In patients with Bipolar I the disease usually starts with a manic episode. The manic episodes that the individual has outweighs the depressive episodes. In Bipolar II patients suffer from sever depression. They might undergo slight manic episodes, but depressive episodes do outweigh them. In mixed states depressive and manic symptoms occur simultaneously in rapid successions.
Not nearly as prevalent as other forms of depressive disorders, manic depressive illness involves cycles of depression and elation or mania. Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, you can have any or all of the symptoms of a depressive disorder. When in the manic cycle, any or all symptoms listed under mania may be experienced. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment.
Certain people may experience a higher level of mania and depression more than others, for example, patients with Bipolar I. In Bipolar II patients experience a milder form of mania called hypomania and depression, and people with cyclothima experience the same symptoms in a milder form. Bipolar Disorder not only affects your mood but also your appetite, concentration, memory, and energy level. Doctors use a questionnaire called “Mood Disorder Questionnaire, MQD”, which is a set of questions that help doctors determine if a patient is going through the basic symptoms of Bipolar Disorder. Diagnosing this disorder can be a challenge because there are no physiological tests that can identify whether a person is diagnosed with Bipolar Disorder.
There is also a mixed episode, which is a combination of the two states. People with this disorder are often explosive and wrathful during a mood episode. Roughly 70 percent of manic episodes occur immediately before or after a depressive state (Tartakovsky). There are four different types of bipolar disorder (Tartakovsky). Bipolar I is considered the classic type.
The characteristics of bipolar disorder are significant shifts in mood that go from manic episodes to deep depressive episodes in a up and down trip that seemingly never ends. There are actually three types of bipolar disorder. In bipolar III disorder there is a family history of mania or hypomania in addition to the client experiencing depressive episodes. This category is not highly used but is worth noting. Bipolar II disorder is marked by hypomanic episodes that have not required hospitalization.
One that includes in the spectrum is its beginning stage of Bipolar One. Bipolar One is characterized by a past of a least one manic episode, and usually depressive episodes. The next stage is Bipolar Two is characterized by the hypomanic episodes taking turns with depressive episodes. Cyclothymia is characterized by highs which satisfy some, but not completley all criteria for hypomania and lows which satisfy some but not all criteria for depression. The wide variety of symptoms include a distinct period of abnormally and persistently elevated, expansive or irritable mood, lasting at least one week or any duration if hospitalization if it becomes necessary.
Bipolar grandiosity can sometimes pretend to be a representation of narcissism. It can look the same externally and even feel the same internally. People with bipolar disorder experience intense emotional states during a manic or hypo manic episode as well as an extremely sad or hopeless state that is called a depressive episode. Sometimes an episode can be both manic and depressive. This is called a mixed state.
People affected with bipolar disorder suffer from both mania and depression, experiencing manic symptoms, or extreme highs, and then suddenly experience depressive symptoms, or extreme lows. In between these mood swing episodes are periods of normal mood. The depressed mood often lasts longer than the manic mood, however, the duration of episodes vary from person to person. If left untreated, episodes can last from several days to several months. Some symptoms of mania are: increased energy, restlessness, rapid speech, racing thoughts, excessive euphoria, uncharacteristically bad judgment, denial, overspending money, and risky behavior.
Understanding Bipolar Disorder Bipolar disorder is perhaps one of the most tragic mood disorders today, because it virtually taunts with the affected person's mind. Bipolar disorder also known as manic depressive disorder is a mental condition in which the person alternates between feelings of mania and depression. These feeling are extreme opposites, and thus create tremendous mental and physical stress on the person affected. This unfortunate disorder affects one to two percent of the adult population. Before bipolar disorder can b e fully understood, the two main mood stages must first be identified.
Biological Theories of Manic-Depression Like every mental illness, there is no definitive evidence concerning the etiology of manic-depression, also known as bipolar disorder. The disorder is characterized by alternating periods of depression and mania and occurs in 1% of the population. The depressive episodes can range in severity from dysthymia to major depressive episodes. The major depressive episodes are classified as periods of at least two weeks in length during which sadness, lethargy, insomnia or excessive sleep, increase or decrease in appetite, hopelessness, and suicidal ideation or suicide attempts are present. Dysthymia is the milder form of depression, during which suicidal ideation and attempts are not present.