But You Said I Wasnt A Good Friend
Ill be the first to admit that Im often not, and have not been, a good friend. My intentions are generally good. Its the bipolar follow-through that is often lacking.
When you have a friend with bipolar, you must recognize you really have two very different friendships.
One, the friend who wants to include you in every activity and talk to you twenty times a day.
Two, the friend you rarely hear from who will turn and run away if they see you in the grocery store.
I have bipolar friends, so I know this very well, from both sides of the fence. In fact, my best friends are bipolar. We seem to be drawn to each other. Go figure.
That doesnt mean that things are easy, though.
How Do Doctors Treat It
Although there’s no cure for bipolar disorder, treatment can help stabilize moods and help the person manage and control symptoms. Like other teens with long-lasting medical conditions , teens with bipolar disorder need to work closely with their doctors and other medical professionals to treat it.
This team of medical professionals, together with the teen and family, develop what is called a treatment plan. Teens with bipolar disorder will probably receive medication, such as a mood stabilizer, from a psychiatrist or other medical doctor. A psychologist or other type of counselor will provide counseling or psychotherapy for the teen and his or her family. Doctors will watch the symptoms closely and offer additional treatment advice if necessary.
Access To Medicines And Drug Pricing
as defined by the are “those drugs that satisfy the health care needs of the majority of the population they should therefore be available at all times in adequate amounts and in appropriate dosage forms, at a price the community can afford.” Recent studies have found that most of the medicines on the WHO essential medicines list, outside of the field of HIV drugs, are not patented in the developing world, and that lack of widespread arise from issues fundamental to economic development â lack of infrastructure and poverty. also runs a campaign, which includes advocacy for greater resources to be devoted to currently untreatable diseases that primarily occur in the developing world. The tracks how well pharmaceutical companies make their products available in the developing world.
negotiations in the 1990s, including the and the , have centered on issues at the intersection of international trade in pharmaceuticals and , with developed world nations seeking strong intellectual property rights to protect investments made to develop new drugs, and developing world nations seeking to promote their generic pharmaceuticals industries and their ability to make medicine available to their people via .
fought a protracted battle with the government of India over the patenting of its drug, , in India, which ended up in India’s Supreme Court in a case known as . The Supreme Court ruled narrowly against Novartis, but opponents of patenting drugs claimed it as a major victory.
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What Is Bipolar Disorder
People who have bipolar disorder can have periods in which they feel overly happy and energized and other periods of feeling very sad, hopeless, and sluggish. In between those periods, they usually feel normal. You can think of the highs and the lows as two “poles” of mood, which is why it’s called “bipolar” disorder.
The word “manic” describes the times when someone with bipolar disorder feels overly excited and confident. These feelings can also involve irritability and impulsive or reckless decision-making. About half of people during mania can also have delusions or hallucinations .
“Hypomania” describes milder symptoms of mania, in which someone does not have delusions or hallucinations, and their high symptoms do not interfere with their everyday life.
The word “depressive” describes the times when the person feels very sad or depressed. Those symptoms are the same as those described in major depressive disorder or “clinical depression,” a condition in which someone never has manic or hypomanic episodes.
Most people with bipolar disorder spend more time with depressive symptoms than manic or hypomanic symptoms.
What Are The Signs And Symptoms Of Bipolar Disorder
Before you self-diagnose, remember, were not talking about being down in the dumps over a breakup or having a bad day, or being super-happy over a promotion or a new relationship. These are natural highs and lows that everyone experiences. The classic symptoms of bipolar disorder are kind of like being on the steepest roller coaster, where moods dip from the lowest depression to the highest high .
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What Can I Do To Manage My Symptoms
You can learn to manage your symptoms by looking after yourself. Selfcare is how you take care of your diet, sleep, exercise, daily routine, relationships and how you are feeling.
What lifestyle changes can I make?
Making small lifestyle changes can improve your wellbeing and can help your recovery.
Routine helps many people with their mental wellbeing. It will help to give a structure to your day and may give you a sense of purpose. This could be a simple routine such as eating at the same time each day, going to bed at the same time each day and buying food once per week.
Your healthcare professionals should offer you a combined healthy eating, exercise and sleep programme.
You can find more information about wellbeing any physical health at:www.rethink.org/advice-and-information/living-with-mental-illness/wellbeing-physical-health/.
What are support groups?
You could join a support group. A support group is where people come together to share information, experiences and give each other support.
You might be able to find a local group by searching online. The charity Bipolar UK have an online support group. They also have face to face support groups in some areas of the country. Their contact details are in the Useful contacts at the bottom of this page.
What are recovery colleges?
Unfortunately, recovery colleges arent available in all areas. To see if there is a recovery college in your area you can use a search engine such as Google.
Whats A Person With Bipolar Like
When someone is managing their bipolar disorder well, they likely wont appear any different from anyone else. If theyre in a manic episode you might notice they talk fast, switch topics continually, have grandiose plans or ideas, or take risks. When in a depressed episode they may have trouble getting out of bed, show a lack of interest in activities they used to love, not engage in conversation, have difficulty socializing or interacting with others, or have suicidal thoughts.
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Tips For Living With Bipolar Disorder
Bipolar disorder is a lifelong condition that doesnt go away on its own. While it can feel overwhelming and isolating at first, an early, accurate diagnosis is the first step toward getting better. Proper treatment, along with support and self-care, helps people with bipolar disorder live healthy, fulfilling lives.
Outcomes In Relation With Selected Kinds Of Treatment
Large-scale international reviews of scientific studies have concluded that psychotherapy is effective for numerous conditions.
One line of research consistently finds that supposedly different forms of psychotherapy show similar effectiveness. According to The Handbook of Counseling Psychology: “Meta-analyses of psychotherapy studies have consistently demonstrated that there are no substantial differences in outcomes among treatments”. The handbook states that there is “little evidence to suggest that any one psychological therapy consistently outperforms any other for any specific psychological disorders. This is sometimes called the after a scene/section in Alice in Wonderland where every competitor in a race was called a winner and is given prizes”.
Further analyses seek to identify the factors that the psychotherapies have in common that seem to account for this, known as for example the quality of the therapeutic relationship, interpretation of problem, and the confrontation of painful emotions.
Outcome studies have been critiqued for being too removed from real-world practice in that they use carefully selected therapists who have been extensively trained and monitored, and patients who may be non-representative of typical patients by virtue of strict inclusionary/exclusionary criteria. Such concerns impact the of research results and the ability to generalize from them to practicing therapists.
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Mental Health Conditions Similar But Distinct From Bipolar Disorder
Equally confusing is the use of street drugs and/or alcohol, which can lead to altered mood states. Intoxication with central nervous system stimulant drugs can easily mimic a manic state. Similarly, intoxication with central nervous system depressant drugs can mimic a depressive state. When it is not clear if a mood condition is due to a drug or to a disease process, doctors will tend to hold off making definitive bipolar diagnoses until enough time has passed so as to allow any drug effect that might be affecting mood to metabolize and clear out of the affected person’s system.
There is perhaps a weak bi-directional causal relationship between substance abuse disorders and bipolar disorder. People who have bipolar affective disorder have an increased risk for developing substance abuse problems, and people who use substances may help to release whatever inborn potential or vulnerability they may have for developing bipolar disorder . Whatever the true relationship is between bipolar conditions and substance abuse, it is not in question that the combination of the two conditions leaves people worse off than either alone.
Information For Family Carers And Friends
How can I get support?
You can speak to your GP. You should be given your own assessment through NHS mental health services to work out what effect your caring role is having on your health. And what support you need. Such as practical support and emergency support.
These are some other options for you:
- Join a carers service
- Join a carers support group
- Ask your local authority for a carers assessment
- Read about the condition
- Apply for welfare benefits for carers
Rethink Mental Illness run carers support groups in some areas. You can also search for groups on the Carers Trust website:
- Rethink Mental Illness: www.rethink.org/about-us/our-support-groups
- Carers Trust: www.carers.org/search/network-partners
How can I support the person I care for?
You might find it easier to support someone with bipolar disorder if you understand their symptoms, treatment and self-management skills.
You should be aware of what you can do if you are worried about their mental state. It can be helpful to know contact information for their mental health team or GP.
You could find out from your relative if they have a crisis plan. You could help your relative to make a crisis plan if they dont have one.
As a carer you should be involved in decisions about care planning. But you dont have a legal right to this. The medical team should encourage the person that you care for to allow information to be shared with you.
You can find out more information about:
What Are The Different Types Of Bipolar Disorder
There are different types of bipolar disorder.
What is bipolar disorder I disorder?
A diagnosis of bipolar I disorder means you will have had at least 1 episode of mania that lasts longer than 1 week. You may also have periods of depression. Manic episodes will generally last 3-6 months if left untreated. Depressive episodes will generally last 6-12 months without treatment.
What is bipolar II disorder?
A diagnosis of bipolar II disorder means it is common to have symptoms of depression. You will have had at least 1 period of major depression. And at least 1 period of hypomania instead of mania.
What is bipolar I or II disorder with mixed features?
You will experience symptoms of mania or hypomania and depression at the same time. You may hear this being called mixed bipolar state. You may feel very sad and hopeless at the same time as feeling restlessness and being overactive.
What is bipolar I or II disorder with rapid cycling?
Rapid cycling means you have had 4 or more depressive, manic or hypomanic episodes in a 12-month period.
What is bipolar I or II with seasonal pattern?
Seasonal pattern means that either your depression, mania or hypomania is regularly affected in the same way by the seasons. For example, you may find that each winter you have a depressive episode, but your mania doesnt regularly follow a pattern.
There can be some similarities between bipolar I or II with seasonal pattern and another conditional called seasonal affective disorder.
Lowry Went Through So Much Trauma
Lowry admitted during an Baby Mamas No Drama that she endured so much trauma as a young adult.
The topic came up when Lowrys co-host her friend, Toni revealed she takes medication for anxiety and bipolar II. Toni was telling Lowry that she can relate to the feeling of being in a good mood one minute, and then changing into a bad mood the next.
I havent struggled with that in a long time, Lowry revealed. That was something I more or less struggled with as a kid because Id gone through so much trauma and when I was a young adult.
Did I see you when I went through The Doctors and they had me reassessed and re-evaluated and I ended up not being bipolar? she asked.
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Access To Unapproved Drugs
Governments worldwide have created provisions for granting access to drugs prior to approval for patients who have exhausted all alternative treatment options and do not match clinical trial entry criteria. Often grouped under the labels of compassionate use, , or named patient supply, these programs are governed by rules which vary by country defining access criteria, data collection, promotion, and control of drug distribution.
Within the United States, pre-approval demand is generally met through applications , or single-patient INDs. These mechanisms, which fall under the label of expanded access programs, provide access to drugs for groups of patients or individuals residing in the US. Outside the US, Named Patient Programs provide controlled, pre-approval access to drugs in response to requests by physicians on behalf of specific, or “named”, patients before those medicines are licensed in the patient’s home country. Through these programs, patients are able to access drugs in late-stage clinical trials or approved in other countries for a genuine, unmet medical need, before those drugs have been licensed in the patient’s home country.
The was established in November 2001 by Frank Burroughs in memory of his daughter, Abigail. The Alliance seeks broader availability of investigational drugs on behalf of terminally ill patients.
In 2013, was at the center of a high-profile debate regarding expanded access of cancer patients to experimental drugs.
Myth : Mood Swings Always Mean Bipolar Disorder
Moodiness can also occur with medical illnesses such as hormone disorders, autoimmune diseases and neurological problems.
What sets bipolar disorder apart? The illness represents a change from the usual self, explains Dr. Anand. Also, depression lasts for several weeks at a time, and mania lasts for several days at a time. We look for a season of summer not one hot day.
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Can You Have A Good Life With Bipolar Disorder
Absolutely. People with well-managed bipolar disorders have jobs, families, and are productive members of our society. Bipolar disorder, while a chronic condition, doesnt define you. Just like people who manage their diabetes or heart condition, you can learn to manage and control bipolar disorders with medications, therapies, and good lifestyle habits that sets you up for a successful life.
What Does It Feel Like To Have Bipolar Disorder
There are times when you feel terrific and productive when you are manic, like you can do anything. But you can also feel out of control with racing thoughts and unable to concentrate long enough to accomplish something. When in a depressed episode, you can feel sad, uninterested in anything, and really low like something terrible must have happened but nothing did.
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Developmental Disorders Including Autism
Developmental disorder is an umbrella term covering intellectual disability and pervasive developmental disorders including autism. Developmental disorders usually have a childhood onset but tend to persist into adulthood, causing impairment or delay in functions related to the central nervous system maturation. They generally follow a steady course rather than the periods of remissions and relapses that characterize many mental disorders.
Intellectual disability is characterized by impairment of skills across multiple developmental areas such as cognitive functioning and adaptive behaviour. Lower intelligence diminishes the ability to adapt to the daily demands of life.
Symptoms of pervasive developmental disorders, such as autism, include impaired social behaviour, communication and language, and a narrow range of interests and activities that are both unique to the individual and are carried out repetitively. Developmental disorders often originate in infancy or early childhood. People with these disorders occasionally display some degree of intellectual disability.
The community at large has a role to play in respecting the rights and needs of people with disabilities.
Patterns Of Depression And Mania
If you have bipolar disorder, you may have episodes of depression more regularly than episodes of mania, or vice versa.
Between episodes of depression and mania, you may sometimes have periods where you have a “normal” mood.
The patterns are not always the same and some people may experience:
- rapid cycling where a person with bipolar disorder repeatedly swings from a high to a low phase quickly without having a “normal” period in between
- mixed state where a person with bipolar disorder experiences symptoms of depression and mania together for example, overactivity with a depressed mood
If your mood swings last a long time but are not severe enough to be classed as bipolar disorder, you may be diagnosed with a mild form of bipolar disorder called cyclothymia.
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