Your Bipolar World

Overview of Bipolar Disorder in Adolescents

2010-01-03T11:31:00.001-06:00

All over the world millions of people are affected by bipolar disorder. The majority of these millions are assumed to be adults. Adolescents, however, hold a significant percentage of those suffering with bipolar disorder and this adds extra complexity upon their lives. This can be said because having to contend with the serious symptoms of bipolar disease and adolescent bipolar disorder is just an extra hassle to the common struggles that every teenager goes through.

Outlining Bipolar Disorder

Bipolar disorder refers to severe mood swings and was originally named manic-depressive disorder. These swings of mood range from a higher sense of euphoria (mania) to a critical down cycle known as the depressive phase. People normally take the euphoria phase as a stage of excitement and minor anxiety where the depressive phase is seen as plain sadness or fatigue. Both phases are serious in reality and they can seriously affect decision-making, concentration, energy levels, cognitive function, and other critical abilities needed to carry out the necessary functions of life.

While bipolar disorder is a serious psychiatric condition, it is not untreatable. Often, outpatient prescription therapy and counseling can help alleviate many of the negative effects of bipolar disease. However, this can be a challenge for adults. For adolescents, bipolar disorder brings further complexities.

The Beginning of Bipolar Disease and Adolescent Bipolar

In general, most people develop bipolar disorder late in their teens or their early adult years. While the development of bipolar disorder in children and younger teens is rare, it does occur. Called Early Onset Bipolar Disorder the mood swings may occur more frequently. Also, the symptoms may very well be more severe than what an adult may manifest. This may be due to the lack of emotional development in the adolescent.
How Parents Can Identify Adolescent Bipolar Disease and Adolescent Bipolar Disorder

Adolescents share many of the same symptoms that an adult will display. Noticeable symptoms common in both of them include lacking a clear attention span, severe mood swings, lethargy, extreme excitement and talkativeness, and displaying a very depressed or sad mood are all signs of the disorder.

Behavior at school can also be affected by these symptoms. Is your adolescent having trouble making and maintaining friends? Have their grades started to slip? And has he/she been involved in a few disciplinary incidents? These situations could indicate the possible presence of bipolar disorder.

Of course, a parent will not know for sure unless the adolescent is properly diagnosed by a qualified mental health professional. Usually, a board certified psychiatrist would be the most reliable source for a diagnosis. However, it is critical that parents do not make decisions as to whether or not an adolescent had a serious mental disorder. Doing so would only inhibit the youth from receiving the proper treatment.

What Type of Treatment Will Work?

Combination of medical treatment and therapy is generally what treatment for bipolar involves. Prescribed medications such as anti-depressants, mood stabilizers, and anti-anxiety prescriptions are usually given. The treatment for adolescent bipolar may last for many years and will most likely be carried into adulthood. Regardless of this, the primary concern here is not the duration of the treatment. Patients should rather focus on utilizing their treatment to establish a normal life with the least amount of problems that come from the condition. For both adults and adolescents, this is true.

by Ken P Doyle

Bipolar Symptoms in Bipolar Children

2010-01-03T11:29:00.000-06:00

Bipolar disorder is a serious mood disorder that affects millions of people in the United States alone. And while most people think of adults when they think of people suffering from this disease, it’s not just adults who struggle with it. Children, even before puberty, can develop bipolar disorder symptoms, and bipolar disorder children can start exhibiting symptoms as early as the age of seven. Though the disease carries the same name, children’s bipolar disorder symptoms are different, and bipolar disorder children have very different experiences from adults with the illness.

A mood disorder characterized by changes in mood from depression to manic episodes, Bipolar disorder is also called a manic depression illness. Bipolar has three main episodes called depression; mania and mixed episodes. There are times that are considered “normal” and other length of time for the different episodes which varies greatly depending on each individual. The other type is called a “mixed” episode which the person can simultaneously experience symptoms of depression and mania.

What Are The Symptoms of Bipolar In Children?

Depressive episode symptoms include feelings of hopelessness, overwhelming sadness, feeling that nothing goes right, low self esteem, fatigue, and changes in appetite. If depression is particularly bad, people may even have feelings or thoughts of suicide.

Many people who are experiencing a manic episode may have rapid or disjointed speech, restlessness and fidgeting, hyperactivity, insomnia, distractibility, even become aggressive, angry and difficulty concentrating.

Children experience many other symptoms in addition to many of the common symptoms associated with or not with depressive and manic episodes. Symptoms of bipolar in children may include, bed wetting (especially in boys), temper tantrums, motor or vocal tics, separation anxiety and night terrors.

One of the biggest drawbacks to bipolar disorder in children is that the symptoms can change as the child grows. This is why there is no standard for bipolar disorder symptoms in children. This not only makes it more difficult to diagnose in children but can make it more difficult to maintain quality treatment.

Treatment For Bipolar Disorder In Children

As with adults who have bipolar disorder, bipolar symptoms in children are usually treated with a combination of medication and psychotherapy. In children, however, it’s important to have a strong support system to keep an eye on the child. As a child with bipolar disorder grows, the disease can change, and with a strong support system, it’s easier to make sure the child is getting the treatment needed to deal with the bipolar disorder.

Bipolar disorder is a serious illness, and can be even more serious when it affects children. In addition to the normal stresses of growing up, bipolar disorder children have to deal with the debilitating symptoms of bipolar disorder. It can be confusing and overwhelming.

The key to dealing with bipolar disorder in children is getting the right information. And the first information is you must understand the illness before you can help your child.

Stress Relievers That Are Very Effective and Easy To Use

2010-01-03T11:27:00.000-06:00

Stress is a part and parcel of life in today's busy

lifestyles.You can ask any body and they will be feeling stress in some part of their life and because we can't get away from stressful situations, we need to learn some ways to control stress and feel relaxed. Living with continuous stress can lead to chronic health problems. So, we are going to take a look at some simple but very effective stress relievers.

Breathing exercises for basic stress relief

Long and deep breathing is one of the basic stress relievers.It helps to supply more oxygen to the blood stream which helps to calm and relax the mind. The best way to do breathing exercises is to sit in a quiet place and inhale very slowly,hold for a moment and then exhale slowly. Doing this for even a few moments will help you to feel calm and relaxed and these can be performed virtually anywhere.
Meditation the ideal stress reliever

Breathing exercises combined with meditation is the ideal stress reliever. Sit in a relaxed pose, close your eyes and try and imagine that you are sitting at a place where you felt the most relaxed. It could be a scene from a holiday that you enjoyed or your favourite spot on a beach. At the same time inhale deeply and then slowly exhale. Do this for a few minutes, trying to drive your thoughts away from the source of your stress and you will gain a feeling of relaxation and calmness.

Yoga the best stress reliever of all

In the East Yoga has been practised for many centuries because of it's contribution to the general well being for both the body and mind. It is best recommended that you learn basic Yoga exercises from a qualified instructor, but you can also purchase books and DVD's which can also teach you a lot of

Yoga exercises.

Yoga teaches very effective stress relief techniques like,breathing, meditation and movement. The benefits of Yoga are that it strengthens the mind as well as the body. The benefits that you gain from Yoga are longer lasting and this is whyit's considered the best amongst all the stress relievers.

