Speech And Learning Difficulties

People who are currently suffering with bipolar disorder, severe or not, can maintain substantial and stabilized symptoms and alternate mood swings with the action of proper and effective treatment.
Bipolar disorder is considered as a illness that’s recurrent. With this realization, it only means that preventive treatments that go a long, long way is recommended and is strongly needed. Strategy suggests psychosocial treatment combined with medication is optimal for the management of the disorder in due time.
It is most advisable that cases of bipolar illness must receive continuous medication and attention than in occasional terms. This will help the progressive behavior be controlled and in proper time, diminished. If there are no breaks in the treatment given and the patient still conveys certain mood swings, it should be reported to the physician as soon as possible.
Physicians have the capability to prevent a patient from destructive episodes through adjustments of the plan for treatment. Closely working together with the physician and open communication about options and concerns can make a big difference in the effectiveness of the treatment.
To keep track of the patient’s behavior, it is important to keep a chart of daily sleep patterns, treatments, attacks, life occurrences and mood swings. This chart will help the physician, family and close friends understand the illness better. This will also give the doctor an idea on what kind of treatment should be given.
Treatment Modalities
1. Medication
Medications that are given to people who are experiencing bipolar attacks are strictly prescribed by the doctor and not by just anybody. Furthermore, physicians concerned with primary health care can also prescribe the medication but it is more recommended that people suffering with bipolar difficulties must see a psychiatrist.
Usually, medications that indicate stabilizing of mood are prescribed for the control of bipolar attacks. There are several mood stabilizers that are prescribed either short-term or long-term treatment.
Some of these popular medications are:
• Lithium – effective in preventing mania and recurrences of depressive and manic episodes.
• Anticonvulsants – may provide mood-stabilizing outcomes and are useful for those people who are having some difficulty in treating and avoiding the mood swings.
• Lithium and anticonvulsants – if combined will have greater and maximum effects.
• Atypical antipsychotic drugs – still considered as effective mood stabilizers in exchange with lithium and anticonvulsants
Certain changes in treatment and medication may occur if the patient exhibits a severe or lighter course. This will help manage the illness in the most effective manner. Psychiatrists must be advised with the changes either bad or good. When taking prescription drugs or over-the-counter drugs or other natural supplements, this should be mentioned to the physician-in-charge in order to trace any adverse reactions.
In order to reduce any relapse or development of new episodes, it is essential to stick to the plan of treatment. If in doubt, talk to the physician about your concerns. Side effects of bipolar disorder medication can also be experienced in the course of treatment. Therefore it is important to talk to the concerned physician about any side effects that can occur.
Some of the side effects that are manifested by people suffering from the disorder are tremor, weight gain, decreased sexual performance, hair loss, nausea, anxiety and movement problems. In the event that you have experienced such side effects, it is important to inform your physician about it. In return, the physician will have to change the medication in order to relieve the side effects.
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A person with bipolar disorder experiences the best and worst of both worlds. Like two-face from Batman. It can be a psychological disorder that proceeds without warning.
Imagine being confronted by a person with the happiest personality and then suddenly, without any reason, he diminishes to a lower aura and starts to cry.
The extremes that are associated with someone who is bipolar are ranging from an attitude of recklessness to listlessness. This kind of instability of moods can become a serious problem that greatly affects the person who has the disorder and the people around him as well.
Other terms for this mind boggling disease are manic-depressive or manic-depression illness. Both extremes are experienced and exhibited by the person suffering from it.
Mood swings that are caused by this disorder can last for a couple of weeks or even months if not taken care of. This kind of behavior can cause massive disturbance to the lives of friends, family and whoever is close to the person.
According to researches, there is a major occurrence of this uncontrolled behavior across variety of symptoms and can affect almost everyone in the group.
Sadly, this disease is not diagnosed accordingly which is not very helpful and most often, people mistaken this kind of behavior as somewhat ordinary. Untreated, this attitude problem worsens and results to high tendencies of suicidal rates.
Although, if diagnosed and treated at an early stage, people who suffers from this disease can enjoy a life worth living.
What is the cause of bipolar disorder?
Nowadays, the exact cause of the mood disorder is unknown. Although there are beliefs that it can be connected within the family down from their bloodline.
Usually, people who are diagnosed with the disease tends to have a relative who also suffers from it as well or somewhat similar conditions. Modern science believes that other probable causes that can trigger someone to experience the disorder are:
• Environmental effects. In some way, the person’s environment can take the blame for suffering the psychological disease. Factors may include severe problems with peers, family, and the like; other elaborates the stressful situations that are surrounding the person. A loss of a loved one can also be one of the environmental causes.
