Abdi İbrahim Otsuka Medical Directorate explained what should be known about bipolar disorder.
Bipolar disorder, also known as Manic Depressive Disorder or Manic Depression, is a serious psychiatric condition with manic and depressive episodes, which can lead to risky behaviors and, if left untreated, can lead to death by suicide. Although it can be seen at any age, bipolar disorder disease, which is most common in 1 or 2 out of every 100 people starting in their early 20s, is usually encountered between the ages of 15-24 and often continues throughout life. The disease is seen with similar frequency in men and women all over the world. In children and over the age of 65, newly diagnosed manic depression is rarely seen.
Bipolar disorder is a medical illness such as diabetes, hypertension, heart disease. Although the exact cause of the disease is not known, irregularity in brain chemistry or signal transmission is thought to be an important factor. Although genetic predisposition is known as an important risk factor in the disease, 1 to 2 percent of the patients who do not have bipolar disorder in any of their relatives also have the disease. The incidence of the disease rises to 7 to 8 percent in people with bipolar disorder in their first-degree relatives, such as parents or siblings. If one of the identical twins has bipolar disorder, the likelihood of developing the disease in the other twin increases to 45 to 60 percent.
Bipolar has 2 opposite phases:
Extreme joy or irritability, excessive speech, speeding up thoughts, increased speed of speech, exaggerated self-esteem, extraordinary extra energy, less need for sleep, impulsivity, shopping spree, sudden travels, extreme and sometimes random sex, high-risk business investments, The desire to be satisfied with thoughtlessness such as driving fast is among the symptoms.
Symptoms include depressed mood and low self-esteem, low energy level and apathy, sadness, loneliness, helplessness, feelings of guilt, slow speech speed, fatigue and poor coordination, insomnia or over-sleep, suicidal thoughts and occasional suicidal plans, difficulty concentrating, each There is a lack of interest or a lack of pleasure in events that he enjoys at the time.
Bipolar disorder is a disease that can be treated with psychotherapy and medication. Between manic and depressive episodes, complete recovery is observed with treatment, and the person can continue his usual daily life and work. Drug treatment can be done in two different periods as acute period treatment and preventive treatment. While the treatment of manic or depressive symptoms of the patient is aimed in the acute period, it is aimed not to recur the attacks in the protective period.
It is estimated that it is about 10 years between the appearance of the first symptoms of bipolar disorder and the correct diagnosis after applying to a mental health professional. At the same time, it may take 15-20 years for bipolar disorder patients with alcohol or substance problems to be diagnosed. According to studies, it is known that 10 to 25 percent of people diagnosed with unipolar depression in the first interview can actually have bipolar disorder, and this number is even higher in psychiatric settings. Misdiagnosis and inappropriate treatments in bipolar disorder can lead to manic attacks and other problems.
During the manic or depressive episode, in cases where the symptoms are very severe, the patient is hospitalized in order to prevent risky behaviors, suicidal thoughts, or aggressive behaviors. About 90 percent of those with bipolar disorder have been hospitalized at least once in their lifetime, and two-thirds twice or more.