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Bipolar disorder is a chronic and recurrent major mental illness, accompanied by high suicide rate and prevalence, and can be divided into three types according to the severity of manic symptoms and depression symptoms. If all types are combined, the prevalence rate of the global bipolar disorder population is about 5-10%.
Simply put, when manic symptoms occur, the patient will be in a high mood, including impulsiveness, talking too much, not sleeping, large amount of activity and increased sexual desire, and even exaggerated delusions. He believes that he has strong ability and can complete anything. When the symptoms of depression occur, the mood drops to the bottom, and the symptoms are similar to unipolar mood disorders of depression . Patients are prone to depression, decreased appetite, loss of interest in things that are interested in daily life, and even have suicidal thoughts. Family members should prevent patients from being overly arrogant during the manic period, making impulsive investments and other things, and accompanying patients during the depression period, so as to avoid patients committing self-harm and self-harm because they do not want to drag down their family members.
Case: The patient is a 22-year-old female, diagnosed with severe bipolar disorder. She was admitted to the hospital for treatment for more than 6 years due to "suspiciousness, depression, self-harm, and irritability recurring for more than 6 years."
The patient first started to get sick in 2016. He was depressed and nervous for no reason. His interest in people and things around him decreased. His academic performance decreased accordingly. He felt that it was meaningless to be alive. He suspected that his classmates were targeting her and talking about her behind his back. He suspected that his mother was not good to her. Sometimes he was prone to irritation and tantrums, and quarreled with his parents. At that time, he was diagnosed with "depression". He was treated with oral sodium valproate and other drugs, but his condition did not relieve it. The patient's parents took her to the local Grade A hospital, and the diagnosis was "bipolar disorder" and were treated with drugs such as sertraline and quetia. The condition improved slightly but it still repeated. In the six years after
, the patient was hospitalized seven times with his parents. After the drug treatment, the symptoms were poorly controlled. He was sensitive and suspicious when he had a manic attack. He suspected that someone was targeting her and wanted to harm her. He bragged that he could make a lot of money and bought things online. He had to buy them every time a new mobile phone was released. He had an impatient temper and impulsive attitude, argued with his family, beat and scolded his family, and had abnormal behavior and thinking. He insisted that he wanted to become a man, be gay, and liked to contact men and collect gay things. When he had a depression attack, he believed that he was living was a burden to his parents. He had repeatedly scratched his arm with a knife and committed suicide by taking medicine. The patient's various symptoms had seriously threatened her personal safety. The parents could not bear to have his daughter tortured by the disease like this, so he took the patient to our department for surgical treatment.
After being admitted to the hospital, the patient secretly scratched his arm with a bottle cap while his family was not paying attention, saying that this would bring pleasure to himself. Taking into account the patient's personal safety issues, our doctor completed the surgical treatment for the patient on the 5th day after he was admitted to the hospital, on the premise of ensuring that the preoperative examination was completed normally.
The day after the operation, the patient returned to the functional neurological ward from ICU. His personality was not as irritable, impulsive, negative and world-weary as before the operation. His emotions were obviously much more stable. He could complete daily behaviors such as eating, washing and washing, and he took the initiative to talk to his parents. His language logic was normal in his conversation. He no longer said that he wanted to become a man. He disagreed with his previous self-harm behavior and promised not to do anything that hurt him again. He planned to continue his studies after being discharged from the hospital.
For patients with severe bipolar disorder, surgical treatment can be improved as follows:
1. Symptoms such as family affection and hatred, family affection and indifference are controlled or eliminated, normal emotions are restored, and normal communication with parents and relatives are recognized and can communicate with parents and relatives;
2. Patients with symptoms such as irritability, irritability, and emotional excitement, and smashing things are significantly improved after the operation and can restore the mental state of normal people;
3. Patients with lack of self-awareness have recovered their self-awareness after the operation, and can clearly understand their condition and actively receive examination and treatment;
4. Symptoms such as hallucinations and delusions are controlled and improved, and patients will no longer see things that do not exist in the objective environment, nor will they think unrealistic and unintentional for no reason, and the fact that the objective environment does not exist.
to readers:
Hello, I am Dr. Wu Jingwen. Thank you very much for reading my article. If you have any disease, please contact me through the platform's "private message". can also leave a message under the article, and I will answer your questions as soon as possible.
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