Bipolar Disorder Causes Extreme Shift in Moods – What is the hope for Recovery?
Bipolar Disorder, also known as manic depression, is a brain disorder that causes unusual shifts in mood, energy and activity levels. Individuals experience abnormally elevated moods or manic episodes as well as abnormally depressed moods either lasting weeks or months at a time. Sufferers may also display mixed episodes where both mania and depression occur at the same time.
These episodes are usually separated by periods of ‘normal’ mood, but for some people, depression and mania may rapidly alternate. Extreme manic episodes can sometimes lead to psychotic symptoms like delusions and hallucinations. Substance abuse may heighten the mood changes which disrupts sleeping patterns and may affect work, school or relationships and some patients are hospitalized whether voluntarily or involuntarily.
Bipolar disorder often develops in late teens or early adult years, and almost half of all cases start before 25. Some people have their first symptoms during childhood, while others may develop symptoms late in life.
Diagnosis is difficult and the disorder can be undiagnosed for years, or misdiagnosed as Major Depressive Disorder if only the depressive moods are noted. Diagnosis is often based on self-reported experiences by the sufferer and reports of unusual behavior by family, friends or work colleagues, followed by clinical observations by a medical professional.
According to the Diagnostic and Statistical Manual of Mental Disorders, there are four basic types of bipolar disorder: Bipolar I (mainly defined by more than one manic or mixed episode); Bipolar II (a pattern of depressive periods with hypomanic episodes, but no full-blown manic or mixed episodes or Bipolar Disorder Not Otherwise Specified (BP-NOS) diagnosed when a person has symptoms of the illness that do not meet diagnostic criteria for either bipolar I or II.
Cyclothymic Disorder is a mild form of bipolar where sufferers have episodes of hypomania that shift back and forth with mild depression but the symptoms do not meet the diagnostic requirements for any other type of bipolar disorder.
There is evidence of a genetic predisposition to Bipolar Disorder, but environmental factors tend to play a bigger role in the onset of the disorder like abuse during childhood or recent traumatic events.
There is no cure but long-term treatment will help in managing the symptoms. Mood stabilizing medication like lithium carbonate and lamotrigine and anti-depressants are prescribed. Psychotherapy is also used to deal with the symptoms of the illness, as is cognitive behavioral therapy and psycho-education.
With adequate medical care and psychoanalysis, up to 50% of sufferers recovered within two years, but many patients are prone to a recurrence of symptoms.

August 7th, 2009 at 9:57 pm
A large part of the bi-polar problem is the world’s ignorance to it. This includes insurance companies, social service agencies, and the everyday person.
Unless you have lived with a bi-polar person, most people simply don’t get it. They think that these people can control their moods and snap back to reality, but that is so far from the truth. These people can NOT control their moods (often despite medications and therapy), it’s a disorder that many people just don’t understand, nor do they care to understand it.
Until the disorder is given the proper attention and research that it needs and deserves, the struggles will continue to grow.