BIPOLAR AFFECTIVE DISORDER - BIPOLAR MORAL DISORDER - MANIC DEPRESSIVE DISORDER
“What is this bipolar doctor, am I bipolar? Let me explain, you decide. I was 22 years old when I first got sick. My illness started suddenly. I couldn't sleep for a few days, I felt restless. Then one morning I woke up and everything had changed. I felt very energetic and vigorous. I said I could do anything, I was capable of anything. According to my mother, I talked too much, and not on any particular subject. I was talking about everything. I was the most knowledgeable, the smartest. I was in a bad mood. But when I didn't come home until the morning, didn't go to school, and my credit card limits were full, my family took me to a doctor. I first heard the word bipolar from that doctor. I did not use the medications he gave me. I think I became more angry as the days went by. When he got into a fight with the neighbors and rolled down the windows, they immediately took him to the hospital. I stayed in the hospital for about 3 weeks. My joyful and energetic state had passed, and my sleep had returned to its previous pattern. After 5-6 months of treatment, I completely recovered. I continued my school. I graduated and started working. When I got better, I stopped taking medications. My doctor also gave me a medicine called a protector, and I did not take it either. I thought, "I have nothing left, why should I take medicine?" 2 years have passed. It was the first week of May. When I woke up again one morning, I felt excitement inside me. That happiness again. I considered myself an important person. Many projects that would save the country and humanity came to my mind. I applied to the authorities. They ignored me. I got angry and argued with the police in front of the governor's office. I shouted and we pushed. First to the police station, then again to the hospital, the same things happened. This time, I continued my treatment after the hospital. I also used the protective drug called Depakin regularly. In the meantime, I changed my workplace, continued working, and got married. But this fall things changed again. I started having difficulty getting up in the mornings. Unlike my previous illnesses, my strength was decreasing day by day. I didn't mind much at first. A few more weeks passed. When I looked in the mirror, I saw a depressed, unhappy, tired face. Life started to seem empty and meaningless. I have no appetite. There is no such thing as sexual desire anymore. I lost a few kilos. I didn't even have the strength to come here, but my wife insisted, we came to you."
"This is the second time my daughter got sick. The first one was in August last year. First, his attire began to change. He started to dress very colorfully and fancy. However, he loved pastel colors and casual, comfortable clothes. Her make-up became extravagant and eye-catching. He wasn't sleeping, he was listening to loud music until the morning. He didn't come home for a few nights, we called him and found him jumping around in entertainment venues. Everyone was looking at him. We forced him to accept the treatment. He was happy with his situation. Anyway, it recovered in a few months. The same situation arose again at the beginning of July this year. When we were about to marry someone unlike us, we had a hard time stopping it. From my sister, I know what to do with such patients. My sister has not been sick for 5-6 years now with preventive treatment. Let's get my daughter together too."
"Doctor, if you remember, I brought my son to you last year. He said, "I will die then, I have committed many sins." He was skin and bones. He was crying and didn't leave the house much. He was very weak and unhappy. You said depression then. This year is different. He prays maybe 15-20 times, morning and evening. He prays loudly with enthusiasm. His attire also changed. He smiles and greets people on the street, touches some of them on the shoulder and mumbles something. When I ask, he says that that person was sick and he healed him.”
“You examined my son. We started treatment for depression 1 month ago. He's healed now, but I guess that's too much of a favor. This time, on the contrary, extreme joy His hand is confident, constantly making karate moves. Even though he never slept, he is like a genie in the morning. Sometimes he dances and sings. He was going to compose music and go on stage. There was a 180 degree turn, not because of the drugs? Mania with symptoms such as: The other is, on the contrary, depression with symptoms such as weakness, reluctance, decreased self-confidence, boredom, finding life meaningless and worthless, giving up on interests and activities, and decreased sexual desire.
However, both depression and mania must occur in the same patient. There is no rule that they will appear or be seen one after the other. In some of our patients, mania attacks occur only with periods of complete remission; Some of our patients may have a single mania episode that can be seen years after recurrent depression attacks.
In the treatment, antipsychotic drugs appropriate to our patient are used during the mania period, mood stabilizing drugs appropriate to the situation, and rarely antidepressants are used during the depression period. However, the backbone of the treatment is medications called mood stabilizers, which aim to prevent the recurrence of disease periods. Of course, if a disease period occurs, we will treat it, but the most important thing is to prevent the emergence of disease periods. In addition, insight-providing psychoeducation has a great role in maintaining regular treatment and check-ups.
Wishing you to regularly monitor your preventive medication levels, have your check-ups on time and always stay healthy...
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