.
There are some negative aspects to hypomania in addition to the positives . They include irritability, carelessness, poor impulse control, and increased chance for substance abuse.
The so-called advantages of mania are misleading, even to the the patient with bipolar disorder. Patients often say thar these positive experiences are the reasons for going off of medications that keep their mood stable. These advantages are only temporary and can quickly progress to mania, disruptive lifestyle choices, and even psychosis.
　
Lack of concentration one of the mostcommon symptom of bipolar disorder. Bipolars are easily distracted or feel lost and confused whether at home, at work, in school. Being unable to concentrate can be a problem because it makes it hard to perform tasks such as grocery shopping or preparing meals, or to enjoy activities such as simply watching television or reading. The symptom also can put the person with bipolar disorder at risk for injury accidents happen when people arent attentive.

People with moodswings go from episodes of very high energy to extreme lows of depression. When depressed, people can not concentrate as well. They may have trouble thinking and making decisions. Anything can become a distraction when they are down.
The only answer for controlling moodswings of bipolars is to take medication. But these medications can contribute to the attention problems. Certain medications have been shown to make it more difficult to concentrate and to learn. Their doctor may be able to adjust the medications to resolve the problem.But for some bipolars it is a lifelong problem relieved with many medications . Lack of sleep and stress can affect concentration.
Loss the ability to concentrate when we are extremely tired, and people with bipolar disorder are known to have trouble sleeping, especially if they are in a depressed state. If you want to improve your concentration, try to get enough sleep. Try to set a sleep regime taking medication at a certain time day and night, you should go to bed and wake up the same time every night.
Stress also can cause a lack of concentration, and people with bipolar disorder are under a lot of stress from the drastic changes in their moods when medications do not fully help. Bipolars can try to control stress and get organized by manage your time. Don’t try to do too much. Say no if you can’t do it.Eat a balanced diet rich in fruits and vegetables and whole grains. Eat only low-fat meats and poultry. Get regular exercise, which can have both mental and physical health benefits. Avoid caffeine. Learn relaxation techniques. These include breathing exercises, yoga, and massage. Remember to balance periods of activity with periods of relaxation. Keep a daily planner. It will help you to remember appointments. Spend time talking and listening to others. Don’t be afraid to ask for help if you need it. Choose a support group . Avoid drugs and alcohol. Taking drugs and alcohol may lessen the effectiveness of your prescribed medications and lead to potentially dangerous side effects. A daily schedule can add structure to your life, and structure can help you cope with stress.
　
　

Living Bipolar

Is there a connection between bipolar disorder and time? Changing to and from daylight
saving time affects everyone but with bipolar disorder the change is drastic. It is
not unusual for time changes to trigger an episode in some.
Our waking sleeping cycle is thrown off and we can have an episode.
Our brain is confused until it gets back in sync.


Our bodies do not always adjust to environmental changes. For optimum sleeping habits
it responds best to consistent daily amounts of light and darkness. Sleeping at night while it is dark
and doing most activity when it is light is the ideal. Any disruption to the normal sleeping pattern is likely to result in adverse mood. Changes even in normal individuals are difficult but with bipolar getting too much light may trigger a manic episode while too little may trigger an episode of depression.


Seasonal environmental changes such as rain snow storms can cause havoc with bipolar disorder. This would explain why bipolar and time changes are not a good combination.
Summer sun is a joy for everyone but you must look out for excess for living bipolar.






Stress is our response to challenges that upset our rhythm. Everyone
has delt with stress and obstacles during life that threaten to mental and
emotional balance.
.
These challanges can be from what we are doing in our lives and what we expect we
should do or what others expect we should do. When we cant actually face the
challenge, or think that we can't brings on stress. The way we will encounter stress
and the ways we deal with it can trigger an episode.

Stress sets off a chain of chemical changes in the brain which in bipolars has the
potentially trigger both depression and mania
The ideal is to to strive for a stress free existence.


Bipolar disorder is linked with stress inducing behavior like the anxiety
and irritability when depressed or the excesses, risks and reckless
behavior during mania.


With bipolar symptoms, being aware of the danger signs can allieviate the problem.
If you know the problem and can look at it with the importance of it the effect then it is a lot
easier to prevent the occurrence/

You have to organize your life wherever possible to
ensure your psychological and physiological needs are met.



One of a manic or hypomanic episode with bipolar is excessive money
spending, compulsive shopping and impulsive purchases. The majority of
people have at some stage indulged in these activities. What is considered overspending
might seem perfectly normal to some.
Not all reckless spenders are bipolar but for anyone with bipolar disease it can
become a problem with serious consequences

.
During bipolar episodes there is often a lack of ability to see that your actions
are out of control. This might in part be due to the feelings of grandiosity
inflated, unrealistic ideas of capabilities. Also the diminished ability to
think and reason clearly but knowing why is little help when the debts pile up


For the bipolar individual and those supporting them its best to accept the
potential for unreasonable financial dealings exists and to put in place
a curb on money spending. Limiting access to credit cards is paramount. Any cash
allowance should be spread over the period rather than provided all at once.


Often it's the compulsive need to spend, regardless of the desire or need for the item, that
the act satisfies.
The opportunity to spend is always present and it is a good idea to try and limit the money available
to spend. Money management is a priority with bipolars. Taking precautions not accepting
credit cards keeping small amounts of cash available is another way of living bipolar.

Bipolar disorder usually lasts a lifetime. Episodes of mania and depression typically come back over time. Between episodes, many people with bipolar disorder are free of symptoms, but some people may have lingering symptoms.

