Bipolar affective disorder is primarily characterized by two diametrically opposed states. These are mania / hypomania / and depression . In a state of mania, the patient has increased lifespan, an agitated mood, prone to irritation. In the depression – just the opposite – a decreased life activity and a mood tended to feel guilty. There may be suicidal thoughts or intentions. The suppressed mood, loss of interest and joy and increased fatigue are usually considered the most typical depressive symptoms , with a minimum duration of one to two weeks.
In a mild depressive episode, the person usually experiences distress from the symptoms and has some difficulty in performing normal work and social activities, but does not completely disrupt these activities.
Manic episodes usually start suddenly and last from two weeks to 4-5 months. Depression usually lasts for 6 months, but rarely more than a year, except for the elderly. Episodes of both types often develop after stressful life events or other mental trauma, but the presence or absence of stress is not essential for diagnosis.
The first episode may occur after every age. The frequency of episodes and the characteristics of remissions and recessive behaviors are very variable, although remissions tend to shorten over time and depressions become more frequent and last longer than the average age.
The meaning of the manic state is to deny depression and all the negative thoughts associated with it. Regardless of seeming joy and increased ability (including rapid mind), obsession is worse than depression, as the relationship with reality is more severely impaired.
Because of the influx of thoughts, the speech of the maniac can become very illogical, so the episode goes wrong with schizophrenic. The main criteria for distinguishing / exploration of thinking itself are its speed and the fact that delusions are only megalomaniac – there are no oddities with them, but only an exceptional increase in the self-esteem and the importance of the person’s personality to the whole world.
Emotional contact with the patient, traumatic event processing options, criticality and prognosis for recovery are more favorable than with schizophrenia.
During the acute episode, differentiation is difficult and not so significant. Psychosis is treated with the appropriate antipsychotic drugs, which are the same regardless of the type of psychosis. The psychological work of deafness in diagnostics is aimed at establishing contact and opening space for sharing.
Then the condition is tracked / whether the symptoms have disappeared, whether workability, contact, and interest in the world have emerged.
Treatment of the manic episode is often forced and hospital, similar to the treatment of any psychosis. In addition to neuroleptics , another class of mood stabilizers ( thymostabilizers) is used. Criticism in both phases is impaired. The use of medication is necessary, but there is a great scope for exploring psychological conflicts, processing losses, taking the disease and needing therapy.
The risks of bipolar disorder are as follows:
• Performing a suicide attempt;
• Significant material losses during a manic episode (including sale of an apartment at a priceless price)
• Job dismissal, prolonged disability
• Creating conflicts with friends and acquaintances.
The influence of lifestyle on patients with bipolar disorder
Patients with bipolar disorder is known to experience emotions more strongly than zdravite.Ako again listen to the scientific developments of the colossus in psychology and the father of psychoanalysis Sigmund Freud once again pay attention to libidonosnata energy that remains nesublimirana / form of protection the psyche.
It should be noted that the disorder of emotion is expressed primarily in quantitative changes of the latter rather than in qualitative. This makes bipolar patients adequate in social relationships, of course if the state of hypomania does not turn into a mania where the loss of connection with reality comes to the fore.
- Why is the mania necessary? The mania is needed for one single reason and it is to avoid depression. The patient is immersed in work, an overactive lifestyle, ill-considered and even dangerous sexual relationships. Still, you do not agree that nobody wants to feel sad, inappropriate or even unhappy.
In order to avoid emotion causing depression, the patient goes into a state of hypomania. That is why it is important to reprocess the depressive condition even if it is necessary with the help of a psychologist. It will help to overcome, accept or transform the unpleasant psychic experiences into positive and constructive psychic experiences. He will be a loyal ally to these sick people in their quest to deal with this tough disease.
But let’s get back to the main topic, namely how does lifestyle affect people with bipolar disorder? If their close relatives are calm, their aggressiveness will diminish and may even disappear altogether.
The cause of mental illness is psycho-social. Then why do psychiatrists ignore social factors when it comes to these patients? Is it normal in this situation to rely solely on medication?
For family members with bipolar affective disorder who have a happy marriage life, there are a few words to say. Regular sex lives positively affects such people because it balances their emotional state. We will note that this applies to happy bipolar patients. Achieving happiness is very important in overcoming dichotomous experiences.
Positive emotions in the social, personal and professional spheres help to speed up recovery and achieve remission. Such people have fewer reasons to experience depression, as good relationships with others and professional success are important to most people.
It is known that the disease collects with high intelligence. Many renowned psychologists have suffered from bipolar affective disorder and may have contributed so much to scientific research.
I attended a conference where two psychiatrists argued about the attitude that specialists should have on mentally ill patients with bipolar affective disorder. According to one, they have to treat like all other patients, and according to the other one should stimulate the creative spirit, regardless of the presence of the disease.
The disease is called ” sickness of the great minds, ” but does this mean that these patients should be treated in a special way? I think this is inhumane.
If bipolar affective disorder patients are in remission they will not become smarter but will function in all social spheres and will be active in their day-to-day duties.
These patients do not need “forces” to fight this chronic disease. The constant struggle is exhausted, their powers poured, all the more so that most drugs written by psychiatrists have a sedative / relaxing effect not only mentally but physically.
The patient may need more sleep and rest. That’s why I say bipolar patients need moderation and calm in their feelings, thoughts and activities. And their relatives let them listen more in their words, because they will find many horizons unseen for them by really smart and wise people.