Whether in the professional group or in the family group of patients with bipolar disorder , the term " resurgence " is a topic that is frequently mentioned.
What is irritable?
From a professional perspective, recurrence is the
This impetuous process can occur suddenly in , or can complete after several days. Among them, most patients will experience a mixed form of , which has both depressive symptoms and manic symptoms, but which symptoms are relatively dominant at different stages of this process.
The reason for the irritability
may be due to drugs or life events stimulation, and the research is not clear yet. However, no matter what type of biphasic treatment of is, it is very difficult to treat, and you must receive continuous and systematic treatment.
The manifestations of irritability include:
- mania or hypomania;
- mixed attacks;
- original rapid cycle acceleration;
- "Chronic irritability caused by antidepressants (such as irritability, impulse, anxiety, performance behavior and sleep disorders )
The consensus view is that the tricyclic antidepressant irritability is relatively high. SSRI Whether a single treatment of a drug increases the risk of irritability is not clear. The types of antidepressants used in patients with bipolar disorder are different, and the risks of irritability are also different .
What are the risk factors for mania or hypomania after a depression attack?
1. Types of depressive attacks
Binopolar depression is more likely to cause irritability than unipolar depression . Similar depressions include recurrent transient depression, postpartum depression , depression with poor efficacy of antidepressants, depression related to menstruation depression attack, depression with comorbidity anxiety attack etc.
2. Family history
is this important factor that has been ignored in the diagnosis of the disease, causing the disease to change phase. However, compared with those who have changed phase, the family history of positive suicide and positive depression in has increased significantly. These patients tend to have suicide depression, frequent hospitalizations, and obvious psychotic characteristics.
3. Personality characteristics and personality qualities
3. Research and investigation found that 29.2% of patients met the bipolar II diagnosis criteria for spontaneous hypomania , and 10.5% of patients met the hypomania caused by antidepressant drugs.
4. Onset age The earlier the age of onset of
, the greater the possibility of bipolar disorder. In this case, the single use of antidepressants may cause mood swings and even irritability, which is more common in adolescents.
5. Other related factors
5. Other related factors
other related factors also include psychopathological characteristics, postpartum depression, menstruation-related depression, psychotic symptoms, obvious biological rhythms, etc.
6. Use antidepressant drugs in combination with 4.
combined with antidepressant drugs is sometimes common in refractory depression or is sometimes done under the psychological effect of being eager to achieve success. This type of image often increases the risk of irritability . Any two types of antidepressant drugs can increase this irritability rate, sometimes reaching 36%.
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