Doctor insights on:
Bipolar Depression: Is a period of low energy, down mood that lasts at least 2 weeks & occurs in the context of a bipolar disorder. With bipolar disorder a person experiences peaks & lows. The peaks may be manic ^^^ or hypomanic^ episodes. At these times the energy level is ^. The person may be impulsive, think & speak rapidly. There may be periods of normal mood & energy level with bipolar disorder (or not). ...Read more
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
Mania and depression: Bipolar disorder involves cycles of reduced need for sleep and feeling high without drugs (i.e. "mania") with experiencing clinical depression including possible hopelessness, and lack of motivation. People with bipolar can be treated with both medication and psychotherapy. ...Read more
Bipolar depression: While depression can be treated by an antidepressant, need to be careful of going mania. so mood stabilizers are the best options for this. Lamictal, Lithium, Depakote, Tegretol among others. Lamictal helps Bipolar depression while others help stabilize mood from going into mania. Need to cover with mood stabilizer in addition to depression Rx. See a psychiatrist to help with med selection ...Read more
Talk and support: Most likely it will be a "support group" where people with bipolar/depression talk about how they manage life and the inherent limitations of bipolar/depression. If you join a "process group" there will be a moderator who helps group members look at how they are interacting with each other. ...Read more
Bipolar D/O tx: Meds fall into classes of mood stabilizers (Lithium/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. Refractory cases- Transcranial magnetic stimulation or electroconvulsive therapy. ...Read more
Bipolar disorder Tx: Meds fall into classes of mood stabilizers (Lithium/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. Refractory cases- Transcranial magnetic stimulation or electroconvulsive therapy. ...Read more
Terminology: There are a number of conditions that fall under the spectrum of bipolar disorder. Essentially, bipolar disorder encompasses periods of low energy, low mood and other impairments (depression) as well as periods of high energy & increased mood (mania or hypomania). The term bipolar depression is referring to only the depressive cycle that is part of a bipolar disorder. ...Read more
BPD = general term:
There are several kinds of bipolar disorder.
Bipolar depression is the depressed phase of the two extreme poles. All people have moods, however, normally the variation is not extreme. To be labelled bipolar, a person needs to have had at least one past manic episode. A website, www. Bipolar. Com is a good reference for more specific distinctions between the different variations of bpd. ...Read more
Phototherapy: If used as directed, they are effective treatments to therapy for treating seasonal affective disorders ; some bipolar type 2 (cyclothymic disorder). ...Read more
Many: Bipolar disorder requires mood stabilizing medications such as lithium, depakote, tegretol, lamictal, etc. Sometimes antipsychotics like seroquel, risperdal, and zyprexa are used also, especially when the person is paranoid, delusional, or hallucinating. Latuda (lurasidone) also has an fda indication on its own for bipolar depression. Psychiatrists try to stay away from antidepressants in such cases. ...Read more
By taking your Meds: Your best bet of overcoming that is to stay on your medications if you were prescribed some. If not then I would say it is definitely a good idea to get evaluated and stay connected with a psychiatrist. ...Read more
Driving BPD: If stable & have valid driver's license. ...Read more
Please let: Your physician/ psychiatrist know how you are feeling. Be specific when describing this and /or any side effects. Take care. ...Read more
Support group: Join a local or on-line support group. It is very difficult when someone you love has a severe mental disorder. The support groups will educate you, help you to cope and get you in touch with other people who really understand. Take care. ...Read more
I have been diagnosed with bipolar depression and it's been a lot worse than normal lately. I can't afford medicine for it, am I pretty much stuck?
Treating bipolar: PLEASE!! - tell your doctor about your financial situation - he/she may be able to find a generic medication that can treat your condition Also - if they want a brand name medication many pharmaceutical companies have low income/indigent programs. Lastly check with your county or state mental health office - sometimes they have grant programs. ...Read more
Yes, if severe: If the severity of the mental illness is such that it is endangering yourself or the lives of others, you can be placed in an institution against your will. ...Read more
Bipolar: Bipolar disorder has different phases of illness, and different levels of intensity. Bipolar patients may have more depression episodes than mania or hypomania. Also, depressions in bipolar disorder may be without, or with, psychotic features. Psychotic features may include hallucinations & delusions with themes of personal inadequacy, guilt, disease, death, nihilism, or deserving punishment. ...Read more
Over sensitivity to several brands of (AAP). what is probability that 1st gen (AP) would have better tolerance for bipolar depression?
No Basis: There are no first generation antipsychotics that work for Bipolar Depression. Try Latuda (lurasidone) or Symbiax (zyprexa+prozac) or take Lithium. It might help you to get pharmacogenomic testing to see how you metabolize medications. It won't help for efficacy but will give some suggestions for tolerability. Otherwise just start at lower dosages. ...Read more
Bipolar/depression- what's the best way to help them during their depressed episodes they go through? How can I be a supportive person?
Listen and support: I think it is most important to continue to encourage them to stay connected with both their psychiatric treatment as well as their social support system as disruption of either can lead to deterioration. Medicines can be essential to stability although it can also be helpful to make sure they are able to get the essentials like getting enough sleep! being authentic and listening can help. ...Read more
I just briefly think may have bipolar depression cos one minute I'm fine next minute I'm just angry. If I'm stressed out max would this cos to feel bp?
Stress: Does not cause bi-polar but it can cause symptoms to flair up. Go see a top notch psychiatrist and tell them about your symptoms, medical history and most importantly some would say your family history (ask about this before you go) One tends to inherit Major Depression and Bipolar Disease. Every one gets mad and sad at times in response to stress. ...Read more
Questions how can dr diagnose you with something & give u patient a medication that u got from app work. Believe im suffering from bipolar depression?
What is "app work"?: If you feel you have episodes of mania as well as depression that may meet DSM-V criteria for Bipolar Disorder, have someone document them by video to show your psychiatrist or seek a second psychiatric opinion. Also, establish long-term therapy with a psychologist who has expertise in mood disorders, as you'll probably have more frequent therapy sessions than medication management visits. ...Read more
History: This is a diagnosis determined by patient history. Bipolar usually involved two or more swings between 'mania' and 'depression', measured over a lifetime. This is best determined by a specialist - a counselor or psychiatrist. ...Read more
No: Depakote is formally approved for mania and mixed episodes (or irritable mania) in Bipolar Disorder. It is also commonly used as a maintenance medication (i.e. a true mood stabilizer) to decrease the total number of mood episodes in a year. However, it has not been shown to help depressions in Bipolar Disorder ...Read more
Yes: Lithium, lamictal, and atypical antipsychotics (seroquel, zyprexa, risperdal, geodon, (ziprasidone) abilify) are probably the first line agents for bipolar depression. Antidepressants can make bipolar depression turn into bipolar mania in some people, and should probably be reserved for situations in which the first line agents have failed. ...Read more
MAYBE: If by "natural" you mean non medicinal then it all depends on how severe the depression is and are you taking any medications for the bipolar disorder. Want a good eating and sleeping regimen. Get sunlight for vitamin d and exercise daily. This is just healthy living good for everyone. ...Read more
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more