Some people may be diagnosed with rapid-cycling bipolar disorder. This is when a person has four or more episodes of major depression, mania, hypomania, or mixed symptoms within a year

Some people experience more than one episode in a week, or even within one day. Rapid cycling seems to be more common in people who have severe bipolar disorder and may be more common in people who have their first episode at a younger age. One study found that people with rapid cycling had their first episode during mid to late teen years, than people without rapid cycling bipolar disorder. Rapid cycling affects more women than men.

Over time, a person may suffer more frequent and more severe episodes than when the illness first appeared. Also, delays in getting the correct diagnosis and treatment make a person more likely to experience personal, social, and work-related problems.6
Proper diagnosis and treatment helps people with bipolar disorder lead healthy and productive lives. In most cases, treatment can help reduce the frequency and severity of episodes.

Substance abuse is very common among people with bipolar disorder, Some people with bipolar disorder may try to treat their symptoms with alcohol or drugs. However, substance abuse may trigger or prolong bipolar symptoms.

Anxiety disorders, such as post-traumatic stress disorder and social phobia, also co-occur often among people with bipolar disorder.Bipolar disorder also co-esist with attention deficit hyperactivity disorder which has some symptoms that overlap with bipolar disorder, such as restlessness and being easily distracted.
People with bipolar disorder are also at higher risk for thyroid disease, migraine headaches, heart disease, diabetes, obesity, and other physical illnesses. These illnesses may cause symptoms of mania or depression. They may also result from treatment for bipolar disorder.

Researchers are learning about the possible causes of bipolar disorder. Most agree that there is no single cause.
Bipolar disorder runs in families, researchers are looking for genes that may increase a person's chance of developing the illness. Genes help control how the body and brain work and grow. Genes are contained inside a person's cells that are passed down from parents to children.

Children with a parent or sibling who has bipolar disorder are more likely to develop the illness, compared with children who do not have a family history of bipolar disorder.
Genetic research on bipolar disorder type of research is now much quicker and more far-reaching than in the past. So far, researchers using a database found that most people with bipolar disorder had:
Missed work because of their illness. Other illnesses at the same time, especially alcohol and/or substance abuse and panic disorders Been treated or hospitalized for bipolar disorder.
There are certain traits that appeared to run in families, including: History of psychiatric hospitalization. Co-existing obsessive-compulsive. Age at first manic episode andNumber and frequency of manic episodes.
　
But genes are not the only risk factor for bipolar disorder. Studies of identical twins have shown that the twin of a person with bipolar illness does not always develop the disorder. This is important because identical twins share all of the same genes.This shows there may be factors other than genes as a cause.. It is likely that there are many different genes and a person's environment are a factor.
　
The Doctors and researchers greatest concern is that the symptoms will impact daily life, such as family, relationships, or job.
Patients have said they have canceled social engagements or rearranged their appointments because of bipolar depression.
Also people with bipolar disorder comment that bipolar depressive symptoms affected their ability to do housework and errands.
Therapists and Casemanagers question patients to better understand the impact of bipolar depression on people’s lives.

People with bipolar disorder experience extreme mood swings from lows, called bipolar depression, to highs, called bipolar mania.
Many people with bipolar disorder report spending more time in the depressive phase which includes feelings of sadness and emptiness, depressed moods and inability to concentrate than in the manic Many people with bipolar disorder are feeling the effects of bipolar depression in their day-to-day lives.Bipolar disorder is a manageable disease, for most, but there are a number of factors that can get in the way of successful recovery.

Developing an appropriate treatment plan to successfully manage bipolar disorder. Patients need to feel comfortable with sharing their symptoms with their doctor. Describe how you’re feeling to the best of your ability using your own words, write down questions and concerns you have beforehand so you don’t forget them.Feel free to share anything and everything with your doctor, even if it feels personal or unimportant.

With the proper treatment medications and the right doctor bipolars can live a qualitive productive life

Creativity and Bipolar Disorder

Bipolar disorder, also known as manic depression, is a disorder
that affects a realitive small part of the population. Unlike unipolar
disorder, also known as major affective disorder or depression, bipolar
disorder is characterized by vacillating between periods of elation
and depression.
Bipolar disorder is not an illness that remedies itself over time; people affected with
manic depression are manic-depressives for their entire lives. Researchers have been trying to
diagnose the onset of bipolar disorder in a patient faster and to more
effectively treat it. Studies have been performed on
this disease, the occurrence between extreme creativity and manic
depression have been uncovered.
　
Patients with bipolar disorder swing between major depressive, mixed,
hypomanic, and manic episodes. A major depressive episode is when
the patient has either a depressed mood or a loss of interest/pleasure in
normal activities for a period of at least two weeks. The patient
should have a depressed mood for most of the day, nearly every
day; decreased interest or pleasure in activities; weight loss or gain
di insomnia or increased sleep
psychomotor agitation or retardation; fatigue or loss of
energy; diminished ability to think or concentrate; feelings of
worthlessness; recurrent thoughts of death or suicidal ideation or
attempt.

With the major depressive episodes, patients with manic depression also feel
periods of hypomania. A hypomanic episode must be a period of at least
four days, during which the affected person feels elevated or irritated
inflated self-esteem or grandiosity, decreased need for sleep, more
talkative than usual, flight of ideas or racing thoughts, distractibility,
psychomotor agitation or an increase in goal-directed activity, excessive
involvement in pleasurable activities that may have negative consequences
and marked poor judgement. This change in mood is observable by others and medications,
substance abuse, or another medical condition does not cause the symptoms.

The next progression from hypomania is mania, which is a more extreme case of
hypomania. A manic episode is a period of an elevated or irritable mood
for at least one week. The symptoms must cause problems in daily
functioning and cannot be caused by a medical condition or drugs.
Manic symptoms are: inflated self-esteem or grandiosity, decreased need
for sleep, more talkative than usual, flight of ideas or racing thoughts,
attention easily drawn to unimportant or irrelevant items, increase in
goal-directed activity or psychomotor agitation, and excessive involvement
in pleasurable activities which may have negative consequences and psychotic
tendencies with hallucinations may occur.

