Bipolar disorder (formerly known as manic depression) is characterized by severe mood swings. Most people swing from one mode to the other at a particular time of year-- For example one may be manic in the Spring and then become more depressed in the Fall. There is a "rapic cycling" form of the disorder, where a person switches much more frequently from one modality to the other.
In a manic phase, one generally has unbounded energy, needs little or less sleep than usual, has unrealisticially grand thoughts of doing unrealistically grand things, talks quickly, and is difficult to interact with becasue the energy level is so high. A manic person becomes agitated and irritable when someone suggests that she is not in control or that she try to calm down. A manic phase usually ends up with a kind of crash. Imagine a balloon filled with air that goes higher and higher, until finally it loses its altitude and goes crashing to the ground.
Then starts the depression. The person has trouble even remembering the manic or "up" phase that just preceeded. She feels that nothing will ever be right, that life is not worth living. Some manic depressives feel suicidal.
Bipolar disorder is not easily missed. If a person is depressed for a period of time and then on the top of the world the next, and then back to depressed, bipolar disorder is a good possibility. The important thing is the degree, or intensity, of feeling. Not everyone who is sad is clinically depressed. Not everyone who is happy and bouncy is manic.
I am not a doctor--and I don't even play one on TV (how's that for dating myself?)-- but I understand that BD is caused by a chemical imbalance in the brain. Does anyone really understand the mechanisms? No. Does anyone really know why medications work? No. But there is overwhelming evidence that certain chemicals alleviate the synptoms. I am a strong advocate of responsible medication.
NOW--what about a diagnosis? One psychiatrist said to me that diagnoses are for social workers and insurance companies.
I could not agree more. What difference does it make what one labels the suffering we endure? The point is to treat it.
We know that antidepressants can be remarkably successful in treating depression. We know that anti-epileptics can be great for mood swings. So are major tranquilizers. The point is not what we call the experience. The point is that we find the right medicine to alleviate the suffering.
Document the experience and use the right category of medicine to treat it.Now--what about the medicines for BD? Psychiatrists agree that a bipolar patient should take a mood stabilizer all the time. The bipolar person should NOT take an antidepressant all the time. Rather, she shoud take an AD only when depression is a major problem. Why? Because SSRIs and SNRIs tend to bring on mania A lot to know? For sure. But it is doable.
Please forgive the length of my post. I will stop here for fear of being drummed out of the group!
Warmest regards to all,
Marcy
QUOTE (little lil @ Jan 31 2010, 06:46 PM)

Can someone please describe Bi Polar to me so I could put my most anxious thought to rest. I,ve researched it to no end and don,t seem to fit it but I would like to know from someone who has it, Since my total hyster for the past 3 1/2 yrs I,ve had high anxiety which I never had before, I cry alot because of it, I just don,t feel like me, I never really feel good but at nite I ususally get calmer and feel a little better, I have no problems sleeping except for bad sweats. I,m not agitated or have angry outbursts, just constant anxiety espically if I have to go somewhere, Before my Hyster I was easy going loved life had no problems now full of anxiety and it actually scares me the feelings. of anxiety I have no family history of mental illness, I,ve tried numerous Ad,s HRT sideeffects to them all, I feel like i,m uncomfortable in my own body just don,t feel like me, and getting more and more down due to all of this I constantly think about it and talk about it, is this Bi Polar, my anxiety doesn,t make me restless I get tense or butterflies lightheaded shakey then cry because it,s been there for over 3 years, The only time I got relief was once on Lexapro but can,t go back on due to sideeffects, was doing good on HRT and Elavil but then they switched things, since I came off the Lexapro I haven,t been the same. I,ve seen 2 Psych,s therapist, Endo,s OB Gyn, Counsler,s and a Priest they all say I,m not until recently my MD who has only seen me 6 times in a year said I could be Cyclothemia I researched that to death and don,t fit that either. I had no problems as ateenager which he drilled me on I had a healthy normal life till the Hyster, Do I sound Bi Polar ??????? Please help me put this to rest