What are the signs of being bipolar?!


Question:

What are the signs of being bipolar?


Answers:

Bipolar Disorder comes in 2 forms, Bipolar I and Bipolar II. Bipolar I is the type most people think of where someone experiences shifts between depression, mania and/or mixed episodes. Bipola II is most like recurrent major depressive episodes interspersed with hypomanic episodes (which do not reach the level of a mania). The following is a general description of some of the criteria for depression and mania, but you should not attempt diagnosis yourself. You can check the exact criteria in a DSM IV and a thorough history needs to be taken for accurate diagnosis and assessment.
Criteria for Depression are five of the following during a 2 week period:
1) depressed mood more days than not, can be just irritable in adolescents and children and frequently men show more irritability
2) decreased or increased appetite accompanied by weight gain or loss
3) hypersomnia or insomnia
4) recurrent thoughts of death or dying, suicidal ideation
5) observable psychomotor retardation or agitation
5) anhedonia (loss of interest in previous pleasurable activities)
6) subjective feelings of restlessness or being slowed down
7) Difficulty concentrating and/or making decisions
Criteria for a Mania (all criteria need not necessarily be present):
1) Decreased need for sleep without feeling tired despite only several hours per night or no sleep
2) Pressured speech that is difficult to interrupt(talking very rapidly and loudly with pressure to keep talking)
3) Flight of Ideas or "racing thoughts"
4) Increased energy
5) Engaging in a flurry of goal-directed activity-either impulsive behavior that has a high potential for damaging consequences-spending money, reckless driving, sexual promiscuity, etc. or excessively overproductive with respect to work
6) a consistently elevated or "high" mood or a consistently irritable mood
7) grandiose delusions-seeing oneself as more important or powerful than they truly are but in delusional proportions, not simply inflated self-esteem

Bipolar II is similar but the manic symtoms are less severe and rarely warrant hospitalization as they do not reach psychotic levels.

Additionally there is a condition called cyclothymia where a person cycles between hypomania and dysthymia (milder depression).

The condition most often has a genetic component and often there are first degree relatives with the disorder. there is also a higher prevalence of other mood disorders and eating disorders and alcoholism among relatives.

If you suspect someone is Bipolar take them to a psychiatrist for evaluation. Primary MD's are not qualified to diagnose or treat the condition and it is often misdiagnosed, especially in children as the symptoms look different and the cycling tends to be more rapid.

It absolutely requires medication for treatment to be effective.




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