Bipolar Disorder

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— Dr Banerji

Bipolar disorder is a lifelong mental health condition that causes extreme shifts in mood, energy, activity levels, and concentration.

Key Symptoms

  • Manic Episodes (Highs): Feeling unusually high, energized, or irritable, with racing thoughts, a decreased need for sleep, rapid speech, and risky behavior.

  • Depressive Episodes (Lows): Feeling sad, hopeless, or empty, with low energy, fatigue, trouble concentrating, and a loss of interest in activities.

  • Stable Periods: Times of emotional stability or normal mood (euthymia) can occur between episodes.

Main Types

  • Bipolar I: Defined by at least one severe manic episode that may require hospital care, usually accompanied by depressive episodes.

  • Bipolar II: Defined by episodes of depression and hypomania (a milder form of mania), but no full manic episodes.

  • Cyclothymia: Ongoing, milder mood swings between hypomania and mild depression lasting for two years or more.

Treatment and Management

  • Medications: Doctors often use mood stabilizers (like lithium) and antipsychotics to control acute episodes and prevent relapse.

  • Psychotherapy: Talk therapy—such as cognitive behavioral therapy (CBT)—helps patients manage stress and understand their condition.

  • Lifestyle Habits: Maintaining regular sleep routines, avoiding alcohol and drugs, and reducing stress help keep symptoms stable.

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