Also bipolar disorder patients may also go through mixed episodes,
which are periods when the patient has both a manic
episode and a major depressive episode every day for at least one week.
The person may not mind the mania or may be in denial of the disease, and since it only lasts a
few hours, no one else may even notice. By the time people actually
begin to notice the manic-depressive cycle or the mania it has
reached a point where the patient is barely able to function
normally. the difference between mania and hypomania.
　
Researchers are still seeking the cause of manic depression. The most
popular theory is that the disorder is caused by an imbalance of
norepinephrine and serotonin. During manic periods there are unusually
high levels of norepinephrine and serotonin while, during depressed
periods, there are unusually low levels. The biological explanation is
also supported by genetic features. Many twin studies have been
performed which have shown a predominance of bipolar disorder among
identical and fraternal twins with the chance of inheritance in identical twins
Bipolar patients often have a family history of both bipolar and unipolar
disorder. In addition the preferred method of treatment for bipolar disorder
is medication.
　
Treatment for manic depression consists of mood stabilizers, medications
that balance the manic and depressive states experienced by patients with
bipolar disorder. The most common treatment, or the first medication
attempted, is Lithium. Lithium increases the serotonin and norepinephrine
this causes its counterbalancing effects of mania and depression.
However, many patients do not respond to Lithium
Some say that this is due to the drug, while others maintain that
it is due to lack of consistency in taking the drug.
Lithium is not effective for all types of bipolar disorder, so other
medications have been produced to help Lithium resistant individuals.

Anticonvulsants are the second medications to control the
symptoms of bipolar disorder. Valproate and Carbamazepine are
the two used more frequently. Medication seems to be the best treatment for
bipolar disorder. Psychotherapy is also helpful, particularly
a therapy which focuses on readjusting patient's
perceptions of life. However, patients still experience symptoms.


One interesting factor with bipolar disorder is the creativity of those afflicted.
This is not the normal creativity experienced by the
above-average people. This creativity is the
creative genius, which is so rare, yet a large percentage of the
well-known creative people were/are afflicted with manic depression.
Ernest Hemingway, Sylvia Plath, Rachmaninoff and Tchaikovsky.
Psychiatrists, realizing a connection that is not just coincidence, have
performed studies all over the world in an attempt to establish a link
between bipolar disorder and creativity.
　

Biographical studies of earlier generations of artists and writers which show that they a
greater rate of suicide as compared to the general population
The results of these studies provide proof that there is a link between
bipolar disorder and creative genius
The studies show that it is not is not whether or not there exists a connection
between the two, but why it exists.

One common feature in mania or hypomania is the increase in unusually
creative thinking and productivity. The thought processes of mania is faster and more fluent than normal
which influences creative thought,. Manic people often
speak and think in rhyme more than non-manic people.
The lifestyles of manic-depressives in their manic phase
is comparable to those of creative people. Both groups function on very
little sleep, restless attitudes, and they both exhibit depth and emotion
beyond normal. Biologically speaking, the brain functioons at a faster rate
and it can respond quickly and intellectually with
a range of changes.
The manic state is speeded upand allows more room for creativity because the person feels capable of anything.
Inhibitions do not exist in manic people, allowing
them to become creative geniuses. They understand a part of art, music,
and literature which normal people can not attempt.

The manic state is in complete opposite to the depressive phase of bipolar patients.

In the depressed phase, patients only see gloom and boundaries. They feel
helpless, and out of this helplessness comes the creativity. The only
way bipolar patients can survive their depressed phases, oftentimes, is to
release their despondency through some creative work.
Since the states of mania and depression are so different,
the two ends up being chaotic. Looking at some works of literature
or music, it can be noticed which phase the creator was in at the time of
composition. . Researchers say that most actual compositions result from this
in-between period because this is the only time when the patient can
physically deliver something worthwhile. Because the phases are so
chaotic, the ideas flow during the manic and depressive states, but the
final, developed products are formed during the normal periods.
The major problem with bipolar disorder is that drug
treatment often decreases or takes away the creativity in the patient. Before
drug therapy was not used, the creativity would be free.
But in order for the bipolar to cope with day to day
living, their creativity must be sacrificed. Doctors and
researchers are constantly searching to provide treatment for the
symptoms. In the case of bipolar disorder, the world benefits
from the mood swings exhibitedby these patients.
Though their ability to function properly in life since the
cycling between manic and depressive phases is so traumatic and energy
depleting, creativity is something to conserve. With more effective drug treatment
hopefully there will be medication that will allo the
creative genius of the patients to survive and allow them to function in society
with a better quality of life.

