Bipolar I Disorder

by Sheila Wilson

Bipolar I is a mental disorder that is also called manic depression. Bipolar I is one of three types of bipolar disorder. The main characteristics of bipolar disorder are episodes of depression and mania or euphoria that is not explained by the individuals situation.

To be diagnosed with bipolar I, the person must have experienced a manic or mixed episode. A manic episode causes symptoms of euphoria or irritability, difficulty concentrating, racing thoughts, insomnia, loss of judgment, impulsivity, and feelings of grandiosity or self-importance. People in manic episodes may talk more or faster than usual and may fidget.

Severe episodes of mania can cause hallucinations and delusions. The content of the hallucinations and delusions from mania are related to the other symptoms of the disorder. For example, someone who is experiencing an inflated self-esteem may have a delusion of being chosen by God or aliens for their superiority.

A mixed episode is considered a combination of symptoms of mania as well as symptoms of depression. The person having a mixed episode may fluctuate from feeling hopeless and depressed to feelings of self-importance and euphoria. The switching between the two can be very frustrating for the individual.

Experiencing a manic or mixed episode is what separates Bipolar I disorder from the other types of bipolar disorder. If a person with Bipolar II has their first mixed or manic episode, their diagnosis is likely to be changed to Bipolar I.

Cognitive therapy and psychiatric medications are used to treat Bipolar I. Cognitive therapy is used to help the person and their family cope with the symptoms of the disorder. Mood-stabilizers, like Depakote, are medications that help prevent the highs and lows of bipolar disorder.

Sometimes, people close to those with bipolar disorder become frustrated with the symptoms and expect the person with bipolar disorder to stop the symptoms. The individual with bipolar disorder cannot will the symptoms away just like someone with heart disease cannot make the condition go away.

People with Bipolar I disorder have different experiences. Even the same person may have very different experiences throughout their lifetime. Some people function very well with this disorder while others struggle day-to-day.

Even if the person is taking their medication and actively participating in therapy, there may be a relapse of symptoms. If the symptoms return or worsen, the person should notify their mental health professionals.

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