• Chemical effects. Studies have shown the indications of chemical within the body made the brain function differently. Significant changes may still be uncertain but in an eventual process, may help in pinpointing the causes. Hormonal imbalances and neurotransmitters are also being accepted as one of the chemical causes.
Based on statistical findings, there are about three million Americans who suffer from this psychological disorder. People who experience this illness will experience mood swings that are extreme joined with multiple behaviors and symptoms. Mood swings are oftentimes categorized as depressive episodes, manic episodes and mixed episodes.
Depressive episode symptoms are:
• Extreme feeling of sadness or emptiness • Lack of needed energy • Lack of interest in important things • Decreased concentration • Imaginary thoughts about suicide or dying
Manic episode symptoms are:
• Elevation of extreme mood swings • Extreme anxiousness and irritability • Talking in a fastmanner • Unusual energy increase with a reduced need to sleep
Mixed episode symptoms are basically the combination of the depressive and manic episode symptoms.
Bipolar disorder can be evident in teenagers although, there are studies showing cases prevalent in children and adults.
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Bipolar disorder is a kind of illness that is considered as recurrent. Some studies show that certain amounts of chemicals are pushed towards the brain in order to suggest excessive activities that are manifested by the human being. Therefore, within the logical aspect of cure, treatments must be arrowed towards the brain to bring it back into proper functioning.
The above stated facts seemed to be easy but in reality, it can be produced from hard work and a lot of patience in order to achieve the goals of bringing back normal functioning. Treatments for the disorder such as mood stabilizers and anti-manic agents can repress increased brain activities just by strengthening the mechanism that inhibits any kind of abnormal function.
In cases of mood stabilizers, which are used for manic patients, it can’t be concluded that it can be an effective treatment for episodes of the disorder. It has been proven that whoever takes anti-depressants for the sake of beating depression can most likely be diagnosed with a bipolar defect. Ant-depressants are also taken by those who experiences increased aggressiveness and irritability.
Clinical studies meant to resolve the disease involves investigations that are scientifically connected with the treatment and further management of the disease. Other people who are already suffering from bipolar tragedy, volunteers to become useful specimens in order to find more about the disorder.
These studies connected to mental health enables to yield specific information about:
• how efficient a single medication or combined medications or psychotherapy can be useful in fulfilling behavioral treatment
• the reliability of the procedure and success of the method of prevention • guiding scientists and researches on the causes and pattern of development of the illness
• emphasizing any kind of progression or repression that affects the mind and body
Out of these accurate investigations and studies, a lot of Americans that have already been diagnosed with the disorder have been saved and there are only minimal recurrences. They have returned to their productive and healthy lives.
Although, things are not always right in the medical field for some patients don’t really respond to any kind of treatment even in the most crucial aspects. The consideration of the possibility of bringing up benefits and risks for participation must be first established.
Recently, NIMH introduced newer generations of clinical studies meant to survive the real world. It is out of the traditional interventions because of the combinations of numerous treatments. These clinical studies and revelations ought to help not just those suffering from bipolar disorder but also those other mental illnesses as well.
Further studies related bipolar to other illness in certain kinds of conditions. If the disorder is caused by the increased intake of the drugs and alcohol, negative physical conditions can also occur like liver cirrhosis and hypertension due to alcoholism. If the mood swings are perpetuated by abusive intake of illegal substances, therefore, the treatment is geared towards eliminating the bad habits first in order to successfully treat the illness next.
Bipolar disorder can also be triggered by anxiety disorders such as being obsessive-compulsive and engaging in a lot of stressful situations. There co-occurring mental illnesses can be treated by the same medications or can have separate doses. Good news is, this disorder can be treated in success bad news is, it can be pretty difficult to diagnose and may take time for the success to be presented.

Anyone who suffers a bipolar disorder can’t possibly stand alone. He needs the utmost support of his family, friends and whoever is close to him. True, that a person needs to undergo series of tests and treatments to be able to tend to him well. Although, it doesn’t end there. After getting out of the rehab, what’s next?
Help is always there. One must only shout the words and seek for it to make things a bit better in his life. You can search for help in medical schools or any affiliated programs, psychiatric departments of hospitals, clinics, mental health centers.
