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Bipolar Disorder

It is essentially a disorder of mood where there are episodes of abnormal change of overall mood accompanied by change in the level of activity. The mood may swing between low mood ( Depression ) and elevated mood ( Mania).

Mania:

A manic episode consists of-

  • Elevated or irritable mood
  • Increased energy level leading to overactivity
  • Increased speech output
  • Decreased need for sleep
  • Loss of normal social inhibitions
  • Increased distractibility
  • Inflated self esteem
  • Making extravagant and impractical plans
  • Grandiosity
  • This should last for at least 1 week and causes socio occupational disruption.

 

Depression:

Feeling low / sad / depressed

  • Loss of interest in previously pleasurable activities or unable to enjoy anything
  • Decreased energy level, decreased motivation
  • Weeping very easily / frequently and increase in the level of sensitivity
  • Frequently getting irritated or having anger outbursts
  • Negative self image and self confidence
  • Feeling guilty
  • Decrease in the ability to concentrate
  • Disturbance 0in sleep – inability to fall asleep/ multiple breaks in sleep/ waking up much earlier than ones wake up time/ feeling unrefreshed even after sleeping through the night/ sleeping much more than usual
  • Disturbance in appetite – not feeling hungry leading to decrease food intake which may lead to significant weight loss / occasionally increase in appetite

If these symptoms are present for most of the time for at least 2 weeks.