Bipolars and Relationships

　
　
How does bipolar disorder affect others?
When a friend or relative has bipolar disorder, it affects you too. Taking care of someone with bipolar disorder can be stressful. You have to cope with the mood swings and sometimes there are drinking and drug problems called double trouble. Sometimes the stress can strain your relationships with other people. In severe cases those who help care can lose time off of work and much of their free time for themel
　
No one likes to be a bipolar victim but interesting enough being married to a person even when they are showing symptoms of the disease can make a relationship exciting.
Some of the most successful people in this world are bipolar financially it can be very satisfying. But also on the
other side there are the unlucky. They are either victims of
bipolar mania or they themselves are the victims of abuse because of the disorder.
　
People with the severe mania illness are capable of destroying
you no matter how strong and capable you are, because they use your emotions
against you and they can turn very cold and destructive very easily.
Well intentioned people have gone into relationships believing it will be different with
them only to learn a few years later they have become the a victim.
This mental illness is chaotic and the manic symptoms can be
really destructive to a relationship.
　
Bipolars when pursuing the opposite sex can be too good to be true.
They appear to be loving compassionate people putting you first before everything else.
This may be an actual trait but during a manic high it becomes exaggerated and viscious jealosy arises.
　
The high sexual thoughts they are going through, finds them can visiting
strip clubs and flirting with others. Even though your partner may not have a history of promiscuous affairs, bipolar manias’
symptom of high sex libido drives them to look for attention or highs
elsewhere. This quickly turns to lies to cover up other lies that have been committed and there is no signs of guilt.
　
　
There are those who have been plagued with extreme mood swings. People think
it's controllable, but its not. When they go through intense highs, everything
is fantastic and they are the life of the party as long as no one does anything to inturupt their high.
A harmless joke can set off a chain reaction with verbal insults and
even physical violence.
　
With bipolars everything and anything can stimulate them.
They can even go for days without sleeping, because their mind is running wild
with interesting things to do. Spending money is like throwing paper around.
They can be full of plans without the slightest regard for work or money. or become obsessed with
produtivity. Anything that can feed the high.
　
　
Depressive episode usually follows the highs, and can go on for weeks or months . The lows vary in severity from just tired
to no energy whatsoever. Usually when
patients are going through this period they have no confidence and their self
worth or self esteem suffers. Because of these depressed thoughts and feelings
many stay in their bed.
　
　
If you know someone who is a bipolar it affects you too. The first and
most important thing you can do is help him or her get the right diagnosis and
treatment. You may need to make the appointment and go with them to see
the doctor. Encourage them to stay in treatment.
Offer emotional support, understanding, patience, and encouragement
Learn about bipolar disorder so you can understand what your friend or
relative is experiencing
Talk to your friend or relative and listen carefully
Listen to feelings Invite them out to positive distractions, such as walks,
and other activities
Never ignore comments about their harming themselves.
　
Like other serious illnesses, bipolar disorder can be difficult for spouses,
family members, friends Relatives and friends often have
to cope with the person's serious behavioral problems, such as wild spending
sprees during mania, extreme withdrawal during depression, poor work or school
performance
.
The family has to deal with how this affects their own health. The stress that
loved ones are under may lead to missed work or lost free time, strained
relationships with people who may not understand the situation, and physical and
mental exhaustion.
　
Stress from care can make it hard to cope with a loved one's bipolar
symptoms. It is important that people caring for
those with bipolar disorder also take care of themse
　
Bipolar disorder is an illness like other medical illnesses. It's not something
to be ashamed of. It can be emotionally and physically
draining for the people around you. Needless to say, having bipolar disease can
put a strain on even the best relationships.
Bipolar disorder can really affect relationships. Every single
relationship they have will be affected whether it is an intimate relationship,
a parental relationship, or a friendship
.People who suffer from the condition get argumentative. They suffer from extreme
irritability and that causes them to lash out and to hurt the people
around them. Often sufferers are too ashamed to tell the people they love what
they are going through. They feel that if they do, their loved ones will think
less of them. That fear sometimes causes them to keep the condition a secret for
as long as they possibly can. But keeping your condition a secret from people
close to you may not be the best thing to do. It helps if your
trusted friends and family know what you're going through.
　
People you choose to tell about your illness will need to learn a little about the disorder and its
wide sometimes uncontrolable emotional behaviors, from deep lows to flat out mania.
　
Keeping relationships with family and friends increases the chance for recovery and sometimes with the
right treatment complete remission.