Exercise can also be a stress reliever

Generally we exercise only to lose weight or become
physically fit. However, many people don't realize that exerciseis also a good stress reliever. You could go to the gym, go swimming, cycling etc. or even go for a brisk walk.

When we are exercising, our mind is naturally taken away from any stressful thoughts because we have to concentrate on the task at hand and this can help to reduce stress levels. Exercise also helps us to look and feel more attractive which raises our self esteem and if we are feeling good about ourselves, the chances are that we are going to feel more relaxed.

Muscle relaxation

Muscle relaxation is another very simple stress reliever that can be practiced anywhere. To practice muscle relaxation, you go through every major muscle group in your body and flex it tight for a few moments and then release. For example, you tighten your facial muscles and release. By doing this with all the muscles it will help you to feel relaxed. The major plus point of this technique is that it can be done anywhere, even while you are sitting at your desk at work.

By following any one or more of the stress reliever methods explained above, we can help ourselves fight stress and lead a calm and contented life, no matter how busy a life style we have. To gain the most benefits, be sure to practice these exercises on a regular basis.

Preventing Suicide in Bipolar Disorder

2009-12-25T00:32:00.002-06:00

Unfortunately, it is not uncommon for someone with bipolar disorder to become suicidal. Anyone who is thinking about committing suicide needs immediate attention, preferably from a mental health professional or a physician. Anyone who talks about suicide should be taken seriously.

The risk for suicide appears to be higher earlier in the course of the illness. Therefore, recognizing bipolar disorder early and learning how best to manage it may decrease the risk of death by suicide.

Some signs and symptoms that may accompany suicidal thoughts or feelings include:

1) Talking about feeling suicidal or wanting to die.

2) Feeling hopeless, or that nothing in life will ever change or get better.

3) Feeling helpless, that nothing one does makes any difference.

4) Feeling like a burden to family and friends.

5) Abusing alcohol or drugs.

6) Putting affairs in order (e.g., organizing finances or giving away possessions to prepare for one's death).

7) Writing a suicide note.

8) Putting oneself in harm's way, or in situations where there is a danger of being killed.

If you are feeling suicidal or know someone who is:

1) Call a doctor, emergency room, or dial 911 right away to get immediate help.

2) Make sure you, or the suicidal person, are not left alone.

3) Make sure that access is prevented to large amounts of medication, weapons, or other items that could be used for self-harm.

While some suicide attempts are carefully planned over time, others are impulsive acts that have not been well thought out; thus, the final point in the box above may be a valuable long-term strategy for people with bipolar disorder.

Either way, it is important to understand that suicidal feelings and actions are symptoms of an illness that can be treated. With proper treatment, suicidal feelings can be overcome.

by: Susan Nickerson DC PT

Non-Medical Treatment for Bipolar Disorder

2009-12-25T00:31:00.002-06:00

As an addition to medication, psychosocial treatments-including certain forms of psychotherapy (or "talk" therapy) are helpful in providing support, education, and guidance to people with bipolar disorder and their families. Studies have shown that psychosocial interventions can lead to increased mood stability, fewer hospitalizations, and improved functioning in several areas. A licensed psychologist, social worker, or counselor typically provides these therapies and often works together with the psychiatrist to monitor a patient's progress. The number, frequency, and type of sessions should be based on the treatment needs of each person.

Psychosocial interventions commonly used for bipolar disease include: cognitive behavioral therapy, psychoeducation, family therapy, and a newer technique, interpersonal and social rhythm therapy. National Institute of Mental Health researchers are studying how these interventions compare to one another when added to medication treatment for bipolar disorder.

Cognitive behavioral therapy helps people with bipolar disorder learn to change inappropriate or negative thought patterns and behaviors associated with the illness.

Psychoeducation involves teaching people with bipolar disorder about the illness and its treatment, and how to recognize signs of relapse so that early intervention can be sought before a full-blown illness episode occurs. Psychoeducation also may be helpful for family members.

Family therapy uses strategies to reduce the level of distress within the family that may either contribute to or result from the ill person's symptoms.

Interpersonal and social rhythm therapy helps people with bipolar disorder both to improve interpersonal relationships and to regularize their daily routines. Regular daily routines and sleep schedules may help protect against manic episodes.

As with medication, it is important to follow the treatment plan for any psychosocial intervention to achieve the greatest benefit.

Other Treatments For Bipolar

In situations where medication, psychosocial treatment, and the combination of these interventions prove ineffective, or work too slowly to relieve severe symptoms such as psychosis or serious suicidal thoughts, electroconvulsive therapy (ECT) may be considered. ECT may also be considered to treat acute episodes when medical conditions, including pregnancy, make the use of medications too risky.

ECT is said to be a highly effective treatment for severe depressive, manic, and/or mixed episodes. The possibility of long-lasting memory problems, although a concern in the past, has been significantly reduced with modern ECT techniques. However, the potential benefits and risks of ECT, and of available alternative interventions, should be carefully reviewed and discussed with individuals considering this treatment and, where appropriate, with family or friends.

Herbal or natural supplements, such as St. John's wort (Hypericum perforatum), have not been well studied, and little is known about their effects on bipolar disorder. Because the FDA does not regulate their production, different brands of these supplements can contain different amounts of active ingredient. Before trying herbal or natural supplements, it is important to discuss them with your doctor. There is evidence that St. John's wort can reduce the effectiveness of certain medications. In addition, like prescription antidepressants, St. John's wort may cause a switch into mania in some individuals with bipolar disorder, especially if no mood stabilizer is being taken.

Omega-3 fatty acids found in fish oil are being studied to determine their usefulness, alone and when added to conventional medications, for long-term treatment of bipolar disorder.

A Long-Term Illness That Can Be Effectively Treated

Even though episodes of mania and depression naturally come and go, it is important to understand that bipolar disorder is a long-term illness that currently has no cure. Staying on treatment, even during well times, can help keep the disease under control and reduce the chance of having recurrent, worsening episodes.

Bipolar On The Road - How To Plan Ahead

2009-12-25T00:30:00.002-06:00

What if you are away from home and:

• You can't get to your regular doctor?

• You feel like you're going into an episode?

• You need to see a psychiatrist?

• You need to go to the hospital?

• You forgot or lost your medication?

• Your sleep schedule is "off?"

• Your diet is "off?"

• You're not sure about your insurance coverage? (Will it cover you out of town? Out of the country?)

• You are feeling "confused?"

• You feel as if you are "off-track?"

• You are out of the country and don't know what to do?

• You are in a different time zone?

• You come back from your trip/vacation and feel "let-down?"

Let's approach these issues one at a time. You are away from home and:

• You can't get to your regular doctor.

If you have followed the advice given in the previous section, you should have already made arrangements to have a doctor in the area to which you are visiting. If not, call the hospital where you are now visiting, explain your situation, and ask for a referral to a local physician who has experience with Bipolar Disorder patients.

• You feel like you're going into an episode.

