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What is Bipolar disorder ?
Today's doctor
Jiang Mingjuan Director of the psychosocial medicine clinic of Guangzhou Naoboshi Hospital
What exactly is bipolar disorder?
Doctor: Bipolar disorder is what is medically called bipolar disorder. Bipolar disorder is a mental disorder characterized by abnormally high and abnormally low emotions. When a manic attack occurs, what he shows is that his emotions are particularly high, excitement, increased motivation, and increased speech and behavior. Sometimes when calling a friend, repeating your own words over and over again is a manic attack. When depression occurs, core symptoms such as depression, decreased interest, fatigue, and slow thinking behavior are immediately formed. Generally speaking, the patient's emotions will alternate between mania and depression, rising and falling. He obviously feels that the mood was very high in the previous second, but may suddenly fall in the next second, and he may think of suicide. Most bipolar disorders start with depression, and the first attack occurs in the form of depression . The manic attacks last longer and often occur, and the harm to the patient is also relatively large. After research, it was found that patients with bipolar disorder have almost three times the depression time of manic attacks or hypomanic attacks, and the incidence of depression in long-term treatment is about four times that of manic or hypomanic attacks.
Is bipolar disorder more difficult to treat than depression?
Doctor: Yes, bipolar disorder is one of the major diseases in the disease and belongs to the category of mental illness, and it is difficult to treat. Some people have a stable period for a period of time, and then they feel a depression in their emotions, their interest decreases, they are not interested in various things, and their motivation to do things also decreases. Suddenly, I found out that this person's personality has changed, his emotions are very high, and he talks a lot. He can't control himself. In clinical practice, this is called a diagnosis of bipolar disorder.
What are the symptoms of bipolar disorder attacks? If it is the first episode of depression, how can we distinguish it from simple depression or bipolar disorder (bipolar disorder)?
Doctor: The patient must have at least one experience of mania or hypomania before he can diagnose bipolar disorder. The criterion for mania is that symptoms of high mood, excessive or irritable irritability must last for at least one week and are present almost most of the day; in addition, the assessment also includes at least three items in the table and extremely abnormal behaviors during this period. Many patients with bipolar disorder will experience depression symptoms when the disease occurs. Depression in bipolar disorder is similar to depression alone, and patients may experience hypoenergic or atypical depression symptoms such as excessive sleep and appetite. But unlike pure depression, some psychiatric symptoms such as hallucinations and delusions are more likely to occur in depression with bipolar disorder. Patients must experience at least five of the symptoms shown in the figure below within two weeks before they can be diagnosed as a severe depression attack.
Can personality factors also cause emotional disorders? Who else should be particularly alert to bipolar disorder?
(1) People with circular personality or emotionally vigorous personality. This type of person’s emotions often switch between high and sadness, each of which may last for weeks. It usually starts in adolescence, with extremely unstable and rapidly changing emotions. As you age, the situation may continue to worsen.
(2) Stress events such as failure and setbacks lead to the occurrence of this disease. In daily life, some people's emotions will become very unstable under the stimulation of marriage failure, family changes, bankruptcy and other events. If the adjustment is not done in time, bipolar disorder may occur.
(3) Age and gender factors. Women are more likely to suffer from bipolar disorder than men. In addition, people aged 15-20 and 35-50 are prone to this disease, so pay more attention to this type of population. Judging from age and gender factors, women generally have higher probability of having bipolar disorder than men. More people in the ages of 15, 20, 35 to 50 suffer from bipolar disorder than other age groups.Generally, when he is around 15 years old, his personality is unstable, or because he pursues perfection and is more positive in his work, he will have greater emotional fluctuations when encountering setbacks. So between the age of 35 and 50, this age group involves major crises in marriage, entrepreneurship and family. There were also some external stimulation and some emergency incidents caused his emotional fluctuations. These two age groups are the high incidence of bipolar disorder.
Many people nowadays are worried, thinking that it is a medicine that is toxic. Is there a possibility of self-healing of bipolar disorder?
Doctor: It is difficult to control this aspect. When a person meets the diagnostic criteria for bipolar disorder, he must receive our medication and psychological treatment. He should cooperate with the doctor's psychological treatment, actively exercise his body, learn to talk to others, and cooperate to transform it on the better side, so that such drugs can be used in a small amount. For "the three parts poisonous drugs", drugs have side effects. At this time, our dosage may be appropriately increased by one treatment amount, because the psychologists all reach a treatment amount from a small dose, so that their active cooperation and psychological cognition will improve much better and faster.
Source: Jingshi Health Home
