Why does bipolar mania feel really good?

Bipolar Disorder - Living Between Depression and Mania

"Exulting heavenly - saddened to death" - People who have bipolar disorder suffer from extreme mood swings. You can find yourself in either one Elation, the mania or the depression again. This mental illness is also called bipolar for this reason. The emotional state fluctuates especially in the Mood, drive and the Activity level. The depressive and manic phases alternate without the sick person being able to control this. What is behind this mental illness? How does a person feel who Manic depressive is and what can you do?

According to estimates, in Germany about one to three percent of the population are manic-depressed. Can have bipolar disorder both sexes equally affect. Although the mental illness is often not diagnosed until later, the first episode of the disease often around the age of 18 on. She takes one episodic and chronic course and the mood swings occur regardless of the life situation. Manic depression does not arise suddenly, it develops gradually.

How does bipolar disorder show up?

We are all subject to occasional mood swings. Better days alternate with worse ones and accordingly we are not always in the same good mood. In the case of a manic-depressive person, however the mood changes from one extreme to the other. You're driven between mania and depression. If the person is in the mania, they have one Excessive elation, is overactive, irritable or euphoric. After this phase comes depression. The sick person feels clouded, listless and sad. Between these two extreme moods there is also an inconspicuous normal state. A unipolar depression, on the other hand, shows itself without any manic phases.

What is bipolar disorder like?

A manic-depressed person went through it different episodes:

Depressive phase (duration ≥ 2 weeks)

If the sick person is in the depressive phase, this manifests itself in the same way as with an “ordinary” or unipolar depression.

  • gloomy mood
  • Loss of joy and interest
  • Feelings of guilt
  • social withdrawal
  • sleep disorders

Manic phase (duration ≥ 1 week)

In the manic episode, those affected are in an extremely good mood for no reason. Other signs are:

  • fluctuate between cheerfulness and irritability
  • Overactivity, restlessness and the urge to move
  • Megalomania
  • Torrent of speech
  • decreased need for sleep
  • excessive overestimation of one's self

Hypomania (duration ≥ 4 days)

This episode is similar to mania in bipolar disorder. The However, symptoms are weaker and last shorter at. Those affected and their everyday lives do not suffer from it. In this phase they feel vital, creative and efficient.

Mixed state

The mood alternates between mania and depression. this happens within hours, whereby the two moods can also occur at the same time. The is in a mixed state The risk of suicide is particularly high.

You can find another one here Comparison between mania and depression:

How does bipolar disorder develop?

In the development of a manic depressive illness you can several factors causative be.

Biological influences

The Function of the brain metabolism is disturbed in bipolar depression. Between the messenger substances There is an imbalance in dopamine, GABA, norepinephrine and serotonin. In addition, examinations revealed changes in the limbic system. Be in this area of ​​the brain Emotions felt and processed.

Genetic Factors and Bipolar Disorder

Manic depression is not inherited per se. Nevertheless, first-degree relatives experience bipolar disorder seven times more often. A direct descendant suffers with ten percent probability same disorder. If both parents are sick, the risk even increases about 40 to 50 percent.

Psychosocial Influences

There are some social factors that favor the development of manic depressive illness:

  • Bereavements
  • serious physical illnesses
  • sexual abuse
  • psychosocial stress (private / professional)

That is why a healthy lifestyle is very important to take preventive measures.

How is bipolar disorder diagnosed?

Bipolar depression is often the first to emerge between five and ten years after the start diagnosed. It is not the current symptoms that are important, but the medical history. Structured questionnaires are often used for this. When a depressive episode occurs for the first time, it cannot be said whether it will uni- or bipolar affective disorder acts. Around 25 percent pass through the the following nine years also had a manic or hypomanic phase. Since the symptoms of mania can also occur in other diseases, physical causes must be ruled out.

How is bipolar disorder treated?

When someone is manic-depressed this accompanies him for a lifetime. It is therefore advisable to seek help. In manic episodes, it is particularly difficult for those affected to show insight into the disease. The road to therapy is often a long one. Often a Combination of drug therapy and psychotherapy used. In addition, waking and electroconvulsive therapy. It is also important to mention here that the early warning signs of a manic or depressive episode can be interpreted. This can be used to take preventive measures.

Even if bipolar depression is a lifelong companion: There are ways to educate this companion as pleasantly as possible. Psychotherapy, exchange with other sufferers and also drug treatment help. Make your life worth living and admit to yourself that you don't have to do everything on your own.

https://www.neurologen-und-psychiater-im-netz.org/psychiatrie-psychosomatik-psychotherapie/ Diseases/bipolare- Krankungen/was-ist-eine-bipolare- Krankung/


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