You know how it feels when you think you may be going into an episode. Many times an episode can be averted simply by lowering your stress level, increasing your relaxation exercises, using your affirmations, writing about it in your journal, keeping up with your mood diary, taking your PRN medications (such as anti-anxiety medications, medications for insomnia, extra mood stabilizers, etc.). Talk to your supporter, if they are with you. Watch your diet, exercise, and definitely make sure you are getting enough sleep. Rest as often as possible; take catnaps. Use positive self-talk. Read inspiring books. Do everything you know of that is within your power to do to keep from going into an episode. You may not have access to a doctor, therapist, or psychiatrist. But there are still many things you can do on your own.

If you are feeling as if you are going into a manic episode, make sure your supporter is in charge of your money. Watch yourself and make sure you are not talking too much – try to keep as quiet as you can. Relax your mind (try yoga, ti chi, meditation, relaxation tapes, etc.). Especially be aware of impulsive activities, and if you have to, consciously force yourself NOT to do them.

If you are feeling as if you are going into a depressive episode, try to keep yourself and your thoughts as positive as possible. Positive self-talk and affirmations work well in this situation. Stay realistic. Tell yourself, "This is normal," or "This too shall pass," or "This is not as serious as I'm making it out to be." These are examples of positive self-talk. Talk to your supporter, and be honest about how you are feeling – that is what they are there for.

Tell whomever you are visiting about how you are feeling – they will help you, because you wouldn't be visiting them if they didn't care about you, would you? Also, again, exercise will help you, because it excites endorphins in your body which help you to feel better naturally. Don't increase your sleep, which you will naturally want to do. Choose activities which will make you feel better. Do fun things! Stay busy (but not so busy that you flip into a manic episode). Enjoy your trip (vacation).

• You feel like you need to see a psychiatrist.

This is much like the first point, like seeking out a doctor. Follow the same instructions as above. Most hospitals now have a psychiatric unit (behavioral unit). They should be able to refer you to someone who can help you. If not, the phone book in the city you are visiting should have listings of mental health clinics and/or professionals.

• You need to go to the hospital.

Most importantly, see my point about insurance (below). However, most hospitals these days will NOT turn away anyone who is in a true emergency and needs hospital care. They will probably call in their psychiatric team who will evaluate you to see if you are in a bipolar episode. Either way, they will get you the help you need – whether it is to get you the medicine you need, to refer you to a psychiatric facility (in-patient or out-patient), or to admit you to their hospital.

• You forgot or lost your medication.

If you have followed the instructions I gave you about getting your medication ahead of time and prepared it according to those instructions, you should not be facing this problem. But, if worse comes to worse, and you are facing this problem, according to a pharmacist I consulted, here is what you need to do:

If you lose your medications and IF refills are available, your prescription can be transferred, BUT insurance will probably not cover it and you will have to pay for it yourself, because they only pay every so many days (usually every 30 days – some every 27 days, and some—if you're lucky—will pay a week early).

NOTE: Unfortunately, prescriptions can only be transferred ONE TIME, per federal law. If you cannot do a transfer, you will need a new prescription, called in by your own doctor, or the new doctor where you are visiting (see below).

Most bipolar medications are not controlled substances, so you shouldn't have a problem. Unfortunately, you can't do this with controlled substances, medications such as anti-anxiety medications (such as Xanax, Klonopin, and Ativan). If you are not sure if your medication is a controlled substance, follow this rule: In general, any habit-forming medication is a controlled substance, like: Restoril, Ambien, Lunesta, and Sonata; i.e., Hypnotics.

Other specific medications used by people with Bipolar Disorder that are controlled substances or are habit-forming and might present a problem for you are pain killers (Oxycontin, Hydrocodone, etc.), and medications for side effects of your Bipolar Disorder.

If your medication is a controlled substance, call your own doctor, who would call the pharmacist where you are visiting. Have your doctor call in a new prescription and give the pharmacist permission to fill your medication early. Some pharmacists may want to do this even if it's not a controlled substance. And some pharmacists will even call your doctor for you. Every pharmacist is different, and it comes down to a pharmacist decision. Pharmacists are licensed by their state, and state laws vary, so you will need to ask the pharmacist which rules apply there. However, federal law is uniform. If you want to find out this information ahead of time (which I recommend), there is a website for [your state] Board of Pharmacy, and also the National association of Boards of Pharmacy. You can also ask your local pharmacist ahead of time.

• Your sleep schedule and diet are off?

Keep your sleep schedule as close to normal as possible. Being out of town, visiting relatives, on a cruise ship, or anywhere where your activities are disrupted and/or different from home, it is easy for your normal sleep schedule to be disrupted. However, for many people with Bipolar Disorder, disruption in sleep schedule is a trigger to a bipolar episode, so you need to be aware of this, and stick to as normal a sleep schedule as possible for you. This means sleeping 8-9 hours, and going to bed as close to your normal bedtime schedule as possible as well.

Keep your meals as close to normal as possible. Being out of town is not a free pass to high-fat/high-cholesterol eating, nor an excuse to go off your diet or deviate from your usual healthy way of eating.

• You're not sure about your insurance coverage. (Will it cover you out of town? Out of the country?)

Only you can get the answers to these questions, because only you have the insurance coverage that you have. There are hundreds and hundreds of different insurance companies, and you will have to contact yours ahead of time to find out what your coverage is: in and out of the U.S., and out of town (especially in the state and town to which you are visiting). Find out about deductibles. They may cover you completely, partially, or not at all. But you MUST know this information before you go out of town, because you may have to make arrangements to be able to pay for medical care, should you need it. This is a very important point.

• You are feeling confused.

First of all, make sure you have taken all of your medication, and that you have not skipped any – also that you have taken all the right dosages. Also, that you have not been taking any supplements that have not been cleared by your doctor. In addition, make sure you have not been drinking too much water! Believe it or not, this happened to someone I know. She ended up in the hospital in a bipolar episode that began with becoming very confused, because her body had become depleted of sodium and potassium, all because she drank almost a gallon of water a day for a diet she had been on! And all because she had not checked with her doctor beforehand!

• You feel as if you are "off-track."

Before you do anything, make sure there is no physical cause for how you feel. (See last point above). Then, make sure you have taken all your medications and in the right dosages. Make sure you haven't forgotten to eat (I know someone who regularly "forgets" to eat and has this problem all the time!). Make sure you are getting enough sleep (and not too much, either), exercising, eating right, etc. You know, all the normal things you do to stay stable. Then go over all the points mentioned already and make sure you are "on-point" on all those things.

• You are out of the country and don't know what to do.

The best way to handle this is "better safe than sorry." If you are going to be out of the country, go over every point in this section ahead of time, and find out the information based on the country you will be visiting. The best example of this (and the one that most people miss all the time) is if you are going on a cruise. Most people don't realize that you will still be out of the United States, even though you are "just" going to the Bahamas or Mexico! You MUST find out what the protocols (rules) are in each country, as every country is different. In addition, if you are going on a cruise, every cruise has an infirmary staffed by a "ship's doctor." This doctor may be an M.D., or may just be a military medic. You will need to find this out in advance. Also find out, if going on a cruise, what the limits of the infirmary and ship's doctor are – can they set a broken leg? Or only hand out sea-sickness pills? And, especially, check out what the charges are for any infirmary care, because on a cruise, there is usually some payment (although minimum) for doctor's care.

• You are in a different time zone?