The Stigma of Mental Illness

The public continues to this day to emphasize the difference between Mental and Physial Health People see mental and physical as separate functions when mental functions are physical as well Mental functions are carried out by the brain mental disorders are reflected in physical changes in the brain Physical changes in the brain often trigger physical changes in other parts of the body too. The racing heart, dry mouth, and sweaty palms that accompany a terrifying nightmare are created by the brain. A nightmare is a mental state caused by chemical changes in the brain which esults in physial symptoms
Mental health refers to the successful performance of mental functions in terms of thought, mood, and behavior. Mental disorders are conditions in which alterations in mental functions arepresent The brain carries out all mental functions, it also carries out some physical functions, such as movement, touch, and balance. That is why not all brain diseases are mental disorders. A stroke causes a lesion in the brain that may produce disturbances of movement, such as paralysis When such symptoms occur they are physical but caused by the brain But when dementia caused by a strok produces alterations of thought, mood, or behavior, it is considered a mental condition
Stigmatization of people with mental disorders has persisted throughout history. Bias, distrust, stereotyping, fear, embarrassment, anger, and/or avoidance exists. Stigma leads others to avoid living, socializing or working with, renting to, or employing people with mental disorders, especially severe disorders such as schizophrenia It reduces patient access to resources and opportunities and leads to low self-esteem, isolation, and hopelessness. Stigma results in discrimination and abuse. It deprives people of their dignity and interferes with their full participation in socirty
　
　
　
In colonial times in t he United States, people with mental illness were described as lunatics. They lived with and cared for by families. There was no public agencies to treat mental illness until urbanization in the early 19th century created a problem in society for families in small rural communities. Asylums where persons with mental illness were treated with the treatments of the era. Throughout the history of institutionalization in asylums where reformers worked to improve treatment and stop abuse. This reform continued up to in the deinstitutionalization movement that began in the 1950s and ended in shifting patients and care to the community.
　
Public attitudes about mental illness since the 1950s shifted to the moral and humane. Over time, several surveys of the 1970s and the 1990s brought about changes exactly as they had been in the 1950s .
In the 1950s, the public viewed mental illness as a stigmatized condition and displayed an no real understanding of mental illness. Typically the public was not able to identify individuals as mentally ill when presented with individuals who would have been said to be mentally ill according to the professionals The public was unable to distinguish mental illness from ordinary unhappiness and worry and more than likely they saw only extreme forms of behavior as mental illness. Mental illness was a social stigma, looked upon with fear of unpredictable and violent behavior.
By 1996, Americans had achieved greater scientific understanding of mental illness. But the knowledge did not change the social stigma. The public learned to about mental illness and could distinguish it from ordinary worry and unhappiness. It gained an understanding of mental illness to include anxiety, depression, and other mental disorders. Unfortunaty to the public mental illness was a mix of biological abnormalities and social and psychological stress Compar with the 1950s, the public’s perception of mental illness was associated more with violent behavior. Half of those questioned of a group study placed violence in its descriptions of mental illness. The publics perception of people with psychosis as being dangerous is stronger today than in the past.
The public was more likely to say that an individual with schizophrenia as having a mental illness than a person suffering from depression
Why is stigma so strong despite better public understanding of mental illness?
This Are people with mental disorders truly more violent? The greatest risk of violence is from those who have dual diagnoses individuals who have a mental disorder as well as a substance abuse disorder. There is a small elevation in risk of violence from individuals with severe mental disorders especially if they are noncompliant with their medication. Yet the risk of violence is much less for a stranger than for a family member or person who is known to the person with mental illness There is very little risk of violence or harm to a stranger from casual contact with an individual who has a mental disorder.
Because most people should have little reason to fear violence from those with mental illness. The public’s stereotypes linking violence and mental illness and encouraged people to distance themselves from those with mental disorders Deinstitutionalization made this distance less likely. Deinstitutionalization expected stigma to be reduced with community care and commonplace exposure. Stigma might have been greater today had not public education resulted in a more scientific understanding of mental illness.
Approximately only one third of all people with diagnosable mental disorders seek treatment Stigma surrounding the mental health treatment is discourages people from seeking treatment. Concern about stigma is heightened in rural areas in relation to larger towns or cities. Stigma also affects certain age groups.
Evolving public attitudes about how people would cope with, and seek treatment for, mental illness if they became symptomatic. (The term "nervous breakdown became prominate instead of mental illness and people were likelier than in the past to approach mental illness by coping with, rather than by avoiding, the problem. Informal social supports, self-help groups. Those who now sought professional support preferred counselors, psychologists, and social workers.
　
The publics willingness to pay for mental health treatment, through insurance, seems to carry a willingness to pay for insurance coverage for individuals with severe mental disorders, such as schizophrenia and depression, rather than for less severe conditions. The public generally appears to support paying for treatment, its support diminishes upon the realization that higher taxes or premiums would be necessary. The public generally ranks insurance coverage for mental disorders below that for physical disorders.
　
There is no simple or single way to eliminate the stigma associated with mental illness. Stigma was expected to stop with increased knowledge of mental illness, but stigma in some ways intensified over the past 40 years even though understanding improved.

