Bipolar Disorder Most Begins in Adolescence

It is a disorder belonging to the mood domain of bipolar disorder, also known as bipolar mood disorder. We can say that emotions cannot be regulated and can be defined as not being able to control the intensity and speed of emotions.

There is enthusiasm in the manic period, and sadness in the depressive period.

The depression period is the opposite end of this. . They can be listed as depressed mood, sadness, pessimism, no longer enjoying things that were previously enjoyable, reluctance, changes in sleep and appetite, changes in sexual desire, changes in attention and cognitive areas. In the mixed period, symptoms of the manic and depressive extremes are seen together.

It can be diagnosed in the 20s

If bipolar disorder begins with a depressive episode, it continues until the mania occurs. You don't know you have bipolar disorder. Therefore, the diagnosis of the disease may occur until the age of 20. In studies conducted throughout our country, the age of onset is generally around 25-26 years old.

A holistic approach is important

Biological because the brain and body have one chemical and two electrophysiological levels at the cellular level. and is added structurally in the long run. There is a difficulty in regulating psychological mood, there is a disorder in impulse control. Social; because interpersonal relationships are affected and your functionality is impaired. Therefore, it is not possible to talk about a treatment without taking this whole into consideration.

Prof. states that there are two periods in the life of an individual diagnosed with bipolar disorder. Dr. Sermin Kesebir said, “There are periods of illness and periods of well-being. Therefore, let's divide the treatment into two: treatment of disease periods and preventive treatment. Mention of maintenance therapy in the treatment of disease episodes k is required. This is an adaptation process, a process of becoming stable after eliminating the symptoms.

Stress can affect crises

As the number of episodes increases, this stressor episode may occur in the later years of the disease. its stimulating effect decreases.

It can affect creativity in the first period

If the intensity of an emotional state, whether mania or depression, is high and its emergence is rapid, some creative We can think that it will stimulate the processes. The reason why it is called artist's disease is that emotions are experienced very intensely and violently and with very sudden changes. Is creativity effective in bipolar disorder and is it reflected in the product? We can say yes, in the early stages of the disease, many writers and painters produced their works, especially during the depressive periods of bipolar disorder, but as the disease progresses, the effectiveness of this creativity decreases.

Seasonal changes may determine the course

A group of patients show seasonal characteristics. This group is reported to constitute 10 to 30% of bipolar patients. But we do not see a seasonal pattern in all bipolar disorders.

Pharmacotherapy and psychotherapy methods are applied

Pharmacotherapy and psychotherapy applications are indispensable for treatments. Among the psychotherapy options, cognitive behavioral therapy, interpersonal relationship therapy, and social rhythm therapies are among the most important therapies used in bipolar disorder. Transcranial Magnetic Stimulation treatment, which has become increasingly common in recent years, can be mentioned. Publications showing that it is also effective in bipolar depression are increasing every day. ECT also offers the treatment option with the strongest and fastest onset of effect for both the manic episode and bipolar depression.

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