Bipolar Disorder: Symptoms, Risks, and Seeking Help

Dipolar

Hello, doctor.
I have come across a report about a condition called bipolar disorder, which seems to resemble my situation.
I experience extreme mood swings, feeling very sad or very happy, and I can easily become angry and harbor resentment towards those around me.
However, there are times when I feel quite joyful.
Additionally, I have persistent suicidal thoughts.
Could this indicate that I am suffering from depression? I have heard that individuals with depression often end up committing suicide due to a lack of interest in anything, which negatively impacts my life.
I would appreciate your valuable advice, as I have noticed that these tendencies seem to be worsening.
Thank you! Wishing you peace!

xing, 20~29 year old female. Ask Date: 2001/02/14

Dr. Li Junren reply Psychiatry

Bipolar disorder, commonly referred to as "manic-depressive illness," manifests in two distinct phases: mania and depression.

During the manic phase, patients may experience a sustained period of elevated mood lasting for several weeks, characterized by persistent excitement and hyperactivity.
Individuals may feel that their thoughts are racing, find it difficult to slow down, talk incessantly, and feel an overwhelming sense of energy and capability.
They may exhibit grandiosity, have difficulty with impulse control, and experience significantly reduced need for sleep, feeling energized even without rest.
In contrast, the depressive phase can last for several months, during which patients experience a pervasive low mood.
Activities that once brought joy become uninteresting, and individuals may feel a lack of motivation and energy to engage in any tasks.
Feelings of hopelessness, helplessness, and worthlessness are common, and suicidal thoughts may arise.
Patients may spend the entire day in bed but struggle to sleep well.
Many people may relate to these descriptions and think, "I often feel this way," but it is important to note the emphasis on "lasting for several weeks to months, occurring daily." This is the key distinction between individuals with bipolar disorder and those without.
Everyone experiences emotional responses, and some may react more intensely than others, but these do not constitute bipolar disorder.
The diagnosis is made only when specific emotional states persist far beyond typical durations.
If you are experiencing suicidal thoughts, it is strongly advised that you seek assistance from a psychiatrist or a psychological counseling service as soon as possible.
This issue may not necessarily be caused by bipolar disorder, but it still requires proactive treatment.
I hope you can receive help quickly!

Reply Date: 2001/02/14

More Info

Bipolar disorder, often referred to as manic-depressive illness, is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). Understanding this disorder is crucial, especially if you or someone you know is experiencing symptoms that may indicate its presence.

Symptoms of Bipolar Disorder
The symptoms of bipolar disorder can vary significantly between individuals and can change over time. Here are the primary symptoms associated with the two main phases of the disorder:
1. Manic Phase:
- Elevated Mood: Individuals may feel euphoric, overly energetic, or unusually irritable.

- Increased Activity: There may be a noticeable increase in goal-directed activities, such as work or social engagements.

- Racing Thoughts: Thoughts may come rapidly, making it difficult to focus or follow a single train of thought.

- Impulsivity: This can manifest as poor decision-making, such as spending sprees, risky sexual behavior, or reckless driving.

- Decreased Need for Sleep: Individuals may feel rested after only a few hours of sleep.

2. Depressive Phase:
- Low Mood: Feelings of sadness, emptiness, or hopelessness are common.

- Loss of Interest: There may be a significant decrease in interest or pleasure in most activities, including those once enjoyed.

- Fatigue: Individuals often feel tired or have a lack of energy.

- Changes in Sleep Patterns: This can include insomnia or sleeping too much.

- Suicidal Thoughts: There may be persistent thoughts of death or suicide, which is a serious concern that requires immediate attention.

Risks and Complications
Bipolar disorder can lead to various complications if left untreated, including:
- Substance Abuse: Individuals may turn to drugs or alcohol to cope with their mood swings.

- Relationship Issues: The extreme mood changes can strain relationships with family, friends, and coworkers.

- Job or School Problems: The disorder can affect performance and attendance, leading to difficulties in maintaining employment or academic success.

- Suicide Risk: As you mentioned, individuals with bipolar disorder are at a higher risk of suicide, particularly during depressive episodes.

Seeking Help
If you recognize these symptoms in yourself, it is crucial to seek professional help. Here are some steps you can take:
1. Consult a Mental Health Professional: A psychiatrist or psychologist can provide a proper diagnosis and develop a treatment plan tailored to your needs.

2. Therapy: Psychotherapy, particularly cognitive-behavioral therapy (CBT), can help you manage symptoms and develop coping strategies.

3. Medication: Mood stabilizers, antipsychotics, and antidepressants are commonly prescribed to help manage the symptoms of bipolar disorder.

4. Support Groups: Connecting with others who have similar experiences can provide emotional support and practical advice.

Conclusion
It’s important to understand that bipolar disorder is a serious mental health condition that requires appropriate treatment and management. If you are experiencing severe mood swings, feelings of anger, or suicidal thoughts, please reach out to a healthcare provider immediately. Early intervention can significantly improve the quality of life and help manage the symptoms effectively. Remember, you are not alone, and there is help available.

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