Bipolar Disorder Fact
Sheet
What is Bipolar
Disorder?
Bipolar Disorder, also known as
manic-depressive, is a type of mood disorder in which an individual will
experience episodes of mania and depression. Usually an individual will
experience a time period of mania and then the mania may subside for a while
before experiencing a depressive state or vise versa. Bipolar disorder usually
begins in adolescence or early adulthood, although it can sometimes start in
early childhood or as late as the 40's or 50's. In the United States, over 1.2%
of the adult population has bipolar disorder (more than 2.2 million
people).
What Causes Bipolar
Disorder?
There is no single, proven cause of bipolar
disorder, but research strongly suggests that it is often an inherited problem
related to a lack of stability in the transmission of nerve impulses in the
brain. This instability of nerve transmissions causes people with bipolar
disorder to be more vulnerable to emotional and physical stresses. For example,
is there is an upsetting life experience or event, the normal brain mechanisms
for restoring cam functioning do not always work properly.
There are also theories that bipolar
disorder has a genetic link that predisposes individuals to this disorder. This
is not saying that if one of your parents have bipolar then you will have
bipolar disorder. Just as other medical conditions, such as heart disease, the
person might inherit a tendency to have high blood pressure or cholesterol which
makes them more susceptible to heart disease.
What is a Manic Episode?
When a person is experiencing mania or
having a manic episode, he/she is feeling usually "high", euphoric, or
irritable. Some outward behavioral signs that may indicate a person is in a
manic state is; 1) needing little sleep yet having great amounts of energy, 2)
talking so fast that others can not follow his/her thinking, 3) having racing
thoughts (many thoughts are "racing" fast in his/her head to the point of not
being able to keep up with them), 4) being easily distracted the his/her
attention switches to numerous topics within a few minutes, 5) having an
inflated feeling of power, greatness, or importance, and 6) exhibiting reckless
behavior without concern for the consequences. These symptoms are present for at
least one week and have cause significant impairment in functioning. Manic
episodes can last for several weeks and even months.
Hypomania is another condition similar to
mania. Hypomania is a milder form of mania with similar but less severe symptoms
and less impairment in functioning.
What is a Depressive
Episode?
In a full-blown depressive episode, the
following symptoms are present for at least 2 weeks:
- Feeling sad, blue, or down in the dumps
or losing interest in things you normally enjoy
Plus at least four of the
following:
Significant change in sleep pattern
Loss of appetite or eating too much
Problems concentrating or making
decisions
Feeling slowed down or feeling too
agitated to sit still
Feeling worthless or guilty or having
very low self-esteem
Loss of energy or feeling tired all of
the time
Thoughts of suicide or
death
What is a Mixed Episode?
A mixed episode is when an individual experiences
symptoms of both mania and depression at the same time or alternating frequently
during the day. He/she may feel excitable or agitated as in mania but also feel
irritable and depressed, instead of feeling on top of the world.
Types of Bipolar Disorder
Bipolar disorder type I- Characterized by one or
more manic or mixed episodes usually accompanied by depressive episodes.
Characterized by one or more manic or mixed episodes usually
accompanied by depressive episodes.
Bipolar disorder type II-
Characterized by one or
more depressive episodes accompanied by at least one hypomanic episode.
Characterized by one or more depressive episodes accompanied by
at least one hypomanic episode.
Treatment for Bipolar
Disorder
There are three main components for
treating bipolar disorder. The first component is medication. The two most
widely used types of medication for bipolar are mood stabilizers and
antidepressants. Mood stabilizers are used to improve symptoms during acute
manic, hypomanic, and mixed episodes and are used as preventive medicine to
maintain a stable mood.
The next component is education. It is
crucial that the individual who is diagnosed with Bipolar Disorder and family
members learn how to best manage this disorder and prevent its complications.
The help of family members and/or friends can give the individual significant
support on identifying symptoms of mania and depression as the individual is
sometimes "blinded" by the disorder.
The last component is psychotherapy. This
is helpful for the individual with bipolar disorder and family members in
solving problems and dealing with stress. Psychotherapy can help individuals
learn to identify negative behavioral patterns which can be contributing to the
disorder and learn more healthy lifestyles to prevent a full-blown mania or
depressive episode.
For more information please refer to the
following resources:
Internet Sites
www.bpkids.org
www.mentalhealth.com/dis/p20-md02.html
www.mentalhealth.com/dis/p20-md02.html
www.nimh.nih.gov
www.nimh.nih.gov
www.mentalhelp.net
www.mentalhelp.net
Books
Bipolar Disorder: A Guide for Patients and Families. By Francis Mark Mondimore,
MD
Bipolar Disorders: A Guide to Helping Children and Adolescents. By: Mitzi Waltz.
Surviving Manic Depression: A Mannual
on Bipolar Disorder for Patients, Families, and Providers.
By E. Fuller Torrey, MD and Michael B. Knable,
OD