People who have bipolar disorder need attention. Without it, there will be no success in any kind of treatment. Oftentimes, people who have bipolar disability don’t realize the impairment of the disease because they think of their problem as some cause of debilitating normality in their everyday living. People usually asks help when the disorder is already striking hard.
Families and friends have a big responsibility over someone who is experiencing the bipolar difficulties. Therefore, it is important that great encouragement to get treatment must be imposed. If you have no idea on where to bring the family member who is affected, you can ask your family physician for referrals to where would be more appropriate to bring him.
With this kind of responsibility, family members and friends must be ready to let the person with bipolar disease to be hospitalized in order to protect him or her from further harm. Emotional as it seems, the family and friends must be able to cope with certain situations in which the person who has bipolar doesn’t want to go into rehabilitation and forced hospitalization will occur.
Once inside the facility, families and friends must always show total support and encouragement in order to make the person feel that he is still important to those around him and fast recovery and treatment is possible. Although, one needs to understand that the course of treatment is not a one-day scenario. It goes a long, long way.
The physician needs to know the appropriate intervention that should be given to the patient in cases of mood swings and intervals. While others have a stable mood of being in a manic stage, others show a relapse from being aggressive to being repressive.
Other people who suffer from the disorder voluntarily surrender themselves in a rehabilitation facility and are oftentimes joined with support groups who can further enhance the capability of treating the disorder. Groups that are sponsored by associations like the NAMI or National Alliance for the Mentally Ill. Benefits can also be taken from these support groups by the families and friends of the patients.
For families and friends, it is important that you understand the situation your loved one is going through. It is a tough battle. If you have noticed certain attitude changes due to bipolar disorder, it is better to deal with it than act as if nothing’s wrong just because you are ignoring the fact of life.
Having a difficult time dealing with the person’s episodes can be hard but realizing that the person is having a more difficult time experiencing the disorder and being excommunicated and ousted from frequent society is more painful. You have a lot of help outside your home. All you have to do is reach out.

“It runs in the family…”
With the above stated fact, it goes to show that children and adolescents can acquire bipolar disorder if their parents or someone within the family is also suffering from the disease. More likely, children may adopt the illness but symptoms will show only when they have reached their adolescent stage.
Although, compared to adults who have the disorder and symptoms is more defined, diagnosing based on the evident manifestations through the behavior of children and adolescents are hastened and can be experienced almost every day. Mood swings that include mania and depression can occur multiple times a day.
Children who experiences mania are expected to be irritable and have destructive tantrums that is caused by being joyful or elated. Symptoms of mixed episodes are common in adolescents or youths having the disorder. Older adolescents who have developed the illness have symptoms and episodes that are more notable in adults and are considered more classical.
Diagnosing bipolar disorder in children and adolescents is harder than with adults. Apart from mood swings that are obvious because of the unstable swinging of emotions caused by terms of growing up, being hyper and depressed is also considered normal and is within the range of children and adolescent behavior.
Furthermore, there are some symptoms that can also be associated with other disorders like the aggressiveness and irritability of a child can also be associated with ADHD or Attention Deficit Hyperactive Disorder, oppositional defiant disorder and other mental disorders. Drug abuse is also one factor that may cause such symptoms which are not totally connected with the illness.
According to researches, the disorder may have the possibility to begin during childhood or teenage years but the exact diagnosis of the diseases can be proven upon adulthood. This mental illness can affect anyone most especially if that person is exposed to contributing risk factors.
Studies also said that when both parents manifest the illness, it has a greater chance for their children to have the disorder. Alcohol and drug abuse through the history of the family can also be considered as a contributing factor.
Symptoms in children and adolescents are almost the same with adults but some may differ and may be lighter.
Manic episodes may include the following:
• Unrealistic increase in self-esteem (a child perceiving that he is Superman)
• Easily distracted
• Repeated increased risk-taking attitude that may be associated with sexual promiscuity, alcohol and drug abuse, etc.
• Ability to talk in a fast-paced manner and at the same time talking too much
• Increased energy and has the ability to go on for days without the appropriate amount of sleep
Depressive episodes include the following:
• Persistent emotional disturbance like frequent outburst of emotions
• Always in a depressed mood with irritability
• Lack of enjoyment in usual activities
• Poor concentration, boredom, fatigue and low energy level
• Abrupt change in sleeping and eating patterns
• Frequently complains about physical pains
Teenagers having bipolar disorder may have the greatest possibility to be treated compared to adults already manifesting the illness. Some of the major treatment modalities are medications that can used to stabilize the person’s mood swings, educating the family and friends, and preventing depression. In order to treat the illness effectively, medical authorities must diagnose the disorder correctly.

