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Doctor insights on: Bipolar Disorder

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Dr. Alan Ali
1,770 Doctors shared insights

Bipolar Disorder (Overview)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, from mania to depression.


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What are the symptoms of bipolar disorder like?

What are the symptoms of bipolar disorder like?

Varied: The symptoms vary depending on the type of bipolar disorder. There is bipolar i, bipolar ii, cyclothymia and bipolar disorder nos. Manic symptoms can include a marked increase in energy and decreased need for sleep, racing thought, rapid speech, euphoric mood, hypersexual, hyper religious, grandiose delusion, etc. Depression in bipolar disorder often looks like unipolar depression. ...Read more

Dr. Alan Ali
1,770 Doctors shared insights

Bipolar Disorder (Overview)

Also known as manic-depressive illness, bipolar disorder is a brain disorder that in its most severe form causes dramatic shifts in mood, from mania to depression.


Dr. Alan Ali Dr. Ali
2 doctors agreed:
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What are some treatments for bipolar disorder?

Dr. Alan Ali Dr. Ali
2 doctors agreed:
What are some treatments for bipolar disorder?

Bipolar: Main tx is mood stabilizers. Other medications are added depending on presentation, such as anxiety meds., antidepressants, antipsychotics. Also psychotherapy. ...Read more

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Are irrational fears a symptom of bipolar disorder or is that just an anxiety disorder?

Are irrational fears a symptom of bipolar disorder or is that just an anxiety disorder?

Bipolar disorder: Can express itself in irrational thinking and fears. Phobic disorder has one or more irrational fears as part of it but the person usually understands at some level that the fear is irrational. Please see a mental health professional for more complete clarification and support. Peace and good health. ...Read more

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I just took a bipolar spectrum disorder and was wondering. How does bipolar disorder affect me and the people around me and can you it be controlled?

I just took a bipolar spectrum disorder and was wondering. How does bipolar disorder affect me and the people around me and can you it be controlled?

Don't self diagnose: I agree with dr. Cho, just want to add... Make sure that you don't diagnose yourself. Bipolar disorder is serious and needs to be treated seriously. Sometimes people think they are bipolar because they are moody or are going through something. Bipolar is different. But if you or someone you know is having trouble with moods, you can get good treatment for that as well. Best wishes. ...Read more

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Are irrational fears a symptom of bipolar disorder or is that just an anxiety disorder?

Bipolar disorder: Can express itself in irrational thinking and fears. Phobic disorder has one or more irrational fears as part of it but the person usually understands at some level that the fear is irrational. Please see a mental health professional for more complete clarification and support. Peace and good health. ...Read more

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What are the most common symptoms of bipolar disorder? Do I need to have all of them to really have it?

Not all,: But the diagnosis is made on the basis of at least one episode of mania or mixed presentation. So there must be one period when you had lots of energy, didn't feel the need to sleep or eat and may have been very irritable. ...Read more

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I think I am experiencing sleep paralysis while I am dreaming of overdosing (description). Is this a sign of bipolar disorder?

I think I am experiencing sleep paralysis while I am dreaming of overdosing (description). Is this a sign of bipolar disorder?

? Sleep Paralysis?: Although sleep disorders can co-occur with bipolar disorder, sleep paralysis isn't a diagnostic criteria for bipolar. If you are concerned that you have symptoms consistent with bipolar disorder - seek diagnostic assessment with a psychiatrist or clinical psychologist. If the sleep experience isn't a 1-time incident than talk with your doctor about a sleep medicine consultation. ...Read more

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Is it possible to have a diagnosis of cyclothymia and bipolar disorder?

Is it possible to have a diagnosis of cyclothymia and bipolar disorder?

Cyclothymic: Cyclothymic disorder is a subtype of bipolar disorder often ignored. Current evidence indicates that cyclothymic disorder is a prevalent and highly impairing disorder on the bipolar spectrum. In fact perugi et al 2011 found impulsivity could be associated with comorbidity with cyclothymia. Impulsivity often can lead to drug addiction, job loss, loss of relationship and impaired judgement. ...Read more

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What do doctors do to diagnose bipolar disorder in teenagers?

History/physical: Just as with adults, the diagnosis is made by getting thorough history of symptoms from patient, friends and family members. We use a screening questionnaire called the cbq (childhood bipolar questionairre) to guide our assessment. The trick is finding someone familiar with child/teen versions of bipolar disorder, and also ruling out other physical or behavioral disorders as the cause of symptoms. ...Read more

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What do doctors do to test bipolar disorder?

What do doctors do to test bipolar disorder?

Get evaluated: See your mental health provider to get evaluated. A series of questions and behavior observations and if needed a psychological evaluation will help them make the diagnosis. ...Read more

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How do you know if you have bipolar disorder? What are some symptoms of bipolar disorder?

How do you know if you have bipolar disorder? What are some symptoms of bipolar disorder?

