Τρίτη 21 Μαΐου 2013

Bipolar Disorder



Bipolar Disorder


What is Bipolar Disorder?

Bipolar disorder is characterized by pathological mood swings from mania to depression.


Which are the causes?

l        Biochemical: a) physical changes in the brain, b) activity of neurotransmitters, c) hormonal imbalances.
l        Genetic: A possible predispotion exists. Studies have shown that patients' families also have the same condition. It has also been proved that bipolar disorder is related to schizophrenia, pointing to shared genetic cause.
l        Environmental: The patient's family and social background as well as his intimate relationships could be an element for the appearance of bipolar disorder.


Which are the symptoms?

Manic phase of bipolar disorder:                              
Signs and symptoms of the manic phase of bipolar disorder may include:

l        Euphoria
l        Extreme optimism
l        Inflated self-esteem
l        Poor judgement
l        Rapid speech
l        Racing thoughts
l        Aggressive behavior
l        Increased physical activity
l        Risky behavior
l        Spending sprees
l        Increased drive to perform or achieve goals



Depressive phase of bipolar disorder:Signs and symptoms of the depressive phase of bipolar disorder may include:
l        Sadness
l        Hopelessness
l        Suicidal thoughts or behavior                                            
l        Anxiety                                                                      
l        Guilt                                                                            
l        Sleep problems                                                              
l        Appetite problems                                                             
l        Fatigue                                                                        
l        Loss of interest in daily activities                                         
l        Problems concentrating                                                      
l        Irritability                                                                  
l        Chronic pain without a known cause

How can bipolar disorder be treated?

 Medications
l        Anti-seizure medications: They are used for the same reason as the mood stabilizers.
l        Antidepressants
l        Other medications (atypal antipsychotic medications, anti-anxiety medications).

Some medications can be combined in order to have the maximum effect. However, the patient must be aware of the side effects.


Psychotherapy

l        Cognitive behavioral therapy: Helps patients to focus on the healthy and positive behaviors. People can learn effective strategies to control stress and upsetting situations.

l        Family therapy: Through the dialogue family members try to solve communication issues and control stress and important matters of everyday life.

l        Group therapy:  The patients meet similar situations and they are given a chance to discuss their concerns. They improve their social skills and stop feeling neglected or isolated.


 Hospitalization

In some extreme cases hospitalization is essential. The patients' mood can be stabilized even if he is in deep depression or in a severe manic episode.




 Options that can be considered are: partial hospitalization or daily treatment programms.

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