Recognizing someone who is a probable candidate for bipolar disorder can easily be resolved if the person is already exhibiting symptoms. Although, if the symptoms aren’t that prominent and the person is subject to coming back to his normal status, it wouldn’t be likely to be diagnosed because of the apparent signs.
To mentally suspect someone having a bipolar disorder within the family or the community is hard especially when you have no idea where to start. It’s best to leave it to the experts.
It’s easier to recognize something that is shown than something that is not. When you see someone with bleeding hands, you know that you have to fix medications and clean the wound of the affected part. When it comes to recognizing a person with such a psychological disorder, it wouldn’t be easy as telling that he has broken ears or swollen fingers.
Tests must be made to diagnose if the person is really undergoing a stage of the disease. Upon testing a person, he goes into numerous psychological and medical examinations which can help assume or rule out any kind of problem. These tests can also help check if there are any related complications that have occurred to support the problem.
The tests to help diagnose a problem generally consist of:
• Laboratory tests. Testing via laboratory usually includes CBC or complete blood count, other blood tests, and thyroid tests. Urinalysis may also be provided.
• Physical tests. This is all about the outer physique of a person that includes the measuring of weight and height, taking of vital signs such as the person’s temperature, respiratory and pulse rate and blood pressure, auscultation of the lungs and heart and examining the abdomen as a whole.
• Psychological exam. Considered as one of the most important part of the test. Here, the physician will initiate conversation and trigger some of the patient’s inner thoughts and feelings. Psychological exams can help distinguish the behavioral pattern that might have caused the disorder.
The patient may also be asked to fill out certain questionnaires that can help in psychological assessments. With proper permission from the patient, the doctor can also question close relatives and friends that can further provide information of episodes of depression or mania.
Criteria for diagnosis
In order to be diagnosed with the disorder, a person must meet certain criteria that are stated by the manual published by the association which is responsible for American psychiatric society indicated as the Diagnostic and Statistical Manual of Mental Disorders. This manual can be the basis for health providers to diagnose conditions regarding mental health.
Upon diagnosing a person, the criteria must be based specifically on the type of bipolar disorder as well as the types of episodes and history. To be able to learn more on the situation, you have to talk intently to your doctor and ask the long term treatments to the condition. Researchers say that bipolar disorder can be regarded as a series of disorders with varying symptom and degrees.
Early diagnosis for a person with bipolar disorder is very important. In the event that people are misdiagnosed or undiagnosed, the person affected will not get sufficient cure because the treatment may be severe or inappropriate. Thus, it is better to consult skilled medical professionals whose training and experience can provide the proper care in the most appropriate manner.

Recognizing someone who is a probable candidate for bipolar disorder can easily be resolved if the person is already exhibiting symptoms. Although, if the symptoms aren’t that prominent and the person is subject to coming back to his normal status, it wouldn’t be likely to be diagnosed because of the apparent signs.
To mentally suspect someone having a bipolar disorder within the family or the community is hard especially when you have no idea where to start. It’s best to leave it to the experts.
It’s easier to recognize something that is shown than something that is not. When you see someone with bleeding hands, you know that you have to fix medications and clean the wound of the affected part. When it comes to recognizing a person with such a psychological disorder, it wouldn’t be easy as telling that he has broken ears or swollen fingers.
Tests must be made to diagnose if the person is really undergoing a stage of the disease. Upon testing a person, he goes into numerous psychological and medical examinations which can help assume or rule out any kind of problem. These tests can also help check if there are any related complications that have occurred to support the problem.
The tests to help diagnose a problem generally consist of:
• Laboratory tests. Testing via laboratory usually includes CBC or complete blood count, other blood tests, and thyroid tests. Urinalysis may also be provided.
• Physical tests. This is all about the outer physique of a person that includes the measuring of weight and height, taking of vital signs such as the person’s temperature, respiratory and pulse rate and blood pressure, auscultation of the lungs and heart and examining the abdomen as a whole.
• Psychological exam. Considered as one of the most important part of the test. Here, the physician will initiate conversation and trigger some of the patient’s inner thoughts and feelings. Psychological exams can help distinguish the behavioral pattern that might have caused the disorder.
The patient may also be asked to fill out certain questionnaires that can help in psychological assessments. With proper permission from the patient, the doctor can also question close relatives and friends that can further provide information of episodes of depression or mania.