To REALLY know: If you have bipolar disorder, talk to a psychiatrist or psychologist. A diagnosis requires a good history & evaluation of your symptoms. Symptoms include manic or hypomanic episodes (abnormally elevated mood & energy) and sometimes depressive episodes. ...Read more

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What causes bipolar disorder?

What causes bipolar disorder?

Multifactorial: So far no one has established a genetic link with bi-polar disorder, and many have tried. It is certainly true that it runs in families, but that can be a result of the family environment.
There is a reasonable theory that the manic episodes are a way of combating the depressive feelings and that both are the result of chronic internal stress leading to depletion of neurotransmitters. ...Read more

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What else could a very low lithium in blood (0.15 nmol/l) mean besides possible bipolar disorder?

Lithium Level: Lithium is an essential mineral nutrient. It's not often measured specifically except when someone with bipolar disorder is taking pharmaceutical lithium -- which has a strict therapeutic range. A low serum lithium does not automatically mean bipolar disorder, but has been associated with increased risk for suicide, homicide, & some cases of autism. http://www. Ncbi. Nlm. Nih. Gov/pubmed/11838882. ...Read more

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What can I do to treat bipolar disorder?

See a psychiatrist: Meds: mood stabilizers, antipsychotics. Antidepressants, anxiolytics. Therapy, bring along family spouse friends. Support groups. Books etc. ...Read more

Dr. Alan Ali Dr. Ali
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What happens after you get treated for bipolar disorder?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Bipolar: Hopefully once stabilized, u would live healthy life. ...Read more

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How does latuda (lurasidone) work in treating bipolar disorder?

How does latuda (lurasidone) work in treating bipolar disorder?

Latuda (lurasidone): Blocks dopamine receptors. Bipolar is a chemical imbalance of too much dopamine in the central nervous system/brain. So Latuda (lurasidone) is like an umbrella that makes a downpour bearable to a sprinkle. In general this is true of all second generation antipsychotics eg Abilify, Risperdal, Zyprexa, Seroquel, Geodon, and others. Stahl's Essential Psychopharmacology- best at this w/ illustrations! (In Amazon) ...Read more

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What is the treatment for bipolar disorder?

Medication/PsychT: Medication and psychotherapy both help with bipolar disorder in different ways. Medication will help with mood fluctuations and psychotherapy will help with symptom recognition and prevention as well as establishing routine/schedule, improving sleep, coping with the diagnosis of bipolar and looking for the triggers of mood swings. ...Read more

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What are the latest treatments for bipolar disorder?

What are the latest treatments for bipolar disorder?

Alternatives to meds: Medications are essential but we have discovered that many alternative treatments help too like yoga, meditation, a light box and exercise and a good diet. ...Read more

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How can you cure bipolar disorder?

There is no cure.: There is no cure for bipolar disorder. Medications help to control it and improve quality of life. There are no medications which can cure it. ...Read more

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I might have bipolar disorder. What are some symptoms of it and what do to get rid of the down side and keep the happy?

I might have bipolar disorder. What are some symptoms of it and what do to get rid of the down side and keep the happy?

No luck charlie: Sorry every surfer must crash against the shore. The higher the highs, the lower the lows. They are part and parcel of the same disorder. Preventing the highs prevents the lows for the most part. As someone ages untreated the highs get fewer and the lows longer. This is why early treatment is so important. Good treatment keeps you happy but not high. ...Read more

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Do any drugs exist for bipolar disorder that are not in the valproic acid classification?

Do any drugs exist for bipolar disorder that are not in the valproic acid classification?

Absolutely: For many patients, valroate has lots of side-effects, esp. Weight gain as well as others. Lithium, which is an element, is indicated for bipolar disorder. Other medications are carbamazapine (tegretol) and the medications in the class called second generation antipsychotics. A common problem with many medications can be weight gain issues. I always try to avoid this with my patients. ...Read more

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How is fanapt (iloperidone) tablets to be used for bipolar disorder?

How is fanapt (iloperidone) tablets to be used for bipolar disorder?

Fanapat: Has FDA approved indication for treatment of adults with Schizoprhenia. When used for bipolar disorder- that is an off-label use. Please see: https://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3278183/ ...Read more

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Does bipolar disorder gets better over time or age progresses?

Depends on course: Untreated bipolar disorder can worsen with time. Although not curative, current treatments aims at reducing the risk of this. ...Read more

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How do I know if I have a genetic predisposition to bipolar disorder?

How do I know if I have a genetic predisposition to bipolar disorder?

Family History: If you have a so-called first-degree relative (sibling, mother, or father), with bd your genetic "loading" for bd is higher than if you don't. However, lots of people have bd with no known family history; and, even if both your mother and father have bd, the risk that you will too still is only about 20%--way higher than the general population but not a sure thing. ...Read more

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I've developed bipolar disorder. What should I be watching out for in the future?

