BIPOLAR DISORDER MAY BE THE CAUSE OF UNHEALABLE DEPRESSION


If you experience depression that does not get better or frequently recurs despite taking antidepressants, you may have Bipolar Disorder or You may also be suffering from manic depressive illness. 80% of patients with Bipolar Disorder, which is one of the disorders that most affects daily life and social relations, have problems in their social relations due to the symptoms of the disease. This problem may involve conflict in the relationship or leaving the relationship, and sometimes it may even lead to a sudden and random decision to marry during a manic period. Psychiatrist Dr. Hakan Karaş gave information about bipolar disorder.

The Disease During depression, the person feels extremely depressed. He has very low energy and is not interested in anything. Activities that he normally enjoys do not appeal to him. Thoughts of hopelessness, helplessness and worthlessness circulate in his mind. The difference between depression in Bipolar Disorder and classical depression is that antidepressants do not work and sometimes even worsen the situation. If you experience episodes of depression that do not improve or recur frequently despite taking antidepressants, you may be suffering from Bipolar Disorder Type II or 'soft' bipolar disorder. Since bipolar Type 2 patients do not experience a full manic episode, unlike type 1 patients, it is difficult for the person and their relatives to recognize their disease. These individuals experience periods of hypomania, which include elevated energy and impulsive behavior, as well as periods of intense depression and periods of anxiety. Although mood changes are noticed during hypomanic periods, this condition is not perceived as a disease because it is not well known by people. Therefore, these people continue to be treated incorrectly with antidepressants given for depression they have previously experienced, and often remain untreated.

During the mania period, the person feels extremely happy, enthusiastic or angry. When blocked or may react excessively and angrily in situations that are beyond his control. He needs little sleep but still has a lot of energy. His thoughts are very fast and he often talks too much as a result. During these periods, the person often sees himself as superior to others, very important. During the mania period, a person can make radical decisions without thinking about the consequences. For example; She may quickly decide to marry someone she would not normally want, even though she has never thought about it. Or he may take out a large loan and invest in a business he does not understand at all, without considering the risks. Especially during these periods, the person may turn to alcohol or substance use. A significant portion of people with bipolar disorder experience alcohol and substance addiction.

In addition, during periods of mania or hypomania, the person tends to act impulsively without thinking about the consequences. One of the areas where this is frequently observed is sexuality. During these periods, the person may engage in seductive behavior that he would not normally do or may want to have random sexual relations.

Some people may experience mania. There may be delusions or hallucinations during these periods. He can see and speak to images of people who do not exist, or hear and respond to the voices of people who do not exist. During manic periods, hallucinations are usually related to very important people, living or dead. And also; A person may think he is a very important religious figure, a statesman, a famous singer or actor. Sometimes he may have delusional beliefs that he is receiving messages from very important institutions. If he talks about these openly, his relatives may notice. However, if they do not reveal these, they may not be noticed.

One result of the increase in impulsivity during the rise of the disease is that people's budgets increase. is spending excessive amounts of money without taking it into consideration. These expenses may be related to things that are of no use to the person. For example: a person may buy a large amount of clothing that he will never use. Or he may buy machines or devices used for special tasks that have nothing to do with him, just because he likes the look. or the moon You can purchase several items of the item. He can use his credit cards to their full limits without worrying or thinking about how he will pay them, and on top of that, he can take out loans from banks to spend for pleasure. That's why people with untreated Bipolar Disorder may experience serious financial difficulties.

People with Bipolar Disorder alternate between highs (mania) and lows. Both mania and depression episodes can last weeks or months. Antidepressant drugs used in classical depression do not work alone and may cause a slide into a manic episode and exacerbation of the disease. For this reason alone, it is very risky for someone who thinks they are depressed to use antidepressants on their own, without consulting a psychiatrist.

In untreated bipolar disorder, the frequency of illness episodes increases with age. Once treatment is started, attacks either decrease significantly or never occur again. When they occur despite treatment, these mood attacks are usually milder than the previous ones. Even if an attack occurs in bipolar disorder patients who have good cooperation with a psychiatrist, there is the possibility of rapid intervention and treatment before the disease develops.

The thing that should not be forgotten is; bipolar disorder is a psychiatric disorder and its treatment should be continued by a psychiatrist. Antidepressants are never used alone in this disease. Depending on the patient's condition and the characteristics of the disease, mood stabilizers, antipsychotic drugs, and sometimes benzodiazepine group drugs are generally used. In cases where medications are not sufficient or rapid recovery is required, brain stimulation methods can be used.

 

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