Bipolar Research

Miguel Amador

Abnormal Psychology

Professor Cleveland

April 13, 2004

Bipolar Illness

Bipolar illness, also called manic depression, is misdiagnosed on the average of two out of three times; unfortunately it is an illness that kills one in four afflicted persons. Major psychiatric disorders such as bipolar illness make up half of the leading causes of disease related disability in the United States (www.windsofchange.com/bipol.html).

Bipolar illness is a major psychological disorder characterized by episodes of mania, depression, or mixed moods. One or the other phase may be predominant at any given time; one phase may appear alternately with the other, or both phases may be present simultaneously. Causes of this illness involve biologic, psychological interpersonal, social and cultural factors (Mosby 193). It is a life-long illness, which requires life-long treatment. Lithium, a mood stabilizer, is usually one of the first prescribed medications. Sometimes psychotherapy is helpful when combined with the drug treatment. A regular routine is also helpful in letting a bipolar individual lead a more productive lifestyle. The reason that bipolar illness is misdiagnosed so often is because the person commonly focuses on the depressive symptoms rather than the manic symptoms, which occur also. The individual is either ashamed or afraid to tell the doctor about the manic side of the illness. Bipolar illness affects approximately ten percent of the population.

There is no one cause for this illness. Some theories about what causes it are: genetics, stressful life events, and chemical imbalances (www.bipolar.com/whatisbpd/whatisBPDsections.htm). Psychologists and neurobiologists argue whether ego damaging experiences and self-deprecating thoughts or biological processes cause the depression. The mind does not exist with out the brain. Considerable evidence indicates that regardless of the initial triggers the common pathways to depression involve biochemical changes in the brain. Geneticists have provided some concrete proof of a biological connection; manic depression frequently runs in families (Scientific American 42).

It is not a discriminating illness; it affects all races and social classes. It has been said that Michealangelo would have produced three times the works we have today if he had been properly diagnosed and medically treated for manic depression. In 1982, Patty Duke was diagnosed as manic-depressive. She was relieved to finally have an answer to her alternating bouts of rage and despondency (Hales 42).

Bipolar disorder has many effects on the families lives as well. They range from emotional to social issues; they deal with changes in family members and the structure of the family. The family must learn how to deal with the very real threat of suicide. After the diagnosis, many families may have a series of mixed emotions such as anger or extreme guilt. They may also feel ashamed or anxious. Sometimes they worry about having caused their loved one to become bipolar because of being short-tempered or because they had been un-supportive.

In the past, a lot of blame was (erroneously) placed on the parents for producing a mentally ill child. In severe cases of recurrent manic depressive illness, the individual may never again be quite the same person the family had known prior to the diagnoses of the illness. The family then goes through a sort of mourning process. They may grieve over the lost hopes and dreams. The families sometimes feel shame because of the unfulfilled expectations, and also with the stigma of mental illness. One of the reasons that mental illness carries such a stigma is because it is often associated with decreased productivity (less nowadays). The value of productivity has been the mainstay of North America. Anxiety is often present because the family members grow to anticipate the a change in mood or a return of symptoms. Families find it stressful to plan any activities or events for fear of the affected person causing a scene or problem at the event. Families can greatly benefit from becoming active in a manic depressive support group.

The word manic means mania. Characteristics of mania include: increased energy and activity, restlessness, racing thoughts and rapid speech, excessive euphoria, extreme irritability and distractibility, decreased sleep requirement, uncharacteristically poor judgement, increased sexual drive, denial that anything is wrong, and risk behavior. Depression is characterized by: persistent sad, anxious or empty mood, feelings of hopelessness, helplessness, worthlessness, pessimism, guilt, loss of pleasure or interest in ordinary activities including sex, decreased energy, feelings of fatigue, difficulty remembering, concentrating and making decisions, changes in appetite, and thoughts of suicide (www.whatisBipolar.com).

Mental illness is a hidden disease many times. It is something that happens to your neighbor, your co-worker, and yourself; and you may not even know it. There are currently many medications on the marked to help these individuals. There are anti-psychotic drugs such as tegretol and depakote. These two medications may be combined with lithium, or taken in place of it. For some bipolar individuals lithium alone does not work. There are many side effects that can occur while taking these medications, but the benefits, in general, outweigh the risks. A person experiencing or suffering from severe mania or psychotic depression may hear "voices" in their heads. These medications can help prevent these episodes from happening. There currently is great progress being made in the diagnosis and treatment of bipolar illness.

A part of the manic state may include a feeling that everyone around them are moving slower; they are more likely to speed while driving because they wish that they were already at their destination, or simply because the scenery isn't moving as fast as their brain thinks it should. It may also include a feeling that their mind is racing constantly. Bipolar individuals do not get normal signals send from their bodies to their brains. They could stay up all night and have plenty of energy the next day; their body doesn't send the brain the signal of the extent of their fatigue. They could wake up hungry and find the thought of food sickening. Sometimes this is used as a weight loss technique. It is dangerous and very hard on the internal organs and the nervous system (online) Matt Dilley, a manic depressive man, describes a manic state as "being in your own world; people can