We all have mood swings but not all mood swings have the same intensity. People who have extreme mood swings ranging from depression to manic highs are said to be suffering from bipolar disorder. These extreme moods are known as episodes and usually, last for a few days or even a few weeks. A person suffering from bipolar disorder could have an episode several times a year. This is a very common psychological problem and can affect both children and adults. Though it cannot be cured, this disease can be managed with medication.

There are no known causes for bipolar disorder but genetics may play an important role in triggering Bipolar Disorder. Hence, if a parent or sibling suffers from this condition, you have a risk of developing it as well. An imbalance in the neurotransmitters in the brain may also play a part in the development of this condition. Stress or traumatic events like the loss of a loved one can also increase your risk of suffering from this condition. Given that mood swings affect almost each one of us, bipolar disorder can be difficult to diagnose. Some of the things to look out for are:

Change in self-esteem
Unusual talkativeness or quietness
Being increasingly prone to distractions
Decreased need for sleep
Agitation
Recklessness in terms of spending decisions, relationships etc
It must be kept in mind that a person must display at least 4 of the above symptoms simultaneously to be diagnosed as bipolar. Also, none of these symptoms should be a result or side effect of any kind of medication, drugs, alcohol or other intoxicants.

There are four main types of bipolar disorder:

Bipolar I: In such cases, the person has at least one episode of elevated moods and associated abnormal behaviour in his or her life. This may be preceded or followed by depressive episodes.
Bipolar II: In these cases, the person must have suffered from at least one depressive episode. It is very similar to bipolar I except that in bipolar II the highs never reach the manic stage.
Rapid Cycling: Some people can have 4 or more manic and depressive episodes a year. In such cases, they are said to be rapid cycling. This condition affects 10-20% of bipolar cases.
Mixed Bipolar: Usually, bipolar patients show mood swings that alternate between manic and depressive moods. However, sometimes a person may experience both elation and depression simultaneously or in rapid succession of each other. These cases are known as mixed bipolar.
Once diagnosed, bipolar disorder can be managed with a combination of medication and psychotherapy. In some cases, electroconvulsive therapy may also be needed.

All About Bipolar Disorder

What is Bipolar Disorder?

Bipolar disorders are brain disorders that cause changes in a person s mood, energy and ability to function. Bipolar disorder is a category that includes three different conditions - bipolar I, bipolar II and cyclothymic disorder.

People with bipolar disorders have extreme and intense emotional states that occur at distinct times, called mood episodes. These mood episodes are categorized as manic, hypomanic or depressive. People with bipolar disorders generally have periods of normal mood as well. Bipolar disorders can be treated, and people with these illnesses can lead full and productive lives.

Types:

There are three main types of bipolar disorder: bipolar I, bipolar II, and cyclothymia.

-Bipolar I:
Bipolar I is defined by the appearance of at least one manic episode. You may experience hypomanic or major depressive episodes before and after the manic episode. This type of bipolar disorder affects men and women equally.

-Bipolar II:
People with this type of bipolar disorder experience one major depressive episode that lasts at least two weeks. They also have at least one hypomanic episode that lasts about four days. This type of bipolar disorder is thought to be more common in women.

-Cyclothymia:
People with cyclothymia have episodes of hypomania and depression. These symptoms are shorter and less severe than the mania and depression caused by bipolar I or bipolar II disorder. Most people with this condition only experience a month or two at a time where their moods are stable.

Symptoms:
Bipolar symptom in women:

Men and women are diagnosed with bipolar disorder in equal numbers. However, the main symptoms of the disorder may be different between the two genders. In many cases, a woman with bipolar disorder may:

be diagnosed later in life, in her 20s or 30s
have milder episodes of mania
experience more depressive episodes than manic episodes
have four or more episodes of mania and depression in a year, which is called rapid cycling
experience other conditions at the same time, including thyroid disease, obesity, anxiety disorders, and migraines
have a higher lifetime risk of alcohol use disorder
Women with bipolar disorder may also relapse more often. This is believed to be caused by hormonal changes related to menstruation, pregnancy, or menopause. If you re a woman and think you may have bipolar disorder, it s important for you to get the facts. Here s what you need to know about bipolar disorder in women.
Bipolar system in men:
Men and women both experience common symptoms of bipolar disorder. However, men may experience symptoms differently than women. Men with bipolar disorder may:

be diagnosed earlier in life
experience more severe episodes, especially manic episodes
have substance abuse issues
act out during manic episodes
Men with bipolar disorder are less likely than women to seek medical care on their own. They re also more likely to die by suicide.
Bipolar disorder in children:

Diagnosing bipolar disorder in children is controversial. This is largely because children don t always display the same bipolar symptoms as adults. Their moods and behaviors may also not follow the standards doctors use to diagnose the disorder in adults.