I learned this from someone I met. If you have to fly in different time zones,

keep your watch time the same and operate like you were in your original time

zone. This way your body clock will not get "confused," and it will be easier to stay on your normal sleep schedule, which will help you avert a bipolar episode.

For example, if you are from New York, and you fly to California, there is a three-hour time difference. This person recommended keeping your clock on New York time and slowly changing over so that you (and your body) can adjust. This especially works well when you are going out of the country (i.e., Mexico is one-hour behind us, and England is two hours behind us – based on EST). Time differences can get very confusing.

• You come back from your trip or vacation and feel "let down."

This is very normal. Have you ever heard the expression, "I need a vacation from my vacation"? Sometimes when we are away from home, we try to pack a month's worth of activities into just a week. We are constantly on the move, with a flurry of activity. We may skip meals, sleep much less than we would normally, etc. By the time we come home, we are exhausted! Especially if there was a difference in time zones. And if we had to drive to and from our destination, there is an added stress factor. In addition, there is an emotional element I call the "return let-down," and what a friend of mine calls the "Vacation Depression" (I think they're the same thing). Give yourself a chance for your body clock to return to normal, to get used to being back at work (if you do work), for your household routine to return to normal, for everything to return to normal. Do not confuse the Vacation Depression with a bipolar depressive episode. It is not! You will return quickly to yourself once you get enough rest and your life settles back into its normal routine. Welcome Home!

The Four Moods of Bipolar Disorder

2009-12-12T00:44:00.000-06:00

Has someone told you that you have bipolar disorder or manic-depression? Have you been wondering what having bipolar disorder really means? This article will help you make sense out of what you or a loved one is experiencing.

Bipolar disorder is a mood disorder that is neurobiologic. That is, bipolar disorder is a physical illness involving the brain. It is not a character flaw or laziness. If you have bipolar disorder you are not purposely being “moody.” Nor can you “just snap out of it.” A person who has diabetes cannot “snap out” of having diabetes; neither can you snap out of having bipolar disorder.

However, having bipolar disorder does not mean that you can’t take steps toward recovery from your illness. Many of you with bipolar disorder are struggling with accepting the fact that you have a real condition that prevents your brain from regulating mood properly. You may be reeling from the powerful effect this disorder has had on your life. But the more you learn about bipolar disorder, the more insight you can gain, and that will help you to better manage your illness.

Bipolar literally means two poles, implying that in bipolar disorder there are two basic “poles” or extremes of mood However, thinking of bipolar disorder in terms of two extremes of mood is misleading. It is more accurate to think of bipolar disorder as a wide range of moods.

Our goal in the rest of this article will be to answer these questions: What is mood? What is normal mood? What is depression? What are hypomania and mania? How can I meet the challenges of bipolar disorder?

What is mood ?

Mood is a very strong word. It comes from older words meaning mind, spirit, courage, and to strive strongly, be energetic. An even older word that mood comes from means custom or customary behavior. Thus mood means more than feeling happy or sad. Mood encompasses much of what we need to live. Mind, spirit, and courage, striving and energy, custom and behavior—all are related to mood and our sense of well-being. Thus having bipolar disorder affects us in many ways, presenting challenges as well as abilities such as enhanced creativity and sensitivity to the world around us. Many with bipolar disorder have influenced our lives and culture. These include Abraham Lincoln, Winston Churchill, Virginia Woolf, Georgia O’Keeffe, and Robert Schumann.

Bipolar disorder is about more than whether we feel happy or sad at a particular time. Bipolar disorder can be emotionally painful and have a major impact on our lives. At the same time it is a disorder that involves all aspects of mood. In addition to the challenges it presents, it also bestows gifts of seeing the world differently from others whose moods remain in a normal range.

As mentioned already, thinking of bipolar disorder as being two extremes of mood is misleading even though the term bipolar implies only two poles of mood—depression and mania. It is more accurate to think of bipolar disorder as involving a wide range of moods.

At its core is the brain’s inability to regulate mood. This inability to regulate mood within a normal range results in varying degrees of depression or mania. At times there may even be a mixed mood—a state that has elements of both depression and mania. In bipolar disorder your mood takes on a life of its own that is independent of what is happening in your life. Your mood thus becomes independent of your experiences. This “disconnecting” of mood and experience presents challenges in daily life. Sense of identity and self-confidence can be affected. Symptoms such as extreme irritability can affect relationships. Sadness and hopelessness can become overwhelming and even lead to suicide. The sense of self can be lost by not knowing what to expect from your moods from day to day or even from hour to hour or minute to minute.

What is normal mood?

Beginning with normal mood is important because it is the hardest mood to understand for a person who is experiencing bipolar disorder. Most people take for granted that they feel happy or content most of the time. Happiness or contentment describes normal mood. Especially if you are experiencing bipolar depression, you may not realize that most people feel happy most of the time. Most people have a stable mood that doesn’t have wide swings. Instability of mood is the hallmark of bipolar disorder. Such instability makes it difficult to recognize normal mood. Just as it may be difficult for you to understand normal mood, those around you may have difficulty understanding depression, hypomania or mania. For instance many people with normal mood will say that they are “depressed” when they are having a bad day. This is better described as having a “blue mood,” which quickly passes.

The difference between depression and a blue mood is that the blue mood may vary a bit but it remains within a normal range. Blue mood does not stay at an extreme for very long, but lifts after a short time. Also the ability to enjoy pleasurable activities remains. For example, if someone with normal mood is having a low mood, that person may decide to go to a movie with some friends. This may be enjoyable and may even lift that person’s mood. Depression differs in that it is much more intense and lasts from weeks to months or even years. Going to a movie does not help the person who is depressed to “snap out” of depression. In our example, a depressed person may not be able even to enjoy the movie.

What is depression?

Depression is an intensely sad mood that lasts for at least two weeks. It may be characterized by irritability (usually an anxious irritability), and loss of enjoyment. Take the above example of going to the movies. If you are experiencing depression you may not be able to enjoy a movie or an outing with your friends. Sadness, irritability and loss of enjoyment are emotional features of depression.

Depression also has cognitive features. Cognitive means thinking. In other words, thinking may be affected by depression. Often concentration and focus are impaired. Concentration is being able to pay attention to what you are doing so that you can complete thoughts or tasks. Focusing is keeping on track without forgetting what you are doing or being easily distracted.

A second cognitive feature of depression is that of a sense of worthlessness. This may take many forms. Examples are a belief that you cannot do things right, a belief that you have no friends, or a belief that you are a failure in life. Notice here that I am using the word belief to describe this cognitive feature. That is because a sense of worthlessness may have nothing whatsoever to do with the reality of your accomplishments, the number of friends you have or your success in life. The cognitive feature of a sense of worthlessness has nothing to do with your actual self-worth but everything to do with the thinking that can accompany depression.

Hopelessness is another cognitive feature of depression, which causes you to see the world in an unrealistic way. The thinking process of hopelessness makes sense to you because your thinking process is not working normally. If you feel like harming yourself or others, you need to be in a safe place. That place may be with others who can monitor your behavior, but more likely hospitalization may be needed until the extreme hopelessness passes. When you are in the depths of hopelessness you need to ask for help. This may mean calling your psychiatrist, your therapist, or a trusted person who cares about you. An alternative is to call a suicide hotline (1.800.SUICIDE) or to dial 911. Keep in your purse or wallet a note that says, “I am feeling suicidal. I need help.” When you are not suicidal show it to a few trusted people and give them instructions about how to get help. You can use the note when you feel suicidal but can’t ask for help.