The History of Deinstitutionalisation of the Mentally Ill in America

　
Deinstitutionalisation is the process of replacing long-stay psychiatric hospitals with less isolated community living mental health services with mentally ill or developmentally challenged patients Deinstitutionalisation is aimed at reducing the population size of mental institutions shortening the length of stays, and reducing both admissions and readmission
Deinstitutionalisation is the practice of transferring homeless, involuntarily hospitalized mental patients from state mental hospitals into different kinds of psychiatric institutions funded by the federal government The plan is striving to combat mental illness in the United State.
In many cases, the mass deinstitutionalisation of the mentally ill from the 1960s onwards has translated into a mass release of patients into the community. Individuals who previously would have been in mental institutions are no longer supervised by health care workers.
The 19th century saw a large expansion in the number and size of asylums Although initially were thought to be moral and humane confinement they became o non-therapeutic, isolated in location, and neglected in the care require
By the beginning of the 20th century, the admissions had resulted in serious overcrowding. inadquate funding especially during periods of economic decline, and war, many patients starved to death. Asylums became institutions with poor living conditions, lack of hygiene, overcrowding, ill-treatment, and abusive
The first community-based alternatives started in the 1920s and 1930s, asylum numbers continued to increase up to the 1950s deinstitutionalisation began strongly in various countries in the 1950s and 1960s.
Public outrage helped expose the poor conditions and treatment. Sociologists argued that these institutions created dependency, passivity, exclusion and disability and caused people to be instistutionalized much like prison
Community services were thought to be cheaper and new psychiatric medications made it more feasible to release people into the communit
Community services began with supported housing with full or partial supervision within the public community Costs have been said to be lower in some ca
Although deinstitutionalisation has been positive for the majority of patients for some it has severe repurcussions
Hopes that ommunity care would lead to fuller social integration are not achieved; many remain without work, have limited social contacts and often live in sheltered environments.
Community services are often unable to meet complex needs. Services in the community sometimes isolate the mentally ill where clients meet each other but have little contact with the rest of the community. Instead of community living reforms established an Open air Institution
Often there is insufficient preparation or support. A greater proportion of people with mental disorders became homeless or are imprisoned Homelessness has increased in some states in the USA Families can often play a crucial role in the care of those who would be placed in long-term treatment centers; however, many mentally ill people are resistant to such help because of the mental condition The majority of those who would be under continuous care in long-stay psychiatric hospitals are paranoid and delusional to the point that they refuse help and do not believe they need it, which makes it difficult to treat them.
Moves to community living and services leads to various concerns and fears, from both the individuals themselves and other members of the community
In every category of crime, including rape/sexual assault, other violent assaults, and personal and property theft the incident rates have increased The rates are similar in those with developmental disabilities
The unfounded idea that people with mental disorders released into the community are more likely to be dangerous and violent, a large study indicated that they were no more likely to commit violence than those in the neighborhoods usually economically deprived and high in substance abuse and crime where they are typically placed in
Findings on violence committed by those with mental disorders in the community have been inconsistent a higher rate of the most serious offenses such as homicide has sometimes been found but, despite high-profile homicide cases, the evidence suggests this has not increased ofdeinstitutionalisatio Aggression and violence that does occur is usually within the families
Deinstitutionalisation began in the USA IN 1950s and targeted people with mental illness. 15 years after individuals who had been diagnosed with a developmental disability were being placed in the community Although these movement began over 50 years ago, deinstitutionalisation continues today
The social forces that have led to a move for deinstitutionalisationpublic opinion of those with mental disabilities, and state's desire to reduce facilities for the mentally ill
Public awareness of the conditions of mental institutions began to increase during World War II Following WWII, articles and exposes about the mental hospital conditions would bombard popular and scholarly magazines and periodicals. These findings led to increased knowledge that mental illness was moderately prevalent. More importantly, people began to realize that cost that would be associated with more individuals being admitted to mental institutions (i
This time period was the beginning in the change of public and congressional attitudes toward the mentally ill. Since many individuals suffering from mental illness had served in the military, many began to think that more knowledge about mental illness and better services could benefit the men that served as well as the nation as a whole. that would be essential in developing the mental health field.
During the 1950s many new drugs became available and incorporated into therapy for the mentally ill. These new drugs were effective in reducing severe symptoms, which would allow people with mental illnesses to live in communities Drug therapy not onlyt depopulated the mental institutions, but it also opened opportunities for employment of the mentally
In general, professionals, civil rights leaders, and humanitarians saw deinstitutional confinement to local care as the appropriate approach.The Movement started off slowly but when it adopted the philosophy of the Civil Rights Movement It took off During the 1960s, deinstitutionalisation decreased dramatically as the average length of stay decreased by more than half. Instead of placing people with mental illnesses in long term institutions, many began to be placed in community care facilities where they could get care for their mental health needs. The deinstitutionalisation that took place in the United States was a transition from a mental institution to a more community centered facility
As hospitalisation costs increased due to improvements advocated by civic groups, both the federal and state governments desired to find less expensive alternatives to hospitalisation With the government on the side of deinstitutionalisation, getting legislation passed proved less difficult
Observers of the homeless issue also saw a change related to deinstitutionalisation Studies from the late 1980s indicated that one-third to one-half of homeless people had severe psychiatric disorders, often occurring with substance abuse
　
While the original idea of deinstitutionalization as it was in the beginning as a more humane way of living for the mentally ill There are still flaws which continue to make Community Living an alternative that needs to be restructuted to the individual eeds of each person with a mental disorder
Grouping and labeling of people continues to be a form of predjudice which still thrives with the stigma of Mental Illness

