What is Bipolar Disorder?
Bipolar disorder is a see-saw between two distinct phases: mania and depression. During manic episodes, individuals experience elevated mood, increased energy, and impulsive behaviour. This phase is often marked by heightened creativity and productivity, but it can escalate to a point where it impairs judgment and daily functioning. On the flip side, depressive episodes bring lingering feelings of sadness, hopelessness, gloom and a lack of interest in activities. Sleep disturbances, reclusive behaviours, changes in appetite, and difficulty concentrating are common hallmarks of the depressive phase. There are usually four types of bipolar disorder: bipolar 1 is severe mania lasting for more than a week; bipolar 2 causes fluctuations between a moderate mania and low mood; bipolar 3 or cyclothymia is characterised by longer-term hypomania and depressing episodes lasting for years. The 4th type is called unspecified bipolar disorder, which could be varying combinations of all the three previous types.
How is it diagnosed
Diagnosing bipolar disorder involves a thorough clinical evaluation by a psychiatrist. They assess symptoms, medical history, and family history to form a comprehensive picture. The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) provides standardised criteria for diagnosis, categorising bipolar disorder into types.
Treatments :
Mood Stabilisers
Medications such as mood stabilisers, antipsychotics, and antidepressants are
commonly prescribed to stabilise mood fluctuations.
Psychotherapy
Psychotherapy, particularly psychodynamic therapies and
Cognitive-Behavioral Therapy (CBT), helps individuals develop coping strategies and manage mood swings effectively.
Lifestyle Changes
A strict lifestyle regime, including regular exercise, a balanced diet, and
sufficient sleep, can help maintain overall well-being. Stress management techniques are crucial in preventing the triggering of episodes.
Patterns of Depression and Mania
The patterns of bipolar disorder vary among individuals and across the
different types. Bipolar I's intense manic episodes are often succeeded by severe depressive episodes. Bipolar II, characterised by depressive and hypomanic episodes, may lead to less severe disruptions in daily life but still poses significant challenges. Cyclothymic disorder, with its chronic mood disturbances, presents a more subtle but enduring impact on an individual's emotional stability.