Our bodies are also affected by depression. You may sleep too much or too little, yet always feel tired. You may lose your normal appetite or have too great an appetite. You may have a headache, stomach ache or fatigue. Or you may find yourself crying without being able to stop.

What are hypomania and mania?

Hypomania is a word that confuses many people. Hypo means under and hypomania is a mood that is “under mania.” It is not as extreme as mania but lies somewhere between mania and normal mood. Hypomania is a bit harder to recognize and often remains hidden. Mania is more easily recognized.

Mania is an expansive mood just waiting to be seen by all. Because mania is often pleasurable, you may not want treatment for mania. Getting treatment may feel a bit like giving up a good friend. Unfortunately, the mania’s friendship brings serious challenges into your life that can make it less manageable. Lifelong treatment seeks to even out your moods so that you can be happier and accomplish your goals in life. Untreated mania will lead to instability and will greatly disrupt your life.

There are two kinds of bipolar disorder, Bipolar I and Bipolar II. Bipolar I is characterized by mania; bipolar II differs in that it is characterized by hypomania. Both include swings into depression, but depression tends to be the dominant mood in bipolar II. In order to diagnose bipolar disorder, hypomania or mania must be present at some time and depression must also be present at another time.articleIn the discussion that follows, mania will refer to both hypomania and mania.

We will continue by examining the emotional features of mania. Unstable mood is the hallmark of mania. Mania is an exercise of “catch as catch can” because your mood shifts rapidly. For example, you may have sudden bursts of energy contagious to everyone in the room. You may laugh loudly, tell jokes, and almost perform for those around you. But this mood is unstable and within a short time you may move on to a completely different experience of being unable to sit still. This restlessness might cause you to walk quickly out of the room to begin a different activity.

Another emotional feature of mania is that of irritability. The irritability of depression has an anxious quality. In mania the irritability is one of being easily frustrated. You may feel as though you could crawl out of your skin. The irritability of mania is often mistaken for anger. Anger differs in that it targets a specific focus, while irritability is without a particular focus. Anger’s target could be another person’s actions, a circumstance or perhaps a perceived failure of yourself or others. When you experience the irritability of mania you feel volatile and any little thing can set you off. You are easily frustrated. Mania’s irritability often causes difficulty in relationships, especially if others interpret your irritability as anger.

Mania also has cognitive or thinking features. One of these is grandiosity. With grandiose thinking, you may have ideas and plans so expansive and difficult that they are impossible to accomplish. In mania, however, you are convinced they are well within your capabilities. For example, you may believe you can climb Mount Everest even though you have never even seen a mountain before. Other cognitive features of mania include poor judgment, disorganization and lack of impulse control. When you experience these features of mania, you may have difficulties with relationships, find yourself overwhelmed by clutter, or go on spending sprees. These cognitive challenges can result in troubles at home, work or in your community.

One feature of mania affecting the body is that of increased energy in spite of decreased sleep. You can go for days to weeks with little sleep or even no sleep and yet have high energy. (Compare this to the extreme fatigue often associated with depression.) Mania’s high energy can result in rapid speech or racing thoughts. When you are having these features, you may not perceive them as “rapid” or “racing.” Instead it may seem that the rest of the world has slowed down. Your thoughts can seem intrusive, taking off on topics other than those you want to address. You can feel agitated and as though you cannot sit still or stop moving. However, when mania is less extreme, you may become more productive than normal and may accomplish tasks in a more efficient manner than other people who do not have bipolar disorder.

Psychotic features may also occur such as hearing things that are not present or seeing things that are not there. If these latter symptoms occur you need to call your doctor immediately or even call 911, especially if you feel that you are in danger to yourself or others. If things get this severe, others will often intervene because you may not be able to recognize that you need help.

How can I meet the challenge of bipolar disorder?

The core challenge in bipolar disorder is the brain’s inability to regulate mood. Understanding this is crucial in learning to manage your illness. When your brain is not keeping your mood within a normal range, you are challenged to seek treatment. Medications and psychotherapy, sometimes called talk therapy, can help you. It is important to realize that the goal of treatment is not to take away your personality and creativity. It is to help regulate your moods so that your personality and creativity shine through in a healthy, productive life. Because treatment works you will feel better and be able to accomplish your life goals.

You can also find help through education in your community and through bipolar recovery groups. Bipolar disorder is treatable and you will feel better and be better able to accomplish your life goals if you seek treatment. Support from others helps you learn how to manage the challenges of bipolar disorder.

Understanding Bipolar II Disorder

2009-12-03T08:51:00.000-06:00

The most important organ in the human body is the brain, without it, the human body cannot function at all. The brain is like the microprocessor of a computer that is responsible for controlling everything. From your basic motor skills to making your body organs function to making decisions, everything is controlled by the brain. This is why it is important that you should also be aware of your mental health and not just your physical health.

Today, there are now a lot of known facts about the different kinds of brain disorders that can affect the way you live your daily life. Some affect your motor skills, while other kinds of brain disorders can affect your decision making skills. There are also different causes for brain disorders. Some are caused by accidents while there are also brain disorders that are acquired since birth.

One such brain disorder is called bipolar II. Bipolar II affects your mood and with this kind of brain disorder, it can make you feel constantly depressed at no reason at all. Bipolar II is also associated with at least one hypomanic episode. Unlike bipolar disorder where manic and depressive moods are always associated, bipolar II makes a person experience one or more depressive episodes and is accompanied by one hypomanic episode at the least.

During the hypomanic episode, the person with bipolar II will feel a constant elevated, irritable or expansive mood. This particular feeling will usually last up to 4 days or more. During this phase, you will see that the behavior is entirely different from a normal non-depressed mood. The symptoms associated with bipolar II hypomanic episodes are quite similar to bipolar disorder during manic episodes but is less severe.

The major depression episodes associated with bipolar II can make a person feel excessively depressed and can make him or her feel that they are useless. The person suffering from this illness will also make them pessimistic and make them feel helpless. In severe cases of bipolar II disorder, the person may even think of death or suicide and even makes suicide attempts.

The hypomanic episodes associated with bipolar II are usually not severe enough that they can affect a person suffering from this disorder with their social activities, performance at work or school and there are no psychotic features. It is considered that if a person experiences four of more hyponamic and depressive episodes in a single year, the person has a rapid-cycling bipolar disorder. The particular cycling period will develop during the course of the illness. This means that the longer that the illness is left untreated, the more frequent the person will suffer from the illness.

You have to consider that bipolar II is a version of bipolar disorder. However, the depressive episodes are more obvious than the manic episodes. Bipolar II is not classified as manic-depression, but only large mood and energy swings. However, there are also severe forms of bipolar II where the person suffering from it can make him prone to commit suicide.

As you can see, bipolar II is a very serious illness that should not be left unchecked. As soon as you notice the signs and symptoms for bipolar II, it is important that you should seek help immediately. You have to consider that bipolar II has treatments that can minimize the effect of the illness in your daily life. The treatment will consist of psychotherapy, and medications that can normalize your mood. It is also important that your family and friends should fully support you in order to help you fully recover.

