Bipolar Disorder Part 1
ฝัง
- เผยแพร่เมื่อ 17 ก.ค. 2024
- Bipolar Disorder, previously referred to as manic depression, is a frequent cause of disability in young people. Those suffering from Bipolar Disorder experience depression almost identical to that associated with unipolar depression. But in addition with Bipolar Disorder there are episodes of mania or the less severe hypomania.
In Bipolar 1 Disorder both mania and hypomania may occur. In Bipolar 2 Disorder only hypomanic episodes occur along with depression. In both types of Bipolar Disorder, depression occurs much more frequently than the manic/hypomanic attacks.
A specific list of criteria exist that must be met to establish the diagnosis of Bipolar Disorder. More often than not, an individual patient fails to meet all of the features necessary for the disorder. These individuals are designated as suffering the subsyndromal disorder - a condition about 3 times more frequent than the canonical disorder according to the American Psychiatric Association.
A lag of 10 years from onset of symptoms until diagnosis is not uncommon.
Manifestations of manic episodes include overconfidence, grandiosity, talkativeness, irritability, disinhibition, decreased need for sleep and a highly elated mood. Not uncommonly psychotic symptoms may supervene. These include hallucinations and delusions and may require hospitalization.
Hypomania is associated with less severe symptoms that may be interpreted by the individual as positive in nature and helpful with work or social activities.
Usually episodes of mania and depression remain distinct but at times they occur simultaneously. So-called mixed episodes carry a worse prognosis and further increase the risk of suicide even beyond the typically elevated rate associated with Bipolar Disorder in general. Rapid cycling refers to at least 4 discrete episodes of depression and mania within the prior 12 months and again signals more severe disease.
The lifetime prevalence of Bipolar Disorder in all of its forms is nearly 2.5% of the population with some estimates rising to 4%. In Bipolar 1 Disorder the sex incidence appears equal. In Bipolar 2 Disorder women predominate. Agoraphobia frequently coexists with Bipolar Disorder.
I have never seen a doctor that has such complete information on every subject that he talks about. Your knowledge on everything that you talk about is incredible.
Also agree. And with no agenda. And while acknowledging the difficulties and reality of getting diagnosed and treated and whatnot.
Agree 💯%! This erudite dr. has given great infor which can help patients and families in discussions with their doctors, since unfortunately, today’s time restraints affect careful assessment & accurate diagnosis. I hope the good dr. will provide a video on drug-induced hypomania/mania (particularly with SSRI’s & SNRI’s- most notably Fluoxetine and Effexor). I want to know why a person is diagnosed bipolar now if they’ve never experienced mania prior to using these medications? Couldn’t this “unmasking” of bipolar, as they’re calling it, be attributed to a paradoxical reaction to the SSRI/SNRI, for example? And regarding the unmasking logic, would it follow then, that the SSRI/SNRI was nothing more than a key unlocking a hidden disease, therefore negating the possibility that it was the drug itself that caused the mania? I am having trouble understanding how a bipolar illness could be present for years yet never present itself until a bad experience with SSRI’s or SNRI’s.
I went to a psychiatrist 👨⚕️and he diagnosed me with bipolar syndrome. The medication 💊 he prescribed me destroyed my life. I felt extremely me tired to the point I slept everywhere: in school 🏫, in the toilet 🚻. Those pills caused me narcolepsy. I felt weird like a zombie ( half sleepy half awake). I got nasty side effects. My brain 🧠 performance was really badly. I had the feeling as I had dementia. I forgot everything, I couldn’t recall anything I have learnt. I didn’t believe I was bipolar. My doctor told me I had that pathology,therefore I took that drug. It was really a drug which made my life like hell. I loathed taking drugs.
Can I ask what was the name of the medication because I think my doctor has given me bi polar meds to sleep long hours so he could stop giving me valium for my anxiety and shakes , he told me to take this medication "Quetiapine" 25mg soon as I take it I get dizzy and pass out more or less
I’m bipolar 2. Always excellent vids
Dr Ken Landau is a fantastic Dr and should be a mentor to all physicians!!
I suffer from Bipolar Disorder 1 and I take Latuda to treat my Bipolar Disorder. It really helps my depression side and I'm not suicidal like I use to be. Latuda for me is a God send.
I tried it and it gave me akathesia (constant restlessness). Had to stop taking it which is unfortunate because I hear it's great for depression.
I love the intro music
Your vids have been a literal life saver for me. I would love to see a vid on how to best interact with your doc/Psych to get the best results, and when is it time to find another doc.
great video doc
Thank you sir
thank you. god bless you
Great info. Can you please do a video on Depakote? Ty!
done August 1, 2019...do a search on the site
Can somebody tell me what I am supposed to feel when a mood stabilizer is working?
Can you please do Vilazodone (Viibryd)?
So many ppl think it's mainly type 1 or type 2. Though there's classical biploar and atypical bipolar. Any one diagnosed should research it.
The core symptoms also support a dx of ADHD. So why isn't the 3 core symptoms questioned further to rule ADHD out?
Where do you find this condition explained by a Dr who is also a Christian and addresses it from both angles
It was my inpression that it wasnt two categories, but really a spectrum. It was my impression that you can be hypomanic but little enough so that you and your friends and family cant even tell you are hypomanic.
It’s only two categories. But a person can have rapid cycling bipolar disorder. Hypomania that people can’t tell is in the bipolar two category. I was a psych nurse for fourteen years and I am bipolar.
@@DeviantMotives if its hypomania that people cant tell is hypomania, how do you know it's really hypomania and not just an uncharacteristiclly good mood with extreme irritability for no reason?
I guess I am asking if hypomania isnt severe enough to notice it, is it really hypomania in the first place?
I was told it is not needing sleep
I'm really worried if I am bipolar.I've tried at least 15 medications,responded to none and some actually make me feel better for a short period of time and then bad,again.Could this be bipolar?
Yes, I think so. Me too
update us for marijuana plz doc , any new research?
A psychiatrist is like a doctor who would try to treat an accident victim with multiple bones without an X-ray. Will some kind of brain imaging or scanning ever replace this nonsense?
Always a guessing game
You can indeed see the affected and damaged parts of the brain in a patient with bipolar disorder, the only thing is that it's extremely expensive and takes specific professionals to evaluate this. Generally speaking, you can figure out the diagnosis pretty accurately based on judgement of a professional and how you respond to medications. Even if the diagnosis was made with some technology, the medication itself would still be a guessing game because everyone has unique body chemistry and most people will need their own personalized cocktail of medications to achieve normality