Doctor insights on:
How Many Types Of Bipolar Disorder Are There
Very good question: I hope someone can give you a good answer - or better than mine. I see it as evidence that there are problems with the concepts underpinning the diagnosis. Years back manic depression was a diagnosis which was dropped and became much of bipolar ii (not exactly, but close). Bipolar i is hard for some to see as different from major depression. It's likely more modifications will be made to the terms. ...Read moreSee 1 more doctor answer
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
Three: Generally there are 3 kinds: bipolar i, bipolar ii and bipolar nos. The difference depends on the symptoms of mania (severe insomnia, extreme energy, racing thoughts, pressured speech, elated and/or irritable moods). In bipolar i the mania lasts 3-4 days or is severe enough to need hospital stay. In ii the mania is called hypomania and is of shorter duration. In nos not all symptoms of mania exist. ...Read moreSee 2 more doctor answers
Interaction patterns: Personality disorders (pd): narcissistic, borderline, histrionic, anti-social, and 6 others are life long and a specific patterns of behavior and interacting with people and situations that lead to distress and impaired functioning. Pd diagnoses can only be used after adolescence, although the first symptoms begin in the teen years. Pds may be associated with severe, unresolved childhood trauma. ...Read more
Mood stabilizer: Most common are lithium, depakote, or lamictal. Seroquel and Abilify (aripiprazole) are also used. Many other options if side effects or inadequate response to any of these. Antidepressants may cause mania if given alone without mood stabilizer, but are often given along with a mood stabilizer. Unfortunately all medications have potential side effects and is always risk vs benefit. Compliance is crucial. ...Read moreSee 1 more doctor answer
Bipolar Tx: Mood stabilizers are the cornerstone of tx. Also, antidepressants used cautiously in the depressed phase, as well as cautious use of anxiolytics for agitation, along with antipsychotics for disturbed thought patterns. There is also important role of psychotherapy, family therapy & group counseling. Cases resistent to the above tx, have been referred for ect. ...Read moreSee 1 more doctor answer
The current DSM: (V) lists ten, plus some catch-all categories that are not very specific. The ten are: Paranoid, Schizoid, Schizotypal, Antisocial, Borderline, Histrionic, Narcissistic, Avoidant, Dependent and Obsess-Compulsive. ...Read more
Mood swings: Manic depression, now known as bipolar disorder, is characterized by swings of mood, often extreme, and these swings can happen slowly or quickly, even several times during a day, especially if left unmedicated. Manic phases can even become psychotic. Imagine waking up feeling as though you can beat up the universe with your pinky finger, then a short time later feeling suicidal and despondent. ...Read more
Sleep disorders: The most common are Insomnias and parasomnias. Primary and secondary insomnia refer to inadequate sleep for various reasons. Parasomnias are abnormalities of sleep such as sleep walking, nightmares, sleep terrors etc. If you feel your sleep is disturbed you can contact me for an initial assessment. ...Read moreSee 1 more doctor answer
Yes: Melancholic depression responds best to tricyclic antidepressants (ads). Atypical depression responds best to monoamine oxidase inhibitors. Bipolar depression responds best to various combinations of atypical antipsychotics +/- ads. Winter depression responds best to light treatment. Psychotic depression requires an antipsychotic + ads. Psychotherapy is best for mild to moderate depressions. ...Read moreSee 1 more doctor answer
Yes, there are: Different forms and severity, and even cycling speed, of bipolar disorder. Some folks are more manic and some more depressed. While we are making strides w/neuroscience, we don't know the exact cause and why some folks have more pronounced symptoms than others. Peace and good health. ...Read moreSee 1 more doctor answer
Yes: Yes, there are a variety of bleeding disorder and it is important to find out which one you have because the treatment must be based on the specific cuase. Most are hereditary but some are acquired. ...Read more
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