Doctor insights on:
What Happens If Bipolar Disorder Is Untreated For A Long Time
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. Symptoms of mania include markedly elevated mood and energy, reduced sleep and a reduced need for sleep, racing thoughts, and grandiose ideas. When mood changes are severe, psychotic ideation may be present. Symptoms of depression can include low energy, feeling sad, feelings of guilt and hopelessness that are out of proportion to the patient's actual situation, low motivation, inability to experience pleasure, and suicidal ideation. Sleep may be increased, and concentration may be impaired. Some manic patients may be extremely irritable rather than euphoric. Less severe but clearly abnormal mood ...Read more
Get Evaluated: You deserve a credible comprehensive evaluation. Bipolar disorder is not a single entity and not the easiest to diagnose. Please see a board certified psychiatrist for an evaluation. Soon! don't worry, being diagnosed and treated is way better than not. We are learning so much about this disorder that today is the best day in history to be diagnosed, tomorrow will be better. We also know that in some forms of bipolar disorder, the fluctuations in mood if they are severe, can actually cause physical brain degeneration. This is a disorder if untreated tends to get worse over the course of a persons life. If treated, most bipolar patients if compliant, can't be picked out of acrowd. ...Read more
Indirect: Bipolar itself as no known direct effects on the body. But indirectly, both manic and depressive episodes can affect health. For example, in the manic phase appetite is suppressed and risk taking (with drugs, sex, dangerous actions) is high. Suicide is a great risk, as well. Appetite can be lost in depression, as well. There are tantalizing genetic overlaps with asthma and endometriosis. ...Read more
For many, BP is: chronic and presents more or less the same way over time. Our ability to sense it coming and/or to deal with it increases over time, so the impression is that it lessens with age. Ageing does undermine some of the more extreme behaviors--hypersexuality, hyposomnia. My clients don't think it is progressive. ...Read moreSee 2 more doctor answers
Can you please explain how and why with bipolar disorder have a hard time controlling their emotions?
By definition: Bipolar disorder is a condition whose very definition is that emotional highs and lows are both extreme and cyclic. Moods in bipolar are unusually far outside control by one's rational mind. This is a phenomenon rooted in how genetic influence on the brain, probably of nerve cells themselves: they fire in mutually-reinforcing clusters more readily than normal (mania) or less (depression). ...Read more
At the extremes: Severe depression and severe mania, the extreme ends of the bipolar spectrum, can indeed cause psychosis, which can include hallucinations. This is a very dangerous state to be in, and if it is you or a close loved one, you need immediate evaluation and to get started on therapy before the disorder causes you to do something that can affect your life forever. ...Read more
Difficult question: Please see the following link for a thorough discussion of the issue:www.Healthcentral.Com/bipolar/therapy-000066_4-145.Html [jan 28, 2011] find information about the prognosis for individuals diagnosed with bipolar disorder, and learn about the differing prognoses for those who seek treatment versus ...Best wishes. ...Read more
Evaluation: The psychiatrist needs to gather the full history about the adolescent, which usually includes interviewing the parents/family as well as the identified patient. Being clear about bipolar disorder requires exploring a longitudinal history, the seeming symptoms or episodes of concern, and possibly getting some initial lab tests. The psychiatrist may need a session or 2 to do this and share feedback. ...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
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