THE CHANGES OF MEDICAL TREATMENT IN BIPOLARS SINCE 1950 IN AMERICA

　
　
Bipolar affective disorder has been a mystery since the 16th century. History has shown that this affliction can appear in almost anyone. Even the great painter Vincent Van Gogh is believed to have had bipolar disorder. It is clear that in our society many people live with bipolar disorder; however, despite the abundance of people suffering from it, we are still waiting for explanations for the causes and cure. The one fact of which we do know is that bipolar disorder severely disables its ones ability to obtain and maintain social and occupational success.
Affective disorders are characterized by symptoms that can be broken into manic and depressive episodes. The depressive episodes are characterized by intense feelings of sadness and despair that can become feelings of hopelessness and helplessness. Some of the symptoms of a depressive episode include disturbances in sleep and appetite, psycomoter retardation, loss of energy, feelings of worthlessness, guilt, difficulty thinking, indecision, and recurrent thoughts of death and suicide The manic episodes are characterized by elevated or irritable mood, increased energy, decreased need for sleep, poor judgment and insight, and often reckless or irresponsible behavior Bipolar affective disorder affects approximately three million people in the United States. It occurs in both males and females. Bipolar disorder involves episodes of mania and depression. These episodes may alternate with profound depressions with persistant sadness, almost inability to move, hopelessness, and disturbances in appetite, sleep, in concentration
Bipolar disorder is diagnosed if an episode of mania occurs whether depression has been diagnosed or not Most commonly, individuals with manic episodes experience a period of depression. Symptoms include elated, expansive, or irritable mood, hyperactivity, pressure of speech, flight of ideas, inflated self esteem, decreased need for sleep, distractibility, and excessive involvement in reckless activities (H.
Bipolar disorder can create substantial developmental delays, marital and family disruptions, occupational setbacks, and financial disasters. This devastating disease causes loss of jobs and millions of dollars in cost to society. Many times bipolar patients report that the depressions are longer and increase in frequency as the individual ages. Many times bipolar states and psychotic states are misdiagnosed as schizophrenia. Speech patterns help distinguish between the two disorders
The onset of Bipolar disorder usually occurs between the ages of 20 and 30 years of age, with a second peak in the mid-forties for women. A typical bipolar patient may experience eight to ten episodes in their lifetime. However, those who have rapid cycling may experience more episodes of mania and depression that succeed each other without a period of remission
The three stages of mania begin with hypomania, in which patients report that they are energetic, extroverted and assertive Doctors believe that the hypomania stateshows that bipolar patients are «addicted» to their mania. Hypomania progresses into mania and the transition is marked by loss of judgment Often, euphoric grandiose characteristics are displayed, and paranoid or irritable characteristics progress The third stage of mania is evident when the patient experiences delusions with often paranoid themes. Speech is generally rapid and hyperactive behavior manifests sometimes associated with violence
When both manic and depressive symptoms occur at the same time it is called a mixed episode. Because there is a combination of hopelessness, agitation, and anxiety that makes them feel like they «could jump out of their skin they are a higher risk patients. Patients report feeling dysphoric, depressed, and unhappy; yet, they exhibit the energy associated with mania. Rapid cycling mania is another of the bipolar disorder. Mania may be present with four or more distinct episodes within a 12 month period This form of the disease exhibits more episodes of mania and depression than bipolar.
Lithium has been the primary treatment of bipolar disorder since its introduction in the 1960’s. It is main function is to stabilize the cycling characteristic of bipolar disorder. The overall response rate for bipolar subjects treated with Lithium was is more than 3/4 of patients Lithium is also the primary drug used for long – term maintenance of bipolar disorder. In a majority of bipolar patients, it lessens the duration, frequency, and severity of the episodes of both mania and depression.
Unfortunately,the other 1/4 of bipolar patients are either unresponsive to lithium or can not tolerate the side effects. Some of the side effects include thirst, weight gain, nausea, diarrhea, and edema. Patients who are unresponsive to lithium treatment are often those who experience dysphoric mania, mixed states, or rapid cycling bipolar disorder.
One of the problems associated with lithium is the fact the long-term lithium treatment has been associated with decreased thyroid functioning in patients with bipolar disorder. Another problem associated with the use of lithium is experienced by pregnant women. Its use during pregnancy has been associated with birth defects
There are other effective treatments for bipolar disorder that are used in cases where the patients cannot tolerate lithium or have been unresponsive to it in the past. The next line of treatment to be Anticonvulsant drugs such as valproate and carbamazepine. These drugs are useful as antimanic agents, especially in those patients with mixed states. Both of these medications can be used in combination with lithium or in combination with each other. Valproate is especially helpful for patients who are lithium noncompliant, experience rapid-cycling, or have alcohol or drug abuse.
Neuroleptics such as haloperidol or chlorpromazine have also been used to help stabilize manic patients who are highly agitated or psychotic. Use of these drugs is often necessary because the response to them are rapid, but there are risks involved in their use. Because of the often severe side effects, Benzodiazepines are often used in their place. Benzodiazepines can achieve the same results as Neuroleptics for most patients in terms of rapid control of agitation and excitement, without the severe side effects.
Antidepressants such as fluovamine and amitriptyline have also been used by some doctors as treatment for bipolar disorder. A study showed that fluvoxamine and amitriptyline are highly effect Conflicting research shows that antidepressants can actually precipitate manic episodes. Most doctors can see the usefulness of antidepressants when used in conjunction with mood stabilizing medications such as lithium.
In addition to the mentioned medical treatments of bipolar disorder, there are several other options available to bipolar patients, most of which are used in conjunction with medicine. One such treatment is light therapy. . Bipolar patients in one study showed a improvement in their depressive symptoms, with no incidence of mania or hypomania. They all continued to use light therapy, and all showed a sustained positive response Hypomanic symptoms were experienced by some of bipolar patients in this study. Predominant hypomanic symptoms included racing thoughts, deceased sleep and irritability. it is evident from this study that light treatment may be associated with the symptoms. Careful professional monitoring during light treatment is necessary, even for those without a history of major mood disorders.
Another treatment for bipolar disorder is electro-convulsive shock therapy. ECT is the preferred treatment for severely manic pregnant patients and patients who are homicidal, psychotic, catatonic, medically compromised, or severely suicidal. In one study, researchers found marked improvement in patients treated with ECT, compared to patients treated only with lithium and of patients who received neither, ECT or lithium
A final type of therapy is outpatient group psychotherapy. The value of support groups influenced mental health professionals to take a more serious look at group therapy for the bipolar population.
Research shows that group participation may help increase lithium compliance, decrease denial regarding the illness, and increase awareness of both external and internal stress factors leading to manic and depressive episodes. Group therapy for patients with bipolar disorders responds to the need for support and reinforcement of medication management, and the need for education and support for the interpersonal difficulties that arise .

Bipolar Disorder and Minorities

Bipolar Disorder and Minorities

Every person regardless of race should seek help if they have a mental health problem or
symptoms of a mental disorder.