The therapy will also include helping you to cope up with the illness. It will include different methods that you can use to minimize the effect of the illness.

Bipolar II, like the bipolar disorder, is a long term illness that needs constant long term care and management. With patience, you will be able to take control of your life again and minimize the negative effects of bipolar II.

Be aware of bipolar II and live a more normal and productive lifestyle. Never be a slave of this illness again by detecting it early on and getting it treated.

5 Tips To Coping With Bipolar Disorder

2009-12-03T08:48:00.002-06:00

Bipolar disorder is the medical name for manic-depressive illness and doesn't just effect sufferers but can have a serious effect on family members and friends. Early diagnosis can be a big factor in the effective combating or this serious mental illness and without diagnosis it can become much more serious possibly leading to suicide. Bipolar disorder effects over 2 million American adults every year so it is by no means a rare disorder and doctors and psychiatrists alike are on hand to help you or your family member or friend through it. If you think someone you know is suffering from bipolar disorder the best thing you can do for them is to take them to see their doctor.

1- Long term preventative treatment is likely to be required because bipolar disorder is a recurrent illness. Stopping the medication or psychological treatment received can cause a regression to the mood swings associated with the disease.

2- If you or someone you know has a bipolar disease then it is recommended that you see a psychiatrist and not your general physician although your GP can refer you to a specialist in the field that will be in the best position to offer you the help, support and information you need to beat it.

3- There are medications known as mood stabilizers available and a person who suffers from bipolar disorder is likely to be prescribed these by their psychiatrist. They will normally have to take these for the rest of their lives because bipolar disease is recurrent. Sometimes other drugs are combined with mood stabilizers but this will probably only be over a short period of time.

4- Therapy should be combined with medication and can be attended in one on one sessions or at group therapy classes. by talking to somebody who understands the patient's problems the support can often lead to a very desirable outcome. Consult your psychiatrist about where to go to attend these group talks.

5- Always be prepared for the worst. Don't forget that bipolar disease will mean constant ups and downs and many patients try to commit suicide because they see it as their only way out. Be prepared and always be ready to call 911 if you think this is going to be the case. Don't be afraid that you will be wasting their time if your family member or friend is just having a down day because if you don't ring the consequences could be a lot worse.

So You've Been Diagnosed with Bipolar Disorder?

2009-11-13T09:54:00.001-06:00

If you've been diagnosed with bipolar disorder (also known as manic depression) you are not alone. It has been estimated that over 2 million people in the United States suffer from this form of mental illness which involves episodes of both mania and depression.

If you've been diagnosed with bipolar disorder (also known as manic depression) you are not alone. It has been estimated that over 2 million people in the United States suffer from this form of mental illness which involves episodes of both mania and depression.

Although bipolar disorder usually begins in childhood or early adulthood, it is often not recognized as an illness. And, because it is sometimes misdiagnosed, individuals who have it often suffer needlessly although treatment is available. Left untreated, those with bipolar disorder sometimes experience serious complications, including an inability to keep a stable job, abuse of drugs and alcohol, marriage problems, and even suicide.

Symptoms of mania can include: decreased need for sleep; excessive feelings of euphoria; extreme distractibility; racing thoughts and rapid talking; decreased need for sleep; drug abuse; and a denial that anything is wrong. Depressive symptoms, (the flip-side of mania) may include: difficulty sleeping; loss of appetite; feelings of hopelessness; decreased energy; persistent sad mood; loss of interest in pleasurable activities; and thoughts of death or suicide.

It is important to recognize the various mood states experienced by individuals with bipolar disorder so that they can obtain effective treatment. Unfortunately, this illness often goes unrecognized by everyone involved, including family, friends, physicians, and even the patient.

An early stage of this illness often manifested is hypomania, in which the person suffering from it shows a high level of energy, excessive moodiness or irritability, and impulsive behavior. Ironically, hypomania may feel good to the person who experiences it. Unfortunately though, if left untreated, bipolar disorder tends to get worse, and the person typically will experience episodes of full-fledged mania and clinical depression.

Fortunately, most people with manic depressive illness can be helped with treatment, specifically medications and therapy.

Medications play an important role in helping to stabilize the mood swings often found with this type of mental illness. Lithium has been shown to be very effective in helping to control mania and in stopping the recurrence of both manic and depressive episodes. Several types of antidepressant have also been found useful in combating the depression aspect of bipolar disorder. In severe cases, electroconvulsive therapy is often helpful in treating severe depression that fails to respond to medication.

Therapy from a qualified provider can also be helpful in educating the patient and providing support and guidance to all family members involved. It is important to remember that bipolar disorder is recurrent, and, as such, long-term preventive treatment is indicated in most cases.

Finally, it is important to know that bipolar disorder is a legitimate illness, and that it will not “just go away” if given enough time. Treatment is necessary to help keep the disease under control and a maintenance regimen (including both medications and therapy) may be required over the length of a person's life.

Brian Cook is a freelance writer whose articles on bipolar disorder, and depression in general, have appeared in print and on many websites.

You can find more of these at: http://www.bipolardisordercenter.info/

Easy To Understand Language For Bipolar Disorder

2009-11-06T17:15:00.000-06:00

The brain is one of the most important parts of the body. Think of the brain as the part of your body that controls everything you do in your daily life. It controls everything from walking, talking, and other motor skills that you do. However, you should also consider that the brain also controls your emotions and your mood. This means that the brain is also responsible for you being happy or angry.

The brain is the most active part of the brain and even while you sleep, the brain continues to function. Since the brain controls everything about your body, you should consider that getting it damaged can cause some irregularities in your daily function. In some cases, some brain disorder is present since birth. One brain disorder is called bipolar disorder or also called manic depressive illness. This particular disorder affects the person's mood and emotions.

You will notice when a person is suffering from bipolar disorder when they constantly change their behavior. You will see that one moment they will be extremely happy and the next minute, they will feel depressed and back again to being happy. Although mood changes happen to everyone, you have to consider that normal mood change will take some time to happen. The abnormal mood change suggests that this person has a bipolar disorder.

Depending on the severity of the disorder, unusual and extreme mood change can last for a few minutes to as long as a month. Because of this unusual behavior, it can dramatically affect their social life as well as their performance at work or at school. You should consider that this is a very serious condition where it has to be managed carefully in order for a person with bipolar disorder lead a normal life.

There are cases where bipolar disorder is left untreated and results in dangerous situation, such as suicide attempts and substance abuse. This is why you should be careful when someone in your family or your circle of friends have this particular condition as it can be dangerous for the people around them and also for themselves as well.

Bipolar disorder has no cure but there are treatments available in order for people with this disorder lead a more normal life. Psychotherapy is one of the best treatments for bipolar disorder where a person with this condition can learn how to control their unstable emotions and also know when there is an attack of mood changes happening. With psychotherapy, people with bipolar disorder can distinguish between what's normal and what's not.

There are also medications available that can stabilize the mood changes to normal levels and prevents it from getting out of control. It is important that once you notice something unusual about a family member or a friend's behavior, you should seek help for them immediately as people with bipolar disorder are very unpredictable and can think and attempt to commit of suicide anytime.

