Monday, June 22, 2020

Understand bipolar disorder, decode sad life

"When I was in college five years ago, I had a period of bad emotions. I didn't want to talk, I was too lazy to move, and I was sentimental. I couldn't control the tears when I saw the leaves falling. Although in the classroom, the teacher's content was basically I can’t fall asleep until I wake up at 2am, and I can’t fall asleep again after waking up at 2 a.m., feeling that such a day is better than dead..."

"In the 4th month of coming to the company, I suddenly began to feel some excitement and excitement inexplicably, I feel that the colors of the surrounding environment have become particularly bright, I feel energetic, quick thinking, full of energy, and usually go to bed, but Your body’s sleep clock did not send a signal of sleepiness, social activities increased significantly, and I dared to say that I dared to do it. Although I didn’t take it seriously, my colleagues and husband said that I had changed. But The good times don't last long, and I was fired after 2 weeks because of a quarrel with the customer and a big shot..."

After reading the above two stories of sadness and happiness, you may think that the two people are described in different situations because they have significantly different symptoms. But in fact, the above two stages happened to the main character Xiao Li, but they are different episodes of the same disease. After going through several roller coaster-like mood swings, Xiao Li went to the doctor on the advice of his family and was diagnosed with "bipolar disorder". After a systematic treatment by a psychiatrist, Li's mood recovered after 3 months. She found a new job, but new challenges appeared.

"I never told my colleagues and leaders in the work company or any symptoms of the disease, and I always achieved a good performance, and even was promoted to department manager six months ago. I feel that I am ill and I will not take medicine. …I am under too much pressure at work now, and I start to feel unstable again, often unable to control my temper due to trivial matters and colleagues, I think this has affected my work and interpersonal relationships. I am considering telling The state of leading me is very chaotic, but this will affect my future jobs and even be looked down on by colleagues. What should I do?"

What is bipolar disorder?

Bipolar disorder, formerly known as manic depression, is a mental disorder that alternates between episodes of high mood and low mood. In very rare cases, impulsivity, self-injury, suicide and/or hallucinations can occur Delusion and other psychotic symptoms. The disease can cause dramatic changes in the patient's mood, energy, thinking, and behavior-from craze to extreme depression, from the peak of excitement to the bottom of depression. Our emotions are ups and downs, but the emotions of patients with bipolar disorder, the peaks and valleys of these emotions are more serious, beyond the normal fluctuation time and range of most people. The mood swing cycle of bipolar disorder is not only short-term good or bad mood, they will last for days, weeks or months. Unlike ordinary mood swings, the mood changes of patients with bipolar disorder are so intense that they interfere with normal social functions, such as work and friends.

With a high state of mind, your world is filled with bright sunshine every day, life is beautiful, and the air is fresh. You may quit your job impulsively, swipe your credit card, and immediately feel happy and meet after meeting strangers. Hate late, or wake up vigorously after sleeping for two hours at night, feeling energetic and imaginative, countless magnificent and unrealistic goals break into my mind, rekindling the passion for creation or work, And they will be busy for these blind goals, but this "busy" can not be maintained for a long time, but will be replaced frequently, so that in the end no goal can be achieved. In addition to the "beautiful" high emotions, at this time, you may also feel emotionally irritable, impulsive, and unable to suppress anger for some trivial trivial matters, often conflict with people, and even think of hurting others.

In a depressed state, you may feel that you are too tired, sad and sentimental every day, feeling sentimental, not feeling able to do things, unwilling to get up, full body weakness, soreness, not talking, not caring, past hobbies They are all left aside, like being alone, thinking about "life", sometimes even full of self-loathing and pessimistic despair, feeling that they are useless, or only causing trouble to others, and taking some extreme irrational behavior.

What are the manifestations of bipolar disorder?

The first episode of bipolar disorder usually occurs in adolescence or early adulthood. Symptoms can be mild or disordered; many patients are overlooked or misdiagnosed, causing unnecessary pain. Different bipolar patients have very different manifestations, and the manifestations, severity, and frequency of their symptoms vary greatly. Some people are more prone to mania or depression. Others have two emotions that are equally divided, or they show frequent cycles of two emotions. Only a few people have only a few episodes in their lives. There are four types of attacks: mania, hypomania, depression and mixed attacks. In the American psychiatric diagnosis system, it can be divided into biphasic type I disorder and biphasic type II disorder.

Biphasic type I disorder

Mainly manifested in mania, with or without depression in the course of the disease. During the manic phase of bipolar disorder, patients usually feel full of energy, creativity, and euphoria. Sleep needs to be reduced, hyperactivity, you may also feel that you are almighty, invincible, or great. In a manic episode, you may act recklessly, such as spending money on extravagance, inappropriate sexual activity, or making a blind investment. You may also become angry, irritable and provocative, slamming others and blaming those who criticize your behavior when they do not follow your plan. Some people even experience psychotic symptoms such as exaggerated delusions or auditory hallucinations.

