The Fluctuation of Mood Through Bipolar Condition

Life is full of ups and downs, but for those living with bipolar disorder, these peaks and valleys are more severe. Bipolar disorder, formerly known as manic depression, is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The mood swings can be so extreme that they interfere with everyday life.

As we’ll see both nature and nurture cause bipolar disorder. But there’s hope. With the right treatment and support, people with bipolar disorder can lead full and productive lives. Let’s read following article to understand this condition more.

a couple arguing with each other
a couple arguing with each other

What Is Bipolar Disorder?

Bipolar disorder, previously known as manic-depressive illness, is a recurrent chronic disorder characterized by mood and energy-state swings, that includes periods of mania, hypomaniaand or depression as defined by the DSM-5-TR. These mood episodes can last from days to weeks and can severely impact a person's ability to function in everyday life, affecting relationships and work performance. Bipolar disorder encompasses various types such as bipolar I, bipolar II, cyclothymic disorder, and unspecified BD.

Bipolar disorder is not just about being moody in character. Think of it as an emotional seesaw that swings between two extremes: manic highs and depressive lows.

Bipolar in Canada

According to recent studies, about 2% of Canadians aged 15 and older have been diagnosed with bipolar disorder. That's roughly 750,000 people. And experts believe the actual number could be even higher, as many cases go undiagnosed or are misdiagnosed as depression. Thus, bipolar diagnosis become an important issue.

Types of Bipolar

Bipolar disorder comes in different types. Let’s talk about them:

1. Bipolar I Disorder:

Bipolar type 1 is defined by the presence of at least one manic episode, which may be preceded or followed by hypomanic or major depressive episodes. Manic episodes last at least one week and significantly impair functioning. 

2. Bipolar II Disorder:

Bipolar type 2 involves a pattern of depressive episodes and hypomanic episodes, but not the intense manic episodes seen in Bipolar I disorder. Hypomanic episodes last for at least four days. Individuals with Bipolar II disorder often experience longer periods of depression, which can significantly impact their daily lives.

3. Cyclothymic Disorder:

This involves numerous periods of hypomanic and depressive symptoms lasting for at least two years (one year in children and adolescents). 

4. Other Specified and Unspecified Bipolar and Related Disorders:

These categories cover bipolar-like symptoms that don’t quite fit the other types. 

Signs and Symptoms of Bipolar

Identifying bipolar disorder symptoms can be challenging, as symptoms vary significantly depending on whether an individual is experiencing a manic, hypomanic, or depressive episode.

During a manic episode, bipolar symptoms are:

  • Feeling unusually “high” and optimistic OR extremely irritable
  • Unrealistic, extravagant beliefs about one’s abilities or powers
  • Sleeping very little, but feeling extremely energetic
  • Talking so rapidly that others can’t keep up
  • Racing thoughts; jumping quickly from one idea to the next
  • Highly distractible, unable to concentrate
  • Impulsive and reckless behavior (like spending sprees, risky sex, or foolish business investments)

On the other side, during a depressive episode, bipolar disorder syptoms are:

  • Feeling hopeless, sad, or empty for long periods
  • Irritability
  • Inability to experience pleasure
  • Fatigue or loss of energy
  • Physical and mental inactivity
  • Appetite or weight changes
  • Sleep problems
  • Being unable to concentrate
  • Thoughts of death or suicide

Causes and Risk Factors of Bipolar

What we do know is that bipolar disorder likely results from a complex interaction of genetic, biological, and environmental factors. It’s the interplay of nature versus nurture.

1. Genetics:

Genetic factors play a significant role, with bipolar disorder being one of the most heritable mental illnesses. Family studies show that a small number of genes with modest effects are involved. However, no single gene can fully explain the risk, and the genetic dissection of bipolar disorder is a complex process. If you have a parent or sibling with bipolar, your chances of developing it are higher. But remember having a genetic predisposition doesn’t necessarily mean you’ll develop the condition.

2. Brain Structure and Function:

Structural and functional brain differences have also been implicated in the pathophysiology of bipolar disorder. Neuroimaging studies have shown abnormal activity and reduced cortical thickness in regions such as the prefrontal cortex, insula, temporal cortex, and default-mode network. These abnormalities are associated with impairments in executive function, response inhibition, and mood regulation.

3. Environmental Factors:

Stressful life events, trauma, major life changes, and poverty can trigger the onset of bipolar disorder in people who are genetically vulnerable. Based on research, stressors like sexual abuse, physical abuse, emotional mistreatment, and parental rejectionb have been linked to more severe psychopathology and an increased risk of mood disorders like BD. It’s as if these experiences flip a switch in the brain.

4. Substance Use:

While not a direct cause, drug and alcohol use can trigger or worsen bipolar symptoms. It’s a catalyst for the onset of symptoms in genetically vulnerable individuals.

Remember, having one or more of these risk factors doesn’t mean you’ll definitely develop bipolar disorder. It increases the chances, but does not determine the outcome.  It’s better to seek professional opinion about your symptoms.

Bipolar Disorder Diagnosis

Diagnosing bipolar disorder involves a comprehensive evaluation process to accurately identify its symptoms and patterns. The process in Different Clinic includes self-report questionnaires, clinical interviews, and mood charting to track mood fluctuations over time. By combining these methods, our professionals can develop a clear understanding of your mental health and provide an accurate bipolar diagnosis.

Bipolar Treatment

Bipolar disorder therapies with the right combination of psychotherapy, brain stimulation therapy, neurotherapy and psychedelic-assisted therapy, can benefit many people with bipolar disorder. It's like learning to navigate this flutuation of mood with right help.

At Different Clinic, we offer diagnosis and comprehensive treatment plans tailored to each individual’s needs. Our team of psychiatrists, psychologists, and other mental health professionals work together to provide holistic care. We believe in empowering our clients with knowledge and skills to manage their condition effectively.

A Different Word

Living with bipolar disorder can feel like you're constantly riding an untamed horse. But here's the thing: with proper diagnosis, treatment, and support, it's possible to handle those extreme ups and downs. At Different Clinic, we're committed to providing compassionate, evidence-based care for individuals with bipolar disorder and other mental health conditions.

We understand that each person's journey is unique, and we're here to support you every step of the way. So, why not take that first step today? Give us a call, schedule an appointment, or simply reach out for more information. Your mental health matters, and you deserve to live a balanced, fulfilling life.

References:

  1. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.)
  2. (2022). Bipolar Disorder. The Meducator, doi: 10.35493/medu.42.6
  3. (2022). Exploring factors influencing risky behaviors in patients with bipolar disorders using logistic regression model. doi: 10.21203/rs.3.rs-1697996/v1
  4. Tobias, Rowland., Steven, Marwaha. (2018). Epidemiology and risk factors for bipolar disorder. Therapeutic Advances in Psychopharmacology, doi: 10.1177/2045125318769235
  5. Elmien, Bronkhorst., Jean, Motubatse. (2017). Bipolar disorder: an overview. South African Family Practice, doi: 10.4102/SAFP.V59I2.4662

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