Many bipolar symptoms that occur in children also overlap with symptoms from a range of other disorders that can occur in children, such as attention deficit hyperactivity disorder (ADHD).

However, in the last few decades, doctors and mental health professionals have come to recognize the condition in children. A diagnosis can help children get treatment, but reaching a diagnosis may take many weeks or months. Your child may need to seek special care from a professional trained to treat children with mental health issues.

Like adults, children with bipolar disorder experience episodes of elevated mood. They can appear very happy and show signs of excitable behavior. These periods are then followed by depression. While all children experience mood changes, changes caused by bipolar disorder are very pronounced. They re also usually more extreme than a child s typical mood swing.

Manic symptoms in children

Symptoms of a child s manic episode caused by bipolar disorder can include:

-acting very silly and feeling overly happy
-talking fast and rapidly changing subjects
-having trouble focusing or concentrating
-doing risky things or experimenting with risky behaviors
-having a very short temper that leads quickly to outbursts of anger
-having trouble sleeping and not feeling tired after sleep loss
-Depressive symptoms in children

Symptoms of a child s depressive episode caused by bipolar disorder can include:

-moping around or acting very sad
-sleeping too much or too little
-having little energy for normal activities or showing no signs of interest in anything
-complaining about not feeling well, including having frequent headaches or stomachaches
-experiencing feelings of worthlessness or guilt
-eating too little or too much
-thinking about death and possibly suicide
-Other possible diagnoses

Some of the behavior issues you may witness in your child could be the result of another condition. ADHD and other behavior disorders can occur in children with bipolar disorder. Work with your child s doctor to document your child s unusual behaviors, which will help lead to a diagnosis.

Bipolar disorder in teens:

Angst-filled behavior is nothing new to the average parent of a teenager. The shifts in hormones, plus the life changes that come with puberty, can make even the most well-behaved teen seem a little upset or overly emotional from time to time. However, some teenage mood swings may be the result of a more serious condition, such as bipolar disorder.

A bipolar disorder diagnosis is most common during the late teens and early adult years. For teenagers, the more common symptoms of a manic episode include:

-being very happy
- acting out  or misbehaving
-taking part in risky behaviors
-abusing substances
-thinking about sex more than usual
-becoming overly sexual or sexually active
-having trouble sleeping but not showing signs of fatigue or being tired
-having a very short temper
-having trouble staying focused, or being easily distracted
-For teenagers, the more common symptoms of a depressive episode include:
-sleeping a lot or too little
-eating too much or too little
-feeling very sad and showing little excitability
-withdrawing from activities and friends
-thinking about death and suicide
-Diagnosing and treating bipolar disorder can help teens live a healthy life. Learn more about bipolar disorder in teenagers and how to treat it.

Bipolar and depression:

Bipolar disorder can have two extremes: up and down. To be diagnosed with bipolar, you must experience a period of mania or hypomania. People generally feel  up  in this phase of the disorder. When you re experiencing an  up  mood swing, you may feel highly energized and be easily excitable.

Some people with bipolar disorder will also experience a major depressive episode, or a  down  mood. When you re experiencing a  down  mood swing, you may feel lethargic, unmotivated, and sad. However, not all people with bipolar disorder who have this symptom feel  down  enough to be labeled depressed. For instance, for some people, once their mania is treated, a normal mood may feel like depression because they enjoyed the  high  caused by the manic episode.

While bipolar disorder can cause you to feel depressed, it s not the same as the condition called depression. Bipolar disorder can cause highs and lows, but depression causes moods and emotions that are always  down.  Discover the differences between bipolar disorder and depression.

Causes:

Bipolar disorder is a common mental health disorder, but it s a bit of a mystery to doctors and researchers. It s not yet clear what causes some people to develop the condition and not others.

Possible causes of bipolar disorder include:

-Genetics
If your parent or sibling has bipolar disorder, you re more likely than other people to develop the condition (see below). However, it s important to keep in mind that most people who have bipolar disorder in their family history don t develop it.

-Your brain
Your brain structure may impact your risk for the disease. Abnormalities in the structure or functions of your brain may increase your risk.

Diagnosis:

A diagnosis of bipolar disorder I involves either one or more manic episodes, or mixed (manic and depressive) episodes. It may also include a major depressive episode, but it may not. A diagnosis of bipolar II involves one or more major depressive episodes and at least one episode of hypomania.

To be diagnosed with a manic episode, you must experience symptoms that last for at least one week or that cause you to be hospitalized. You must experience symptoms almost all day every day during this time. Major depressive episodes, on the other hand, must last for at least two weeks.

Bipolar disorder can be difficult to diagnose because mood swings can vary. It s even harder to diagnose in children and adolescents. This age group often has greater changes in mood, behavior, and energy levels.

Bipolar disorder often gets worse if it s left untreated. Episodes may happen more often or become more extreme. But if you receive treatment for your bipolar disorder, it s possible for you to lead a healthy and productive life. Therefore, diagnosis is very important. See how bipolar disorder is diagnosed.

Role of Homeopathy in Bipolar Disorder:

The first step in our treatment method involves the use of homeopathy. Homeopathy is a system of medicine which stimulates the body to heal itself. When homeopathic medicines are prescribed properly, they work quickly to alleviate symptoms and improve overall health.

Natural remedies for bipolar disorder:

Some natural remedies may be helpful for bipolar disorder. However, it s important not to use these remedies without first talking with your doctor. These treatments could interfere with medications you re taking.

The following herbs and supplements may help stabilize your mood and relieve symptoms of bipolar disorder:

Fish oil. A 2013 study shows that people who consume a lot of fish and fish oil are less likely to develop bipolar disease. You can eat more fish to get the oil naturally, or you can take an over-the-counter (OTC) supplement.

Rhodiola rosea: This research also shows that this plant may be a helpful treatment for moderate depression. It may help treat depressive symptoms of bipolar disorder.
S-adenosylmethionine (SAMe): SAMe is an amino acid supplement. The research shows it can ease symptoms of major depression and other mood disorders.
Several other minerals and vitamins may also reduce symptoms of bipolar disorder. Here s 10 alternative treatments for bipolar disorder.

Bipolar Disorder - What Should You Know About It?

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

You might be feeling that spending time on any social media network is a simple way to pass time and is a common habit. But a recent study by University of Chicago Booth School of Business says that social networking sites can be more addictive, than alcohol. The desire to consume alcohol can be controlled and turned down, but the desire to check Facebook is simply uncontrollable for most people, and it s a serious addiction.

About the study
The ground breaking study was done on 250 people in and around Germany aged between 18 and 85 years of age. They were sent messages at specific intervals to report their desires and cravings. It is found that most people had the desire to sleep and have sex during the day that they were able to control. But the desire for checking Facebook was much higher.

Reasons for Facebook addiction

One of the major reasons is that availability of Facebook is much easier and higher than alcohol availability.
Also, it is thought that the cost of checking Facebook is much less than consuming some amount of alcohol on a regular basis.
Even if a man wants to resist his desire, but due to easy availability and lesser cost, he is prone to use it again and again.
Alcohol consumption is prohibited in public and during office hours in many countries. But checking Facebook updates have no restrictions. People can check it whenever they feel the desire.
The most shocking part is the urges drove the people to such an extent, that they couldn t even resist themselves even if they wanted to do so.
Effects of Facebook addiction

Drainage of time: No matter how good we feel while checking Facebook updates, can you deny that it s simply a waste of time?
Self esteem reduced: When you see your peers enjoying their life with flying colors, no wonder you will feel depressed. But we are reluctant to believe this fact, that nobody shows his tragic part of life on Facebook. So, whom you think is the happiest person in the world, may be the saddest and is drowned in his own miseries.
Remedy of this so called addiction
The study says that when we are much worn out, we are unable to control our desire and our will power is depleted.