If it is possible, you should recommend that they should see a psychiatrist. You have to be insistent because people with bipolar disorder often deny that there is something wrong with them and they will be aggressive.

Bipolar disorder is a serious long term condition that requires long term treatment with psychotherapy and medications. There is no cure for it but there are treatments for it that will enable people with bipolar disorder lead a healthier and more normal life.

Carefully managing this condition can result in a more productive life for the person with bipolar disorder. It is also important that the family of the person with this condition should continually support him or her.

Early detection can result in a much more productive lifestyle for the person suffering from this disorder. So, you noticed some irregular change in a person's behavior or mood, you should immediately refer to a psychiatrist about the symptoms. They will be able to conduct a diagnosis about the condition and will recommend therapy and medication that can help them lead a normal and more productive life.

Bipolar disorder is a disabling medical condition that can result in unproductive and abnormal lifestyle. They will suffer from social problems, and their physical health will also deteriorate if not treated.

These are some of the things you should know about bipolar disorder in order for you to know how you can cope up with it.

Bipolar Violence The Risk For Untreated Bipolar Disorder

2009-10-17T00:35:00.000-05:00

One of the most serious side effects of untreated bipolar disorder is the bipolar violence associated with it. This could be a self-caused treatment failure. The word used to describe for not taking your medications is called "noncompliance." When you are noncompliant with your medications, you could be causing great danger to yourself and possibly others, and it could even be fatal.

Medical studies have shown that approximately 25 percent of prescribe medicines are not taken. When it comes to psychiatric medicines, this number can be doubled. For bipolar disease, nearly 50 percent of bipolar patients will stop medication in the first year of treatment; usually because they will experiment with their dosage and/or go off their medication altogether (mostly because they enjoy their "highs" while manic).

But if the medicine can keep the patient's bipolar disease under control, why stop taking the medications? These are some of the excuses:

}-Denial. They don't believe they have an illness. They think they may just be "moody."

}-Refusal to medicate away their "true selves." They feel like they'll turn "robotic."

}-Side effects is the reason often given for noncompliant patients. However there are other ways to deal with the side effects to minimize their effect..

}-Oversedation - perople do not want to feel like they're in a fog.

}-Weight gain: Many use this excuse even though not all bipolar medications cause weight gain.

}-Decreased sexual function - It's not a very big side effect, but it is an issue for some people who use it as an excuse for non-medicating.

}-Lack of money. Many will say they cannot pay for their medicine. But there are many free sources from companies that now provide the medicines for free.

}-Lack of insurance. This, too, is no longer a valid excuse, as there is Medicaid and Medicare for needy people and, as previously stated, there are drug companies who will provide medication for free (especially for those people who fall in "the doughnut hole" of Medicare).

}-Lack of transportation - people will say they have no way to get to the doctor or pharmacy to get their medicines.

}-Shame and/or Stigma: People will blame everything on society of they use their medications

}-No need: Some people think they can take care of themselves without medication.

}-Cured - because they think they are cured (mostly because they're on a manic high) and don't have a need for medication.

}-Drugs/Alcohol. Substance abuse can mask the symptoms of bipolar disorder, so they don't think they need the bipolar medication, or are afraid to mix the two.

}-Long Term effects - some persons are worried about long-term effects of medication

}-Pressure: Some people feel that their family, friends or co-workers (or society in general) are pressuring them not to take their medicine.

}-Religion - people say their religion prevents them from taking medicines..

}-12-step groups: Some people belive that their own support groups prevent them from using bipolar disease medications, even though it is doctor ordered..

}-Pregnancy: Some females will be concerned that their bipolar disease medicine will affect their unborn child..

}-Performance: some feel they will still perform at a better level when not taking their medications.

}-Creativity. They believe they are more creative without medication.

}-Productivity. They believe they get more done without their medication.

Bipolar violence may be the result of someone's untreated bipolar disease. However, the excuses not to take bipolar medication may be as varied as the people who are prescribed the medication. Yet, the statistics of noncompliant patients along with suicide rates are staggering..
If you are prescribed medicine for your bipolar disease, please Do Not become noncompliant. There are many reasons given for stopping, but they are just excuses. No matter how you look at it, the excuses are not valid.

If you are having any difficulty, please discuss your medication issues with your doctor.You should never stop taking prescribed medications without discussing them first with a professional health provider -- this is very, very dangerous, and the resultant bipolar violence can cause serious bodliy injuries or even death.

My Story

2009-10-09T10:04:00.001-05:00

I was diagnosed with Bipolar at a very young age. I have done some crazy things in my life that attribute to my illness. When I was 12 I thought I was a reincarnation of Elvis Presely.I always cried because I wanted to go back to living in my mansion in Tennesee. I missed the 50's and I missed playing music. The silly thing was that I was born until 1978 and I dont play or sing..Just imagine what my family thought about this. They thought I was crazy. I thought I was crazy! I usrd to get in all kinds of trouble growing up. I am an adult now and I still do crazy stuff. When I dont take my medicine I always find myself in front of a judge because of the trouble I get into.Four years ago I got into some really deep crap. My doctor was adjusting my medicine and didnt know if it was going to work for me. Anyway I did something really bad and now I have a felony because of it. Which I dont think is it is right for them to give me a felony because of what I did and it wasnt really my fault. I cant help it if im Bipolar. Its like im in trouble for being mentally ill. What do you think about that? Do you think I should be in trouble? I mean I cant help it.

Bipolar Depression

2009-10-03T12:20:00.001-05:00

What is Bipolar Depression?

The distinguishing characteristic of bipolar depression, as compared to other mood disorders, is the presence of at least one manic episode. Additionally, it is presumed to be a chronic condition because the vast majority of individuals who have one manic episode have additional episodes in the future. The statistics suggest that four episodes in ten years is an average, without preventative treatment. Every individual with bipolar depression has a unique pattern of mood cycles, combining depression and manic episodes, which is specific to that individual, but predictable once the pattern is identified. Research studies suggest a strong genetic influence in bipolar depression.

Bipolar depression typically begins in adolescence or early adulthood and continues throughout life. Bipolar depression is often not recognized as a psychological problem, because it is episodic. Consequently, those who have bipolar depression may suffer needlessly for years without treatment.

Treatment for Bipolar Depression

Effective treatment is available for bipolar depression. Without treatment, marital breakups, job loss, alcohol and drug abuse, and suicide may result from the chronic, episodic mood swings. The most significant treatment issue is noncompliance with treatment. Most individuals with bipolar depression do not perceive their manic episodes as needing treatment, and they resist entering treatment. In fact, most people report feeling very good during the beginning of a manic episode, and do not want it to stop. This is a serious judgment problem. As the manic episode progresses, concentration becomes difficult, thinking becomes more grandiose, and problems develop. Unfortunately, the risk taking behavior usually results in significant painful consequences such as loss of a job or a relationship, running up excessive debts, or getting into legal difficulties. Many individuals with bipolar depression abuse drugs or alcohol during manic episodes, and some of these develop secondary substance abuse problems. Therefore, it is advisable to treat Bipolar Depression at its early stage

For more information, visit www.DepressionInfoCenter.com

When The Person You Love Has Bipolar And Other Fear Problems

2009-09-29T16:45:00.001-05:00

What do you do when the person you love has to deal with Bipolar and their Fears? It can be tough to watch a loved one struggle with Bipolar Disorder. Here are some suggestions on what a person can do who struggles with Bipolar and their anxieties.

