TREATMENT OF BIPOLAR DISORDER BY DR GORAV GUPTA

Bipolar disorder is also known as manic-depressive illness, is a brain disorder that causes unusual mood shifts, fluctuation in energy, activity levels, and the ability to carry out day-to-day chores. This is different from the normal ups and downs that everybody faces from time to time. Bipolar disorder symptoms can result in relationships problems, poor job or school performance, and even suicide. Bipolar disorder can be treated, and people with this illness can lead fully functional lives.

Symptoms


Extreme fluctuation in energy, activity, sleep, and behavior go along with these changes in mood. It is possible for someone with bipolar disorder to experience a long-lasting period of unstable moods rather than specific episodes of depression or mania.
A person may be having an episode of bipolar disorder if he or she has a number of manic or depressive symptoms for most of the day, nearly every day, for at least one or two weeks. Sometimes symptoms are so severe that the person cannot function normally at work, school, or home.
Symptoms of bipolar disorder are described below. Symptoms of mania or a manic episode include:


Mood Changes

  • A long period of feeling "high," or an overly happy or outgoing mood
  • Extremely irritable mood, agitation, feeling "jumpy" or "wire

Behavioral Changes

  • Talking very fast, having racing thoughts, flight of ideas
  • Being easily distracted
  • Increasing goal-directed activities
  • Being restless
  • Sleeping little
  • Having an unrealistic belief in one's abilities
  • Behaving impulsively and taking part in a lot of pleasurable, high-risk behaviors, such as spending sprees, impulsive sex, and impulsive business investments.

Symptoms of depression or a depressive episode include:

Mood Changes

  • A long period of feeling worried or empty
  • Loss of interest in activities once enjoyed, including sex

Behavioral Changes

  • Feeling tired or "slowed down"
  • Having problems concentrating, remembering, and making decisions
  • Being restless or irritable
  • Changing eating, sleeping, or other habits
  • Thinking of death or suicide, or attempting suicide

Sometimes, a person with severe episodes of mania or depression has psychotic symptoms too, such as hallucinations or delusions. People with bipolar disorder may also have behavioral problems. They may abuse alcohol or substances, have relationship problems, or perform poorly in school or at work.

Medications

1. Mood stabilizing medications are usually the first choice to treat bipolar disorder.

  • Lithium
  • Valproic acid or divalproex sodium
  • Lamotrigine
  • Other anticonvulsant medications, including gabapentin, topiramate and oxcarbazepine are sometimes prescribed.

2. Atypical antipsychotic medications are sometimes used to treat symptoms of bipolar disorder.

  • Olanzapine
  • Aripiprazol
  • Quetiapine

3. Antidepressant medications are sometimes used to treat symptoms of depression in bipolar disorder.

Psychotherapy

In addition to medication, psychotherapy can be an effective treatment for bipolar disorder. It can provide support, education, and guidance to people with bipolar disorder and their families.
Some psychotherapy treatments used to treat bipolar disorder include:

  • Cognitive behavioral therapy (CBT)
  • Family-focused therapy
  • Interpersonal and social rhythm therapy
  • Electroconvulsive Therapy (ECT)

Bipolar disorder has no cure, but can be effectively treated over the long-term. It is best controlled when treatment is continuous, rather than on and off. However, even with proper treatment, mood changes can occur. For some people, combining psychotherapy with medication may help to prevent or delay relapse.

Dr. Gorav Gupta is a Senior Psychiatrist in Delhi, India well known for of bipolar disorder treatment. If you know someone facing this problem call to get an appointment for best bipolar disorder treatment in Delhi.