Bipolar l & ll?
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Bipolar I and Mania
Most people with bipolar I have episodes of both depression and mania. In very rare cases, they experience only mania. Bipolar I is distinguished from bipolar II by the severity and duration of the manic phase, which can last anywhere from a week to several months, and the experience of delusions. Risky behavior is common in manic episodes and patients often require hospitalization for their own safety.
The symptoms of mania can include rapid speech, insomnia, disconnected thoughts, grandiose ideas, hallucinations, extreme irritability, feelings of omnipotence, paranoia, violent behavior, a marked increase in strength, and openly promiscuous activity. (see Bipolar Screening)
Bipolar II and Hypomania
People with bipolar II suffer primarily from episodes of severe depression with occasional episode of "mild" mania, called hypomania. Hypomania differs from mania in that no delusions are experienced.
Like mania, hypomania can cause severely impaired functioning. The hypomanic episode often feels so good that bipolar patients often discontinue their medication in quest of a hypomanic episode. This is especially problematic because symptoms that come back after stopping drug treatment are often much harder to get back under control a second time.
While Bipolar II has sometimes been described as a "milder" form of bipolar disorder than Bipolar I, the suicide rate among people suffering form Bipolar II is actually higher than that for those suffering from Bipolar I.
Cyclothymic Disorder
People with cyclothymic disorder alternate between hypomania and mild depression. It is not as severe as bipolar I and II, but persists for longer periods with no break in symptoms. Cyclothymic disorder can later become full-blown bipolar disorder in some people, or can continue as a low-grade chronic condition.
Rapid Cycling
Most people with bipolar disorder have an average of 8 to 10 manic or depressive episodes over a lifetime. Some, however, experience much more severe symptoms called rapid cycling. They can swing (cycle) between "highs" and "lows" many times in one day. To be considered a rapid cycler, you must have at leat 4 mood swings in a year.
Mixed Episode
During a Mixed Episode, symptoms of both mania and depression occur at the same time. The excitability and agitation of mania is coupled with depression and irritability. This combination of high energy and agitation along with depression makes the mixed episode the most dangerous for risk of suicide.
Hey forget about it .You have power .Love yourself thats all .Good luck
im bipolar type II...and bipolar type II suffer more depression..the mania is milder thabutn bipolar type I.. i spent alotta time depressed...i get depressed reallly easily.....when im manic i feel fantastic..like im in love;.; if fels beautiful..i take meds which really work fantrastically..but being bipolar takes months to diagnose
Bipolar Disorder comes in 2 forms, Bipolar I and Bipolar II. Bipolar I is the type most people think of where someone experiences shifts between depression, mania and/or mixed episodes. Bipola II is most like recurrent major depressive episodes interspersed with hypomanic episodes (which do not reach the level of a mania). The following is a general description of some of the criteria for depression and mania, but you should not attempt diagnosis yourself. You can check the exact criteria in a DSM IV and a thorough history needs to be taken for accurate diagnosis and assessment.
Criteria for Depression are five of the following during a 2 week period:
1) depressed mood more days than not, can be just irritable in adolescents and children and frequently men show more irritability
2) decreased or increased appetite accompanied by weight gain or loss
3) hypersomnia or insomnia
4) recurrent thoughts of death or dying, suicidal ideation
5) observable psychomotor retardation or agitation
5) anhedonia (loss of interest in previous pleasurable activities)
6) subjective feelings of restlessness or being slowed down
7) Difficulty concentrating and/or making decisions
Criteria for a Mania:
1) Decreased need for sleep without feeling tired despite only several hours per night or no sleep
2) Pressured speech that is difficult to interrupt(talking very rapidly and loudly with pressure to keep talking)
3) Flight of Ideas or "racing thoughts"
4) Increased energy
5) Engaging in a flurry of goal-directed activity-either impulsive behavior that has a high potential for damaging consequences-spending money, reckless driving, sexual promiscuity, etc. or excessively overproductive with respect to work
6) a consistently elevated or "high" mood or a consistently irritable mood
7) grandiose delusions-seeing oneself as more important or powerful than they truly are but in delusional proportions, not simply inflated self-esteem
Bipolar II is similar but the manic symptoms are less severe and rarely warrant hospitalization as they do not reach psychotic levels and are known as hypomania versus full- fledged mania. Hypomania may include an inflated sense of self-esteem or self-importance that does not reach the level of grandiosity, increased energy and decreased need for sleep, overactivity evidenced by increased goal-directed behavior or excessive devotion to work or indulgence in pleasure seeking activities that appears impulsive and lacking in usual judgment. The symptoms are similar to mania, but less intense and usually without serious consequences. Bipolar II is often experienced more as recurrent major depression with the hypomanic episodes playing a small role as they rarely constitute a reason for seeking treatment and tend to be infrequent when compared to the depressive episodes.
Additionally there is a condition called cyclothymia where a person cycles between hypomania and dysthymia (milder depression).
The condition most often has a genetic component and often there are first degree relatives with the disorder. there is also a higher prevalence of other mood disorders and eating disorders and alcoholism among relatives.
If you suspect someone is Bipolar take them to a psychiatrist for evaluation. Primary MD's are not qualified to diagnose or treat the condition and it is often misdiagnosed, especially in children as the symptoms look different and the cycling tends to be more rapid.
It absolutely requires medication for treatment to be effective.
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