A large number of Inner city young people have seen someone shot or stabbed. Exposure to community violence, as victim or witness, leaves immediate and long-term effects on mental health, especially for youthAn Ethnic View of Mental Illness
Mental health issues facing four ethnic groups, including African Americans, American Indians and Alaskan Natives, Asians and Pacific Islanders, and Hispanic Americans They all face a social and economic environment of inequality that takes its toll on mental health.
If these people happen to be poor a lack of access to treatment mistrust of the system, stigma, communication difficulties, and stereotyping.
African Americans and Latinos felt their healthcare provider treated them badly because of race or economic background as opposed to whites.
In some Asian cultures, mental illness is thought to reflect badly on family and diminishes marriage and economic prospects for other members.
African Americans are overdiagnosed for schizophrenia and underdiagnosed for bipolar disorder
African Americans and Asians in general are slow metabolizers of certain antipsychotics and antidepressents Physicians unaware of this may prescribe doses that are too high, resulting in severe side effects and unwilliness to continue in treatment
American Indians and Native Alaskans do not have a doctor or clinic that can provide regular or preventive health care.
Many Southeast Asian refugees are at grave risk as a result of the traumas they experienced for Vietnamese for Cambodians for Laotians losing a lot of their population in war.
Mexican immigrants had lower prevalence rates for depression and other disorders than Mexican Americans born in the US.
Hispanics
In California latinos will outnumber whites. this "minority" will be in a majority with whites Strong family attachments, supportive community networks, and deep spiritual/religious convictions. of those with severe mental illness Those who responded to treatment were latinos and African-Americans living with their families, as opposed to whites
interventions targeted to specific cultural groups were more effective than non-targeted interventions and that those conducted in a client's native language were more effective as those conducted in English.In addition, Dr Barrio pointed out, families from third-world nations tend to manifest lower "expressed emotions," such as hostilities. Acceptance and warmth in Mexican-American families, for instance, predict better outcomes from schizophrenia.
American Indians
American Indians/Alaskan natives now reside in urban areas. Indians are moving to the cities for the same reasons the rest of us do - jobs and education.
Indian life expectancy, is less than non-natives, a Where the death rates are significantly lower among older men than their counterparts among other races), diabetes higher unintentional injuries homicide and suicide very high in the young population but lower in elders than the general population
Elders in the Indian had their culture as forced boarding schools banned spiritual practices and loss of land Barriers to mental health include differences in cultural beliefs about mental illness cultural labeling of different emotions lack of mental health professionals in the system lack of large scale studies and lack of cultural orientation for providers such as in the healing traditions Rarely do elders seek out available mental health services.
Asians and Pacific Islands
among other things Asian elders are confronted by a difference between how Asians and Americans view the elderly The family matriariac may find herself a stranger in a strange land even within her own family especially if dealing with Americanized children and grandchildren.
Asian Americans whose families experience a high interpersonal conflict have a greater risk of attempting suicide compared to the general Asian population. T even among those who never had a history of depression the strength of family values in Asian communities Family harmonyis a value coming from Confucianist and Taoist beliefs
Since depression is often caused by problems in life clients need help regaining a sense of control and thereby improve their mood people who are engaged in social activities have less depression than those not engaged.
African Americans
It is said that a majority of African American children are raised in poverty. African Americans earn lower than the median income They are more likely than whites to pay out of pocket, and their treatment is more likely to be terminated quickly.
But they end up in the hospital more and are more likely to be treated with old generation antipschotics Doctors tend to misinterpret cultural traits as psychotic features such as speech idioms while underdiagnosing for bipolar and depression. Some African Americans distrust the mental health system and do not seek out help
Ironically, black people are experiencing higher rates of depression and suicide at a time when they are entering the middle class in increasing numbers. Young blacks also account for a large part of all homicide deaths in America in what can be described as a form of suicide
Although great strength allowed black people to survive slavery and discrimination but the idea that black men and women can easily handle burdens that would psychologically crush other people has been overated
Poverty
When depression hits someone in the middle class it's relatively easy to recognize. You are doing your everyday business then suddenly you begin feeling bad all the time and when you crash you attract the attention of your friends, coworkers, and family.
For the poor it just goes with the territory most people just take it as just a part of life for the have nots

Most of the Heads of households receiving Aid to Families with Dependent Children are clinical depressed and pregnant welfare mothers are in the same condition.

Symptoms of Bipolar Disorder

Buck up Oh it cant be that bad Your in a good mood today Be quiet for a minute You paid what for that But you just got paid
What have you been smoking Phrases that I love to hate How to tell if you are a Bipolar Have you heard these phrases excessively Think about it

SYMPTOMS BIPOLAR DISORDER

MANIA
The symptoms of Bipolar Mania include

Period of elevated expansive or irritable mood Other symptoms include Beliefs of possessing exaggerated power importance
knowledge or ability Decreased need for sleep More talkative than usual pressure to keep talking
Rapidly changing unrelated or racing thoughts Easily distracted
Driven behavior at work at school or sexually agitation Risky behavior
Excessive spending foolish business investments

DEPRESSION

Symptoms of Bipolar Depression Include

Occurring nearly every day Depressed mood most of the day
feeling sad or empty tearful Significant loss of interest or pleasure in activities that used to e enjoyable Significant weight loss when not dietingor weight gain decrease or increase in appetite
Difficulty in sleeping or sleeping too much Agitation or slowing down of thoughts and reduction of physical movements
Fatigue or loss of energy Feelings of worthlessness
or inappropriate guilt Poor concentration or having
difficulty making decisions
Thinking about death or suicide

Most people have felt some of these symptoms at least once in their life and it is normal But if they persist or are becoming more frequently Then
they can be words you Love to Hate


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Medications

The dangers of being Bipolar can be medication There are certain drugs that are used to treat Bipolar Disorder They range from simple antipsychotics and antidepressents to drugs that are used for their side effects such as mood altering and sedating

One of the popular and famous medication is a simple natural product called Lithium It is a natual salt but the has dangerous side effects when used without the addition of simple table salt When on this medication the blood levels can become too high in your body without using extra table salt

When the blood level of Lithium is too high the symptoms range from a simple tremor in the extremeties hands legs to convultions and vomiting excessivly Left unchecked death can occur It is the drug of choice for Bipolar Disorder Other drugs called antisiezure medications are used when Lithium can not be tolorated or in some cases it does not work one of them called Lamictal There are dangerous side effects with Lamicatal and medications like it one is a severe rash which can also result in death or complicated side effects Your equilibrium can beso badly affecte that you have difficulty with you coordination there is the possibillity of falling becoming extremely clumsy

With medications like these there is a chance of diabeties and a tremendous weight gain Most people on these medications experience weight gain up to 100 lbs which leads to physical problems due to medications

The side effects of these medications are often worse than the disorder itself it may seem Sleeplessness is treated with medications like Klonipin it can cause restlessness suicida lthoughts and actions and panic attacks

The medication side effects are sometimes worse than the disorder itself

Why I llove to hate the the medications in common use for Bipolar Disorder Is the cure worth the risks in taking medication For some people it is so they go off of medication and have to be hospitilized The lesser of two evils sometimes