Criteria for diagnosis
In order to be diagnosed with the disorder, a person must meet certain criteria that are stated by the manual published by the association which is responsible for American psychiatric society indicated as the Diagnostic and Statistical Manual of Mental Disorders. This manual can be the basis for health providers to diagnose conditions regarding mental health.
Upon diagnosing a person, the criteria must be based specifically on the type of bipolar disorder as well as the types of episodes and history. To be able to learn more on the situation, you have to talk intently to your doctor and ask the long term treatments to the condition. Researchers say that bipolar disorder can be regarded as a series of disorders with varying symptom and degrees.
Early diagnosis for a person with bipolar disorder is very important. In the event that people are misdiagnosed or undiagnosed, the person affected will not get sufficient cure because the treatment may be severe or inappropriate. Thus, it is better to consult skilled medical professionals whose training and experience can provide the proper care in the most appropriate manner.

Before going into the rough details, we’ll have a rerouting of ideas to know the main reasons why people who have bipolar disorder results in suicide.
First, there are generally two types of bipolar disorder which are: Bipolar I and Bipolar II. These two subtypes can be regarded as symptoms which are appropriate basis for diagnosing the disease.
Bipolar Type I
In this occurrence, the person may at least have one or two manic episodes even without episodes of previous depression.
Bipolar Type II
The person must at least have an episode of depression and a hypomanic episode. Hypomanic episodes usually refer to a lesser and much briefer condition compared to a manic episode that lasts only for a few days and not at all severe.
Hypomania episodes would be associated with elevated moods like irritability and changes in everyday functioning that doesn’t require hospitalization. Here, depression is much more longer than hypomania.
Cyclothymia
This is somewhat included in the type but is considered as the milder bipolar form. Compared to the extremes bipolar people are exhibiting, cyclothmia mood swings are moderate.
Psychosis
This is the time when bipolar becomes severe. The person undergoes episodes of delusions and hallucinations that detaches them from reality. Some goes into thinking that they are someone or they see and hear things that, in reality, aren’t there.
With all the things related to the disorder, it all goes down to one thing – suicide. Because the person can no longer understand what is happening to him, his behavior is taking over his entire system and is overwhelming his thoughts and feelings. And because the person believes that he is incapable of doing anything good, he commits suicide.
Suicide is a sin. But then again, it has become one of the most effective solutions to outrun every single problem that occurs in someone’s life. If someone in your family has already been diagnosed of the disorder, it is proper that the members of the family see to it that the person is taken care of.
Any thoughts of committing suicide must have immediate attention to rule out the idealism. It is advisable that the person seeks medical health. The risk for committing suicide will appear within the earlier course of the illness.
To be able to diagnose if a person has suicidal tendencies, one must observe signs and symptoms such as:
• Hopeless and helpless feelings
• Thoughts about wanting to die or talking about the afterlife
• Feels that he or she is just a burden for her family and friends
• Abuses drugs and alcohol
• Writing random good-bye notes
• Organizing affairs like preparing for near death
Suicide is possible especially if you know someone who is suffering from an early stage of bipolar disorder. If you or anyone you knows who are feeling suicidal, bipolar or not, always find ways to rid of it like calling a doctor for advice and help, never leaving suicidal persons alone, and making sure that any access of harm that the person can use against himself is no where to be found.
It is important that one understands the different causes of the disorder in order to totally prevent the risk of suicidal attempts. Life is the most important thing to be taken care of. It’s a pity to see it wasted.
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It doesn’t really matter if you have already been diagnosed with bipolar disorder type one or two or if you have already been battling it out for some time now. What’s important is that you have full control of the situation that you’re experiencing. There can be no other person who can work it all out unless you decided it on your own to get better.
You’re the only one who can help yourself…
Well, there are also available resources like support from family and friends, mental institutions and facilities, and the like. But apart from those support systems that are readily available to give some helping hand, you can do it on your own. How? Here are some ideas.
1. Be in the know. You have to read more and more about what you are experiencing in order to better understand the illness that you’re in. Knowledge is one important factor to keep for you to learn about the facts of the disorder.
You can also impart the knowledge to your family so that when certain abnormal activities may occur, they know what to do. It is also advisable to contact your physician for preferences.
2. Establish normality. Do not let your disorder be in the way of doing tasks that you normally do. It is important that you let yourself overcome the disease and not be overcome by it.
