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Bipolar Disorders

A person with bipolar illness experiences variations in their mood, energy level, and capacity for day-to-day functioning. Intense emotional outbursts impair normal moods in people with bipolar illnesses at different periods. Manic, hypomanic, or depressed episodes are the usual classifications for these emotional periods.

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Types

There are three different kinds of bipolar disorders, and each one is treatable so that the individual can resume a normal, fulfilling life.


I. Bipolar I Disorder.

Bipolar I disorder is characterized by extreme mood fluctuations ranging from manic to depressed. The person may feel reasonably normal between these two instances. They may feel joyful and at the top of their game during a manic episode. Manic episodes last at least one week and are visible to the individual's acquaintances and family.

Symptoms of a manic episode:

  • Higher self-esteem
  • Engaging in risky behaviors
  • Talking more than usual
  • Easily distracted
  • Less desire for sleep
  • Participating in multiple new activities

Depressive episodes can endure for at least two weeks, during which time the person feels gloomy, hopeless, or despondent.

Symptoms of a depressive episode:

  • Frequent thoughts of suicide
  • Feelings of guilt
  • Loss of energy
  • Sleeping too much or too little
  • Feeling worthless
  • Loss of interest in activities

II. Bipolar II Disorder

The manic episode in bipolar II disorder differs slightly from that in bipolar I disease. They have depressed bouts followed by a hypomanic episode, rather than manic/depressive episodes. A hypomanic episode is similar to a manic episode (see above), except that the symptoms endure only a few days. These manic episodes rarely cause long-term difficulties, but depressive ones can be severe.

Comorbidities such as anxiety or substance abuse are common in people with bipolar II disorder.


III. Cyclothymic Disorder

Cyclothymic disorder is characterized by recurrent mood changes, including hypomania and depression. These people will experience emotional ups and downs, but they will be milder than the first two types of bipolar illness.

Symptoms of cyclothymic disorder:

  • Mood-swing symptoms are continuous and have not paused for longer than two months
  • Two years of depressive and hypomanic symptoms

Risk Factors

Although the specific etiology of bipolar disorders is unknown, there are risk factors that may enhance an individual's chances of having it.

  • Extreme stress
  • Childhood trauma
  • Family history

Treatment

We believe that a combination of behavioral therapy and medication is an effective treatment for bipolar illnesses in children and adults at Psychiatry Associates. Psychotherapy can assist patients in better understanding their illness as well as learning how to manage and reestablish relationships. Medication requirements will differ based on the severity of the condition. If medication is given, mood stabilizers will be used to assist mitigate the effects of bipolar illness.

Have you or your child been diagnosed with bipolar disorder? To find out more, make an appointment with Psychiatry Associates.

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Des Moines, Iowa

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