So, if you find yourself posting your status on Facebook at the midnight instead of sleeping, then it is high time you should try to come out of this addiction and give yourself a better life and health.

Facebook Vs Alcohol - Which Is More Addictive?

Every smoker knows smoking is not good, yet the addiction stays. This addiction can lead to a variety of problems that can damage their body in  at times, irreparable ways. The tar in cigarettes is particularly damaging. It can lead to reduction in oxygen consumption and replenishment in the body and makes open or more susceptible to diseases such as emphysema and bronchitis. However the biggest killer is 'nicotine. There are ways to offset nicotine intake.

Adopt these methods to detox your body of nicotine.
 
1) Drink lots of water -  Having a lot of water helps. Lime water, chamomile or green tea help a lot in flushing out the nicotine that has accumulated your body for over the years.

2) Take diet rich in nutrients and fibres - Nicotine addiction and if you quit, smoking withdrawal may lead to unbalanced diet and weight gain. So, ensure that you consume enough fibre for regular bowel movement to clean out your system. Berries, grapes, mangoes and a variety of antioxidants are a must have.

3) Avoid these foods - There are certain foods you should consider avoiding. For instance, alcohol. Also, avoid soda, caffeine and fried foods as well.

4) Exercise - Strengthen the capacity of your lungs through deep breathing and other cardio-strength training exercises.

5) Make 'No Smoke' a Goal - The only long term help in detoxifying your body from nicotine is to remain smoke free. While your determination plays the most important role here, some people can leave it without many hassles, while others witness severe withdrawal symptoms. You can also opt for a nicotine patch or gum to help you with it.

If you have any further questions on issues related to smoking or other general health queries, click on 'consult.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Can't Stop Smoking? Atleast Follow This Advice.

Personality refers to the enduring and habitual patterns of behaviour, cognition, emotion, motivation and ways of relating to others. In simpler terms, it's the persona we have for the world to see and interact with. If these patterns or ways of relating with others become nonadaptive or pathological, a personality disorder develops.

Borderline Personality Disorder (BPD) is such a disorder of personality that causes mood swings, self-esteem issues, impulsive behavior and recurrent self-harm behaviour. It is very difficult to lead a normal life with these varied psychological issues.

The symptoms begin to appear from early childhood but they take a serious form only when one reaches adulthood. Issues with behavior and emotion are difficult to treat, people suffering from this illness should be willing to spend a lot of time and be dedicated towards his/her recovery. Through treatments and therapies, they do make significant improvements over time.

Causes

The exact cause of borderline personality disorder is not known but various reasons have been hypothesised as possible aetiology. Neuro-chemical disturbance in the brain, genetic vulnerability, some kind of childhood trauma like abandonment, death, neglect and/ or sexual abuse are probable causes of the disease. Prolonged and chronic stress/ anxiety may also lead to triggering of BPD symptomatology in vulnerable individuals later in life.

Symptoms

Prolonged dysthymia/ sadness
Feeling lonely/ misfit
Emotional dysregulation or Frequent mood swings
Significant interpersonal issues
Self-Injurious behaviour like making cuts in skin, burning, pricking etc

These symptoms are warning signs of borderline personality disorder and should be paid attention to:

Abandonment issue - People suffering from BPD have serious abandonment issues. They have an intense fear that they would be left alone and often act out to restrict their love ones from leaving. Sometimes their strategy is to not get too close to protect themselves from being left alone, so they appear aloof.
Disturbed self-image - People have self-esteem issues, they sometimes love or hate themselves or see themselves as evil. They have unclear goals, views, beliefs and often end up changing their friends, lovers, jobs, sexual identity frequently.
Dysfunctional relationships - It is very difficult to maintain a normal relationship for people with personality disorder. They tend to have quick short-lived relationships and get put off very easily which leads to a lot of heartbreak.
Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common.

Drugs and alcohol abuse, eating disorders and sexual promiscuity are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional Psychotic states are other possible symptoms of BPD.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life.

All about Borderline Personality Disorder

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