Your daily routines like doing the chores, working, walking your dog, and sleeping at least six to eight hours a day can greatly help in order to “forget” that you are bipolar. Exercise is also one factor that can take the negative energy, like stress, inside the body.
3. Take prescribed medications. Because bipolar is a recurrent disorder, you cannot stop it unless your doctor says so. You have to take your medications that are only prescribed by your doctor. Anti-depressive drugs and mood stabilizers should be taken daily even though you are already feeling better or no signs of manic or depressive episodes are experienced.
Now, if there are signs of side effects, and you can no longer tolerate it, inform your physician immediately to let him suggest other alternatives or reduce the dosage of the drug.
4. Do away with stressors and stimulants. It is important that you avoid factors that can stimulate the occurrence of your disorder. People and situations that will cause you to become positively or negatively hyper must be avoided.
This may cause agitation or aggravate the behavior you’re into. Stimulants can be regarded as nicotine (cigarette smoking), caffeine (coffee, sodas, chocolates) and other possible stimulants that can cause the stimulation of your condition. These can also cause sleeplessness.
5. Stop alcohol consumption. This is one of the wisest things that you can do to protect yourself from behavioral occurrences. Alcohol is a natural depressant and increased consumption can trigger your case.
Furthermore, alcohol neutralizes the medicinal effects of your treatments and can alter its effects which can result in damaging your liver and other possible health problems.
Things may go out of hand. Therefore, whatever happens, make your therapist and your doctor your best of friends. If you can no longer handle the crisis, it is therefore necessary to ask for help to people who know how bipolar disorder occurs. These people can make it more better for you and your health.

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Whenever someone in the family or a familiar person suddenly acts strange and the behavior can be associated with some kind of mental disorder, it is important that symptoms must be seen and accurately determined to be able to know the kinds of treatment for the disease.
Before claiming that someone really suffers from bipolar disorder, it is first important to identify the symptoms to strengthen the educated guess.
A sudden gush of excitement can’t be categorized as being bipolar. People have the right to be angry, happy, sad and all those behaviors. Although, when one experiences the disease, it will be most unlikely that the person will show a condition that had become tragically habitual. Typically, there are four episodes that a person will engage into if he or she suffers from the disorder. These episodes are:
1. Major Depressive Episode
Someone who is experiencing a major depressive episode in his or her life expresses symptoms like:
• persistent emotional feelings of anxiety, anger, sadness, guilt, isolation and hopelessness • indifference, apathy or self-loathing • appetite and sleep disturbances • fatigue and extreme restlessness • unable to become interested in usually enjoyable activities • depersonalization and extreme loneliness • lack of interest in having sexual activities • social anxiety and shyness • chronic pain that usually triggers irritability • suicidal tendencies or morbid thinking
In worst case scenarios, most especially if the person suffering from the disorder never had the opportunity to go into psychological help, he can become psychotic which is also known as a severe condition of the disease.
2. Manic Episode
Major characteristics of people who experiences manic episodes are those that have a distinct condition of expansive, irritable or elevated mood state. Someone who suffers manic episodes experience a common insurmountable amount of energy but lacks the capability to get proper sleep.
Furthermore, the speech of the person is pressured in a way that even thoughts are racing. Attention span is decreased and can be easily distracted. Impairment of judgment can also be experienced whereas the sufferer will undergo sprees and abnormal behavior that is quite unusual on his or her part.
Indulging in substance abuse can also be possible. Substances may include depressant drugs, stimulants, and even sleeping pills. Behavior may range from being intrusive or aggressive. Grandiose and delusional ideas may become prominent. During extremes, a person may exhibit psychosis which is a factor that perceives fantasy more than reality.
3. Hypomanic Episode
This is the lesser part of mania episode. Extremes are less prominent. Symptoms and attitudes are also decreased. When a person experiences a hypomanic episode, he would feel sudden uncontrollable behavior like laughing out loud even with no specific reason behind it or there might be a reason but it would be shallow.
Duration of the episode occurs only for a short period of time. Oftentimes, this is associated with the artistic mind of the person involved because intelligent thinking, flight of ideas, and an abnormal increase in energy can be seen.
4. Mixed Episode
Mixed episodes usually refer to the combined state of depressive episodes and manic episodes that may occur simultaneously. Some of which are experiencing impulsiveness, racing thoughts, rage, agitation, paranoia, aggressiveness, etc.
It is better that one understands the different episodes a bipolar disorder expresses in order to diagnose the disease earlier and treatment can be performed.
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