Doctor insights on:
Does Bipolar Affect Motor Skills
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
Subtle question: In mania, people subjectively feel their performance is superior when actually it is not--it becomes degraded by distractability and flighty thinking. Yet underlying cognitive capacity remains intact. Mild mania (hypomania) provide boosts of energy that multiply the effect of intelligence even though, once again, the underlying capacity remains unchanged. Untreated bipolar reduces net performance. ...Read moreSee 1 more doctor answer
Depends on amount: Caffeine is a stimulant. Small amounts can improve alertness and motor function. High doses can cause tremors and excessive movements. Different people have different reactions. Usual coffee contains 120mg per cup. A large starbucks can have 320mg. A large cola has 80mg but energy drinks can have 250mg. Be careful how much you are taking. ...Read more
Learning: We learn by what we see, what we hear, what we touch and what touches us. To a lesser extent, we learn by what we taste and smell. It is vital to check vision and hearing in a child with developmental delays. Likewise, it's important to know if a child can explore objects by touch. If there are deficits in any of these, alternative methods of teaching can help a child learn. ...Read moreSee 1 more doctor answer
Potentially: Carbamazepine has been associated with mild cognitive slowing and changes in memory in some patients. Discuss with your prescribing physician whether a medication such as Vimpat (lacosamide) or lamotrigine would be a reasonable option for you. Of additional concern because of your history is the possibility of obstructive sleep apnea--which can definitely lead to cognitive issues. Sleep testing? ...Read more
Indirectly, yes: Visual loss in and of itself will not cause a loss of cognitive function. However, it may worsen the situation in people with dementia, as it impairs orientation and general functioning. So, a person with dementia and severe cataract may see an improvement in functioning if the vision is improved. ...Read more
Do antipsychotics affect cognitive functions like memory processing speed word recollection executive functions? What's the best?
Cognitive effects: The newer antipsychotics (second-generation antipsychotics) theoretically are supposed to assist with improving cognitive impairments in various mental health conditions, such as schizophrenia and bipolar disorder. However, it is possible that a slowing of processes can occur with such medications. Efficacy and tolerability depend on the medication, side effect profile, and patient response. ...Read moreSee 1 more doctor answer
Impact on function: Until one finds a way to relieve or reduce the symptoms of mental/emotional/behavioral disorders they do indeed have an impact on functioning in many areas of life. Often that is a necessary part of the dx. It's not likely that the innate intellectual capacity would be diminished, but the performance level definitely could. Find effective tx - a combo of cbt talk therapy and meds may be best. ...Read more
Raising children can: Be both challenging and fun. Bipolar disorder is associated with ups and downs in mood. Understanding the disorder and recognizing triggers for relapses are important in helping to successfully raise a family. Having friends and family who can give respite during times of stress will be helpful.The goal is to raise happy children who see you simply as "mom" and not as "bipolar" mom. Good luck. ...Read more
How does memory impairment affect the ability of an individual with dementia to use verbal language?
Many ways: Comprehension of verbal language requires that the left temporal language areas are intact. Declarative memory that is not autobiographical or emotional charged requires an intact left temporal lobe (hippocampus and related structures. Language output requires intact left frontal lobe structures. Some memory systems are heavily invested in frontal lone circuitry. I could go on with more space ...Read moreSee 1 more doctor answer
CVA disability: Some strokes affect the speech areas of the brain, causing inability to express speech, find appropriate words, or understand the words of others. Obviously, any profession requiring efficient communication may be too overwhelming for such stroke victims. Speech therapy does help and the drug Ritalin (methylphenidate) may facilitate rehab. ...Read more
Dramatically: Manic depression, aka bipolar disorder, is, a major mood disorder that has profound and variable effects on emotions which may range from elation to range to profound depression. The neurotransmitter systems are altered in many areas throughout the brain. Although most abnormalities are subtle and not structural there is some evidence for subtle structural brain abnormalities as well. ...Read moreSee 2 more doctor answers
Hallucinations: By definition, schizophrenia is about psychosis. Psychosis means the patient is getting external stimuli from the environment through one or more of his or her five senses, that does not objectively exist. In other words there are auditory,visual, olfactory, gustatory, and tactile hallucinations that can be experienced by the patient. Auditory hallucinations, however, are the most common. ...Read moreSee 1 more doctor answer
Video game players: improve their visual attention & eye-hand coordination, but they use navigation strategies reliant on the brain's reward system (caudate nucleus), not its spatial memory system (hippocampus). Resultant decreases in hippocampal structure (grey matter) & function increase risk of neurological disorders like Alzheimer's. Long-term studies using functional MRI's are needed to define degree of risk. ...Read more
Stable and creative: You don't have to trade emotional stability for creativity. With careful choice of mood stabilizers and fine adjustment of the doses, you can be stable emotionally and creative. Even better, when emotionally stable, you can make better use of your creativity, being more organized and more efficient, staying with a project until it's done rather than jumping impulsively from one idea to another. ...Read moreSee 1 more doctor answer
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