The first step is that you should talk to a professional who can get you started in the right path of getting better. Getting help from a counselor or other professional is very important and can provide you much help and insights in dealing with your current problem. In addition, here are some techniques a person can use to help manage their fears, bipolar, and anxieties.

Learn to take it one day at a time. Instead of worrying about how you will get through the rest of the week or coming month, try to focus on today. Each day can provide us with different opportunities to learn new things and that includes learning how to deal with your problems. Focus on the present and stop trying to predict what may happen next week. Next week will take care of itself.

A good way to manage your fear is to challenge your negative thinking with positive statements and realistic thinking. When encountering thoughts that make your fearful or anxious, challenge those thoughts by asking yourself questions that will maintain objectivity and common sense.

Sometimes, we may be nervous doing a certain task that may be scary. When this happens, visualize yourself doing the task in your mind. For instance, you and your team have to play in the championship hockey game in front of a large group of people in the next few days. Before the big day comes, imagine yourself playing the game in your mind. Imagine that your playing in front of a large audience. By playing the game in your mind, you will be better prepared to perform for real when the time comes. Self Visualization is a great way to reduce the fear and stress of a coming situation.

Remember that there is one power that is stronger than your fears and that is the power of God. A person does not have to be religious to use the power of God. When the going gets tough, talk to God about your problems as if you were talking to a friend. Review the Bible and pray hard. Be persistent and be open in the avenues that God may provide to you in solving your problem. It is not always easy, however God is in control and he will help you if you ask him.

As a Layman, I realize it is not easy to deal with all of our fears, however there are all kinds of help available. The key is to be patient and not to give up. In time, you will be able to find those resources that will help you with your problems

WHAT IS IT? WHAT ARE THE SYMPTOMS?

2009-09-26T18:17:00.001-05:00

I'm not going to try and give a medical definition here of bipolar disorder. There are plenty of those around on the internet if you care to do a search. I am simply going to give you my opinion, based on my experience.
Bipolar disorder was formerly known as manic depression and this term for the disorder is still used in some quarters today. Bipolar disorder, as the name suggests, involves mood swings between depression and elevation plus all points in between. It does not only affect your mood however. It can affect your behaviour, your thought patterns, sleep patterns and feelings. These affects may be minor or major, but the effects of bipolar disorder in whatever its form require management and treatment. Untreated, a person who suffers from bipolar disorder can be well and truly on a path of self destruction. Indeed, the suicide rate amongst bipolars is quite high.

Interestingly enough, bipolar disorder is referred to as a "mental illness", yet if this is true and it is something in the mind, then how is it that it is treated with drugs? No-one has yet identified specifically what or how bipolar is caused, but the most common suggestions are that it is something to do with cells and activity in the brain. The brain is the organ we know least about, but it is a physical organ. That being the case, perhaps we should be referring to bipolar disorder as being as much a physical illness or disorder as diabetes.

Bipolar disorder is a chronic disorder. That is, once it has been diagnosed you've won the lottery. You have it for life.

The symptoms of bipolar disorder are broken up into two groups for all intents and purposes. These are depressive symptoms and manic symptoms. Manic symptoms are broken down however into a further sub-group known as "hypomanic" symptoms.

Depression

Feelings of nothingness, a total "void"

Feelings of sadness and/or anxiety

Wanting to cry, but unable to do so

Crying uncontrollably

Remaining in bed for days

Contant tiredness and fatigue

Complete loss of interest in things you enjoyed

Ignoring daily responsibilities and/or personal hygiene

Loss of self esteem

Inability to make even simple decisions

Wanting to die

Suicide ideation

Restlessness, anger or irritability

Mania

Filled with energy, too much to burn

Extravagant spending, even with credit cards

Increased sexual activity and desires

Going without sleep but not getting tired

Feelings of extreme superiority

Delusions of grandeur

Reckless behaviour even at personal risk

Rapid speech

Racing thoughts

Grandiose ideas and schemes

Inappropriate behaviour

Total self confidence, being "bullet proof"

A lower form of mania also can exist which is known as "hypomania". Symptoms of hypomania can include all of the above, but to a lesser degree. A person in a hypomanic state may exhibit many of the above symptoms but only to the point where they appear to be very happy or cheerful. Consequently, it is not as visible or easy to diagnose as a full blown manic episode.

Because of the two types of mania, bipolar disorder is broken down into two groups, that of Bipolar 1 and Bipolar 2 and it is here that I will quote from the American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th Ed.

Bipolar 1
Characterized by the occurrence of one or more Manic Episodes or Mixed Episodes. Often individuals have also had one or more Major Depressive Episodes.

Bipolar 2
Characterized by the occurrence of one or more Major Depressive Episodes accompanied by at least one Hypomanic Episode.

What Is Used To Treat Bipolar Disorder?

2009-09-26T18:15:00.001-05:00

Bipolar disorder is also referred to as manic depression. Atypical mood swings, depression, shifts in energy levels and an inability for the person to function normally in society or in relationships are signs of this ailment. Approximately one percent of the population is diagnosed with this disorder each year. It can affect academic growth, careers, and personal relationships negatively. This long term disorder requires lifetime maintenance and monitoring to assure proper treatment.

Most treatment methods combine the use of prescription medications with counseling or other forms of mental health assistance. It is recommended that people who experience these symptoms consult a psychiatrist for diagnosis and the complete spectrum of treatment needed to control it. There are two types of medications generally prescribed for this, mood stabilizers and antidepressants. It is very common for both types to be used in order to prevent swinging from one extreme to another.

Lithium is one of the first and most popular medications to be prescribed. It is also the drug most readily prescribed for use with children and teenagers. Some drugs like valproate or carbamazepine are traditionally used as an anticonvulsant but have been found to also act as a stabilizing agent for mood swings. One or a combination of these drugs will help equalize the moods of a patient. Benzodiazepine or lamotrigine are often used as antipsychotic and antidepressant medications to compliment the mood stabilizers.

Omega-3, St. John's wort and SAM-e are popular natural supplements reported to improve the effects of bipolar disorder. It is important, though, to consult with your physician before adding natural remedies to prescription drugs. Often doses and types of medication will have to be adjusted throughout the life cycle of the disorder for maximum benefit.

Psychotherapy is an important treatment and should not be ignored even if medications are prescribed. Individual and group counseling is readily available from psychiatrists and hospitals. It will provide a supportive environment to discuss issues and come to terms with the issues. Education will assist in recognizing signs and improving means of dealing with the symptoms. Including family members as a part of the therapy will help them understand and better cope with the effects of the problem.

More than two million adults in the United States are diagnosed with bipolar disorder. The effects can be harmful to the patient as well as family and friends. Proper treatment is essential in maintaining solid relationships and the ability to function in school or in the workplace. With a complete regimen of medication and therapy, the effects of this disorder can be controlled and most people can live a normal and full life.