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Living successfully with bipolar disorder


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Bipolar Disorder is a serious Mental Illness which can be managed with the help of medication and psychotherapy. Diagnosis is the first step but unfortunately it typically happens 10 years after onset of first symptoms. Mood swings between mania, hypomania and depression characterise Bipolar Disorder.

Published in: Health & Medicine
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Living successfully with bipolar disorder

  1. 1. Dr Milan Balakrishnan Consultant Psychiatrist Bombay Hospital Masina Hospital
  2. 2. Case of ISK
  3. 3.  Depressed, irritable mood or significant decreased interest in pleasurable activates present for at least two weeks.  Loss of weight, increase in appetite, or decrease in appetite  Too much sleep, can’t stay or fall asleep  Appearing to have slow movements or restless movements.  Feeling worthless, or experience inappropriate guilt  Little – no energy  Problems concentrating and making decisionsThoughts of death, thoughts of suicide, or a suicide attempt
  4. 4.  Complex  Multifactorial  Multiple genes involved  Symptom clusters- Mood  Biological factors  Closeness to schizophrenia
  5. 5.  Norepinephrine-Alertness,concentration  Serotonin-arousal , sleep and low mood  Dopamine can affect “self-esteem; may contribute to abnormal mood states, such as elation and melancholia; and may result in marked variations in activity/hyperactivity and pressured speech seen in mania and hypomania”
  6. 6.  2-5 %  15-25 age group  Delay between first appearance of symptoms and diagnosis- 10 years
  7. 7.  I wish the answer was NO  Nobody given a choice would want to take meds  Missing meds can increase risk of episodes
  8. 8.  Mood Stabilizers  Antipsychotics  Antidepressants  Anti-anxiety
  9. 9.  Choose the right medication  When in doubt discuss with doctor
  10. 10.  Link with daily activities  Keep in office bag  Travel packs  Make family member check with you
  11. 11.  Temptation to discontinue –high  Reflect on reasons to continue Eg What does the episode do to you.
  12. 12.  Family focused therapy  interpersonal psychotherapy (IPT), a therapy that directs attention to the interpersonal confl icts and role challenges ,sleep wake cycles  CBT managing activity levels in relation to long- term goals, enhancing communication and problem solving, enhancing stress management, and helping manage the negative or overpositive thinking patterns
  13. 13.  Stress- conflicts, even positive events  Sleep  Maintaining regular sleep patterns can help stabilize your mood.  Sleep and wake up same time even on weekends
  14. 14.  Keep stress out of the bedroom  Use muscle relaxation techniques in bed  Never compete to get to sleep  Give yourself time to unwind before sleep  Use a regular daytime cycle to help with nighttime sleep  Adjust sleep cycle before travel
  15. 15.  Exercise  Social Activities  Relationship Activities  Movies, Theater, and Recreation  Hobbies  Work-Related Activities
  16. 16.  Look at problem as you would help a friend  Look at various options , weigh pros and cons of each option  Chose best try if convinced
  17. 17.  If you have bipolar disorder, it pays to limit your drug and alcohol use
  18. 18.  Is there an event that you find bothersome?  Write out the thoughts that occur to you about this event, and the moods that go with this thought. (thoughts) (moods)  What is the evidence for and against this thought?  Does the thought just feel true, or is there actual evidence for this thought?  Could this evidence support any other conclusions?  What evidence suggests this thought is true?  What evidence it is false  Is there a more accurate thought you want to substitute
  19. 19.  Seek help
  20. 20.  Dont let them get in the way of life goals  Avoid win or lose thinking  Avoid just like last time I can’t let her/him/them get away with this They are always doing this to me Enough is enough I can’t let this happen again I am always being treated this way They always act this way
  21. 21.  You don’t get behind in life; you experience life. Life events can always take a linear, planned life or make it more unexpected, more curvilinear, plot
  22. 22.  An advantage of mood charting is that you become more familiar with the patterning of your mood and your personal triggers for mood changes.  daily stressors  medication doses.  Disruptions in sleep
  23. 23.  Psychiatrist  Therapist  Support system  Maintain well being
  24. 24.  Accept diagnosis  Medication regular  Mood charting  Activity charting  Improve communication  Avoid anger, irritability’  Avoid thought bias  Watch for triggers  Maintain treatment contract
  25. 25.  Contact me at~  Email: