Bipolar
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Contents
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SYMPTOMS OF “HIGHS” (MANIA)
- An elevated or irritable mood which is often cheerful and joking but is unstable. There can also be extreme irritability and hostility
- Overabundant energy and activity and rapid, pressured speech
- A rush of ideas
- Impulsive and inappropriate behaviour
- Grandiose delusions (e.g. delusions of inventive genius or aristocratic birth)
- Overoptimistic about one’s abilities
- Severe insomnia
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SYMPTOMS OF “LOWS”
- Depressed mood
- Lack of interest or pleasure
- Change in appetite
- Insomnia/hypersomnia
- Excessive guilt feelings
- Ideas or acts of self-harm or suicide
- Reduced self-esteem and self-confidence
- Reduced concentration and attention
Mania is probably the most well-recognised feature of BPD. Even so, most people spend far more time in depressive episodes than in elevated and mixed mood episodes. 6
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PHASES OF BIPOLAR DISORDER
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WHO DOES BIPOLAR DISORDER AFFECT?
The first symptoms of BD often present at 15 to 19 years of age. 2 There is often a family history of bipolar disorder, bullying at school and attempts of suicide/self-harm. 5 MEN 7
- Early onset bd is often associated with manic episodes
- Higher probability of childhood antisocial behaviour
- Higher rates of comorbid alcohol abuse/dependence
- Cannabis abuse/dependence
- Pathological gambling
- More depressive episodes
- Higher rates of comorbid eating disorders
- Weight change
- Insomnia
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HOW DOES IT IMPACT QUALITY OF LIFE?
Bipolar disorder impacts quality of life in the following ways:
- Affects work functioning and is responsible for loss of productivity and increased illness and absenteeism. In fact, 72% of bipolar patients receive disability payments.1
- BD is associated with increased substance use/dependence and the excessive use of alcohol and smoking. 1, 5
- It Increases the likelihood of having other psychiatric and medical conditions. 1
- It Increases the risk of suicide, especially during major depressive episodes. 8
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CAN SPECIALISTS TREAT BIPOLAR DISORDER?
Yes, Effective treatment is certainly available for BD. However, despite advances in medical and non-medical treatments, BD often has many relapses and affects psychological functioning. 7 Long-term treatment is aimed at preventing manic and depressive episodes. Specialists strongly recommend Long-term treatment because even after one episode, the chances of having recurrences in a lifetime is 95%. 6 Therefore, treatment of BD is often lifelong, and treatment specialists need to review the condition at least every six months. 2
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WHERE TO GO FOR HELP
The first step to effective long-term treatment is to discuss your bipolar symptoms with your general practitioner or a healthcare professional at your local day clinic or hospital.
Medical References