Biphasic type II disorder

Depressed hair was the main manifestation, and there were mild manic episodes, but no manic episodes. Hypomania is a non-serious manic state. In a hypomanic state, you may feel euphoric, energetic, and productive, but still be able to continue daily life without being significantly different from normal as in a manic state. To others, it looks as if you are just in a very good mood. However, hypomania can lead to bad decisions, impair your relationships, and have a certain impact on your working life. In addition, hypomania often escalates to a manic state, or subsequently develops a severe state of depression.

The distinction between mania and hypomania

The identification of manic and hypomanic states is challenging. After all, a normal state of mind does not necessarily mean that the mood is always calm. If we draw the intensity and direction of people's emotions, we will see that some people's emotions remain at a fairly stable level, others will have a slight decline and increase, and some people will have more obvious emotional highs And lows, which makes it more difficult to distinguish between normal mood swings and mild pathological ups and downs.

Sometimes emotional intensity is a normal response to life intensity, and sometimes it may mean that you are somewhere in the bipolar spectrum. Without enough biphasic experiences and experiences, how to distinguish the symptoms of disease from normal emotional excitement and passion? In particular, hypomania can sometimes bring a better experience for patients. The patients are full of energy, study and work efficiency are improved, association is accelerated, humor is funny, and interpersonal relationships are lubricated. Of course, when their requirements are not met, the patient may also become irritable, but the behavior will not be too outrageous. For individuals with a mildly elevated mood, if they do not strictly and objectively evaluate all aspects of their lives, they may not know this mildly elevated mood.

Diagnosis of bipolar disorder

Similar to other mental disorders, the diagnosis of bipolar disorder currently lacks specific objective biological indicators. The current diagnosis still mainly relies on the collection of medical history and mental examination based on the clinician. At the same time, it is necessary to exclude secondary mania or depression experience caused by physical and cerebral organic diseases and substance abuse. Symptoms need to meet the description of the mainstream diagnostic criteria for bipolar disorder, such as the International Classification of Diseases (ICD-10), the American Diagnostic Diagnostic Manual of Mental Disorders (DSM-5) or the Chinese Diagnostic Classification of Mental Disorders (CCMD-3). Need to meet the symptom criteria, severity criteria, course criteria and exclusion criteria. Thyroid disease, adrenal disease, lupus encephalopathy, and the use of hormones may all induce a manic and depressive experience, and need to be ruled out by relevant laboratory examinations and detailed physical examinations.

Self-help of bipolar disorder

If you find yourself or someone else has symptoms of bipolar disorder, don’t wait. Ignoring this problem will not make the disease go away. In fact, the disease will almost certainly get worse. Bipolar disorder is treatable, so diagnosing problems early and starting treatment can help prevent complications. If you are unwilling to seek treatment because you like how you feel when you are manic, remember that energy and excitement come at a price. Manic states and hypomania are often destructive, exhausting your experience and affecting people around you.

Drug therapy alone is often insufficient to fully control the symptoms of bipolar disorder. The most effective treatment strategies for bipolar disorder include a combination of medication, psychotherapy, lifestyle changes, and social support.

1. On the basis of medical treatment, patients understand as much as possible the disease information of bipolar disorder. The more you know, the better your ability to help yourself recover. To understand the importance of long-term medication, improve medication compliance, and understand the possible side effects of drugs and preventive and coping strategies, and maintain a close relationship with doctors.

2. Due to the characteristics of the disease and the influence of some drugs, biphasic patients have a higher risk of weight gain and metabolic syndrome than normal people. Active sports play an important role in reducing such risks. In addition, physical exercise has a beneficial effect on mood. Aerobic exercises that activate arm and leg movements, such as running, walking, swimming, dancing, climbing or drumming, may be particularly beneficial to your brain and nervous system. In addition, healthy sleep and eating habits can help stabilize emotions. It is especially important to maintain a normal sleep schedule.

3. Try to avoid tension and high stress. Maintain a healthy work-life balance and try relaxation techniques such as meditation, yoga or deep breathing. Seek support. Keep close contact with friends and family. It is important to ask for help and get help and encouragement from others.

4. Try to join a support group or talk to a trusted friend, they will listen to you patiently about what you are going through. Reaching out is not a sign of weakness, it does not mean that you are the burden of others. In fact, most friends will be happy to help, and believe and trust them enough to strengthen your relationship.

5. Learn to monitor your emotions. Keep track of your symptoms and watch for signs of your emotions getting out of control so that you can solve the problem before it starts.

Bipolar disorder can lead a normal life based on drugs and psychotherapy. Many patients have a successful career, a happy family life and a satisfactory social relationship. Coexisting with bipolar disorder is challenging, but as long as it is treated properly, has healthy coping skills, and a solid support system, you can fully control your life and manage your symptoms.

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