are those who are wondering if a bipolar variation might be worth considering to explain their symptoms. . I dislike being criticized in any which way. But in real life, its very clear that episodes can be shorter, and thats greed upon by nearly all mood experts Ive ever heard. Early emotional abnormalities and poor premorbid functioning tend to occur in BD 17 19 ; however, adequate psychosocial adjustment prior to the first manic episode is also common. The astounding functional differences among people with BD present one of the toughest challenges to this effort, as these emerge across the entire spectrum of human development 7,. By contrast, sticking to the DSM rules, youll hear that bipolar disorder is overdiagnosed ( the most widely cited paper also shows a notable underdiagnosis rate as well, by the way.
Meta-analyses have found small-to-medium effect sizes for improving cognition using restorative cognitive remediation programs in several psychiatric conditions including schizophrenia 153 and substance use disorders 155. I hope it may now make sense to you to think of mood symptoms as falling on a continuum between plain depression and depression plus, the far end of which is Bipolar I, with many variations falling in between.
But, most people know someone or have heard of someone who had a manic episode: decreased need for sleep, high energy, risky behaviors, or even grandiose delusions (I can make millions with my ideas; I have a mission in space; Im a special representative for. We see all sorts of variations in between these named points on the graph above. Aside from medication, psychosocial interventions and support groups are also vital to improving functional outcome. Whats the difference between anxious depression and a bipolar mixed state? Patients usually take lithium for at least 6 months. For example, one research group just reported that patients with migraine headaches are much more likely to have these bipolar spectrum traits. We tend to run away with our thoughts. A first-degree relative (mother/father, brother/sister, daughter/son) has a diagnosis of bipolar disorder.
Bipolar disorder - Wikipedia
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Functional Outcome in Bipolar Disorder: The Big Picture
17 - Bipolar Children & Early-Onset Bipolar Disorder