Stability!: Work closely with your doctor to find the medications that work for you. And, looking back, try to identify the earliest symptoms that you can when it started to go bad. The earlier you can let your doc know you're not right, the faster you 2 can get you back into balance. ...Read more

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What to do if I have bipolar 2 disorder, what are the odds that my children will inherit bipolar disorder?

What to do if I have bipolar 2 disorder, what are the odds that my children will inherit bipolar disorder?

A Chance: Children with a parent or sibling who has bipolar disorder are four to six times more likely to develop the illness compared to children who do not. ...Read more

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I take Abilify (aripiprazole) for my bipolar disorder because nothing else works for me. I love it, but I have to take cogentin daily to prevent td spasms. Can td become permanent?

I take Abilify (aripiprazole) for my bipolar disorder because nothing else works for me. I love it, but I have to take cogentin daily to prevent td spasms. Can td become permanent?

Dystonia: Dystonic reactions (the "spasms" you mention) are more acute than tardive dyskinesia, a chronic disorder which can become permanent. Cogentin can relieve dystonia, and perhaps combat td but not as well. Adjusting antipsychotic medicines to the smallest effective dose that controls psychotic symptoms can be challenging. Abilify (aripiprazole) seems to present less movement issues than other antipsychotics. ...Read more

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I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for bipolar disorder?

I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for bipolar disorder?

I'm sorry,: But I know of no "natural" mood stabilizers other than lithium, which is a salt listed on the periodic chart of the elements. It is only available by prescription because even natural things can kill you. ...Read more

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What is bipolar disorder?

Manic depressive: Bipolar disorder is a mood disorder which is characterized by abnormally high (manic) and abnormally low (depressive) episodes. ...Read more

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What is bipolar disorder?

What is bipolar disorder?

Bipolar: Bipolar I and bipolar II, In the first, manic phases are more severe, and in the second, depressive phases are more severe. There is also cyclothymia which is a low grade version of bipolar disorder in general, where mood swings are not as severe in either direction, manic or depressive. ...Read more

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What is bipolar disorder?

What is bipolar disorder?

EVALUATE: Bd is a biochemical/phisiologic illness, generally long-
lasting, generally with recurrent serious depression and/or very
energized, ill considered
and sometimes psychotic behavior. The DX is made too casually these days, based on an episode of angry behavior and DX should be made ; confirmed with an expert. Treatment is generally manditory to manage. ...Read more

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What causes bipolar disorder?

Multifactorial: So far no one has established a genetic link with bi-polar disorder, and many have tried. It is certainly true that it runs in families, but that can be a result of the family environment.
There is a reasonable theory that the manic episodes are a way of combating the depressive feelings and that both are the result of chronic internal stress leading to depletion of neurotransmitters. ...Read more

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Have bipolar disorder a test?

Have bipolar disorder a test?

History: No lab or radiologic test, nor physical exam, can test for bipolar. Perhaps one day as there are strong indications it is a brain condition with a genetic background. But for now, it's a patient's history of modd changes, cognition and behavior that makes the diagnosis. In truth, this method works quite well, having been refined since antiquity. ...Read more

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Do I have a bipolar disorder?

Do I have a bipolar disorder?

Bipolar: Moods swing to extremes, between episodes of depression lasting around few weeks & phases of mania lasting few weeks each. Milder forms are called bipolar type 2 or cyclothymia, more severe forms are accompanied with psychotic symptoms such as hearing voices or seeing things that are not there. Your mental health counselor can assess & give more definite diagnosis. ...Read more

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Can kids get bipolar disorder?

Can kids get bipolar disorder?

Yes: While unusual, children can develop symptoms of bipolar disorder in childhood. While most individuals develop symptoms of bipolar
disorder in adolescence or early adulthood, a small number do get it as young as 8 years old. ...Read more

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Is bipolar disorder hereditary?

Is bipolar disorder hereditary?

Genetics: Bipolar disorder has been found to have some hereditary basis. This doesn't mean that there is a 100% chance that the offsoring of someone with bipolar d/o will enx up with it as well, but rather there is more likelihood as compared to the general population. I believe bipolar d/ o is now the 2nd highezt of mental d/o, being surpassed by adhd. ...Read more

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How to manage bipolar disorder?

How to manage bipolar disorder?

Meds and therapy: Mood stabilizers such as depakote or lithium to decrease the extreme intensity of mood swings, combined with therapy from a psychotherapist who specializes in bipolar disorder would be the most optimal approach. Don't medicate yourself. Ask for appropriate referrals for help that works for YOU. ...Read more

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What can cause bipolar disorder?

What can cause bipolar disorder?

Multifactorial: As with many medical conditions the causes of bipolar disorder are not fully know. It is believed they are polygenetic, with multiple genes interacting resulting in some degree of vulnerability or resistance to the condition. This biology then interacts with environmental factors, both positive and negative which can have different effects based upon when in life or how many/often they occur. ...Read more

Dr. Donald Jacobson
779 Doctors shared insights

Manic Depressive Disorder (Definition)

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