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Bipolar disorder
Bipolardisorder,orbipolarmooddisorder,usedtobecalledmanicdepression.Itisapsychiatric illnesscharacterisedbyextrememoodswings.Apersonmayfeeleuphoricandextremely energetic,onlytodropintoaperiodofparalysingdepression,inacycleofelationandsadness. Theexactcauseisunknownandanumberoffactorsmaybeinvolved,althoughagenetic predispositionhasbeenclearlyestablished. Itisestimatedthataroundonein50Australiansdevelopsthisillness,whichaffectsmenand womenequally.Mostofthoseaffectedareagedintheir20swhenfirstdiagnosed. Alternating bouts of mania and depression Bipolardisorderisatypeofpsychosis,whichmeansthepersonsperceptionofrealityisaltered. Theymayrealisethatothersconsidertheiractionsirrational,butfailtounderstanditthemselves. Typically,bipolardisorderinvolvesalternatingcyclesofmaniaanddepression-eachlastingdays, weeksorevenmonths.Somepeopleexperiencemorehighsthanlows;othersreportmorelows thanhighs.Theseverityofthemoodswingsandthesymptomswillalsovaryfrompersonto person. Mania Commonsymptomsinclude: Feelingextremelyeuphoricorenergetic. Goingwithoutsleep. Thinkingandspeakingquickly. Delusionsofimportance. Recklessbehaviour,suchasoverspending. Extremesexualbehaviour. Aggression. Irritability. Grandiose,unrealisticplans.

Ima ge des crip

Depression Commonsymptomsinclude: Withdrawalfrompeopleandactivities. Overpoweringfeelingsofsadnessandhopelessness. Lackofappetiteandweightloss. Feelinganxiousorguiltywithoutreason. Difficultyconcentrating. Suicidalthoughtsandbehaviour.

A range of contributing factors Theunderlyingmechanismsofbipolardisorderarenotfullyunderstood,althoughastronggenetic predispositionhasbeenestablished.Onetheoryisthattheillnessmightbelinkedtoparticular brainchemicals(neurotransmitters)thathelpregulatemood,calledserotoninandnorepinephrine. Inapersonwithbipolardisorder,itisthoughtthatthesechemicalsareeasilythrownoutof balance. Acute episodes need treatment Whenpeopleexperienceanacuteepisodeofmaniaordepression,theyoftenrequireimmediate careandtreatment.Theseepisodescanoftenbepreventedbyregularmedicationlikelithium. Type of help available Treatmentdependsontheseverityofthecondition,butoptionsmayinclude:

Bipolardisorder

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Mood-stabilisingdrugs,suchaslithium. Anti-depressantsfordepression. Arangeofdrugsformania,suchassedativesortranquillisers. Counsellingandeducationtohelpthepersonunderstandandmanagetheircondition. Communitysupportprograms,whichproviderehabilitation,accommodationand employmentsupport. Self-helpgroupsforemotionalsupportandunderstanding.

Where to get help Yourdoctor Psychiatrist Psychiatrichospital SANEHelpline.Tel.180018SANE(7263)

Things to remember

Bipolardisorderisapsychiatricillnesscharacterisedbyseveremoodswings. Theexactcauseisunknown,butcontributingfactorsmayincludegenetics,brainchemicals andstress. Treatmentincludesmedicationandcommunitysupport.

This page has been produced in consultation with, and approved by:

SANEAustralia

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Bipolardisorder

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