–Reck, age 20 Less than a year ago, Reck had his first major manic episode while away at college. After using some recreational drugs with his friends, he felt a sudden change come over him that persisted even after the effects of the drugs wore off. “The next day, I thought that I was enlightened and knew the meaning of life, like I was a Buddha or Gandhi,” he recalls. “I felt invincible, like I was on top of the world and could do anything. I even thought I had psychic powers, like ESP. I didn’t sleep because I felt like it was a waste of time. I stayed up all night writing poetry. I talked nonstop even though I’m usually quiet. I spent a thousand dollars on CDs, clothes, and food for my friends.” When Reck came home, his mother, Nancy , realized that Reck was manic because her daughter also suffers from bipolar disorder. She immediately got him to the hospital.
Now, the type of mood disorder talked here is Bipolar disorder,also known as manic disorder which is a treatable mental illness which involves extreme changes in mood , thoughts , energy and behaviour with realistic feelings of excitement and Euphoria.
A person with Bipolar disorder has mood that usually alternate between mania or an extremely”up mood”, and depression, or an extremely “down” mood. These changes or mood swings can last for hours,days,weeks or even months.
In manic episode :
It’s a distinct period of elevated, enthusiastic or irritable mood with increased physical and mental activity and energy, decreased need for sleeping without feeling tired,racing thoughts ,poor judgement and reckless behaviour,delusions and hallucinations.
In hypomanic episode:
Similar to a manic episode,except that it is less severe and there are no delusions or hallucinations. It’s is clearly different from a non depressed (euthymic) mood with an obvious change in behaviour that is unusual or out-of-character.
Difference between bipolar and ordinary mood swings :
•Interference with life : The extreme in mood that comes with Bipolar disorder can cause serious problems.
Eg; depression can make a person go lazy and away from all the work or mains can cause a person to go for work for days without sleep for days .
– Avoid /minimize alcohol ,caffeine,and sugar.
-Omega-3 (fish oil) and folic acid is said to be best for Bipolar disorder.•Medications: Bipolar disorder is characterized by mood swings.Therefore, the best bipolar disorder medications are mood stabilizers.Mood stabilizers are bipolar drugs that regulate mood swings so that extremes of depression and mania no longer occur.
•Exercise and sleep : In this mediation and keeping a track of your sleep could really help.
There is interpersonal and social rhythm therapy (ISRT) which is a Psychosocial therapy for Bipolar disorder people that includes a lot of emphasis on regulating the individuals sleep-wake cycle and daily routine because they have extreme sensitive circadian systems. Which makes it much more difficult for them to recover if their sleep or other aspects of their daily routine are disrupted.
•Maintaining mood charts :
*1.Date-there should be space for recording data for each day.
*2.Mood scale: the scale would typically include a baseline which indicates feeling normal (no depression or mania) and then
a range of points above the baseline for elevated mood, and below the baseline for depressed mood. A scale of -3 to +3 is common, but some charts have scales of -5 to +5 or even -10 to +10. I like to use -3 to +3.3.
*3.How much sleep the person got.
*4.What medication was taken and the dosage.
*5. Notes: this an be a record of life events considered relevant, such as stressors, therapy sessions, family gatherings, or notes about the workplace. Some people also track their weight .
•Various therapies : such as1) CBT
2) interpersonal and social rhythm therapy
6)family-focused treatment (FFT),
,9)narrative therapy ,
10)mindfulness -based cognitive therapy/Dialectical behaviour therapy (DBT).,
11) Functional training
With this I hope you could find solutions as how to detect Bipolar disorder and the treatments to it .