About Bipolar Ii Disorder
Bipolar disorder is also known as manic
depressive disorder. It is a mental illness that presents
itself as mood swings or mood cycling. Many people do not
realize that there are actually two types of bipolar disorder.
Bipolar I disorder is typically defined as raging mood cycling
with episodes of extreme mania and depression, as well as the
occasional mixed episode. Bipolar I patients may also
experience psychotic or hallucinating symptoms.
Bipolar II disorder is typically defined as rapid mood
cycling with episodes of hypomania and depression. Bipolar II
disorder does not occur with psychotic or hallucinating
symptoms. Additionally, hypomania is defined as a milder form
of mania, in which the patient has a period of hightened
happiness or elation. Depression with bipolar II patients is
often more severe than in patients with bipolar I disorder.
Suicide, suicide threats, suicide attempts, and thoughts of
suicide are much more common in bipolar II patients than
bipolar I patients.
A diagnosis of bipolar II disorder is typically made when
the patient has had one or more major depressive episodes, at
least one hypomania episode, no manic episodes, and when no
other reason for symptoms can be found.
Symptoms of depression with bipolar II disorder include
decreased energy, unexplained weight changes, feelings of
despair, increased irritability, and uncontrollable crying.
Symptoms of hypomania include sleeplessness, racing thoughts,
distractibility, excess energy, and rash judgements. These
symptoms are similar to mania, but are less severe.
Treatment of bipolar II disorder typically involves a
combination of medication and therapy or counseling.
Medications typically prescribed for treatment of bipolar II
disorder include anti-depressants such as Celexa, as well as
mood stabilizers such as Topomax. Mood stabilizers are vitally
important in treatment of bipolar disorders, because
antidepressants alone can cause the patient to enter into a
manic or hypomania episode.
Bipolar II disorder is actually often misdiagnosed as
clinical depression. This is due to the fact that depression is
most often present, and hypomania episodes rarely come to light
in therapy sessions due to their upbeat nature. It is typically
through treatment by antidepressants that the correct diagnosis
is made, because the patient will spin into a hypomania episode
almost immediately if the diagnosis should be bipolar II
disorder rather than clinical depression.
Bipolar Disorder
Uncovered
Counseling or therapy treatment options for bipolar II
disorder may include traditional counseling methods, discussion
of triggers and life style changes that can lessen the severity
of episodes, and cognitive behavioral therapy. Patients with a
mild case of bipolar II disorder may benefit from counseling or
therapy alone without medication. However, this is less common
with bipolar II disorder than with bipolar I disorder, due to
the nature of the severity of the depressive states.
It is vitally important for people with symptoms of bipolar
II disorder to seek the help of mental health professionals as
soon as symptoms become evident. Bipolar II disorder patients
account for at least half of the suicides each year. To prevent
suicidal behavior, it is important for bipolar II patients to
be properly diagnosed at an early stage, so that ongoing
treatment of the illness can begin and be continued in order to
avoid suicidal behavior.
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