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Manic-depressive illness, known more recently as bipolar disorder, is a brain disorder that causes unusual shifts in mood, energy, physical activity levels, and the ability to carry out day-to-day functions. Bipolar literally means two opposite poles. The meaning of the word as applied to bipolar disorder is due to the opposite symptoms which may occur: severe depression and mania (or hypomania).
Bipolar disorder has been estimated to afflict more than 5 million Americans (about 1 out of every 45 adults), although it has only been diagnosed in 2.3 million. Because of the social stigma related to mental illness, many people do not seek medical treatment. Bipolar disorder is equally prevalent in men and women, and is found across all cultures and ethnic groups. The symptoms are not the same in every case, and there is no blood test to confirm the disorder. Some scientists believe that bipolar disorder may be caused by a chemical imbalance in the brain. Bipolar disorder can appear as clinical depression, and diagnosing bipolar disorder can be difficult, even for mental health professionals. What distinguishes bipolar disorder from clinical (or unipolar) depression is that the affected person swings between manic and depressive states. Often bipolar disorder is inconsistent among patients because some people feel depressed more often and experience little mania, whereas others may predominantly experience manic symptoms and rarely experience depression.
The onset of bipolar disorder often occurs in a person’s late teens or early twenties. Approximately half of all cases start before the age of 25. People can have their first symptoms during childhood, while others may develop symptoms late in life, but it rarely begins after the age of fifty.
The symptoms of bipolar disorder can be distressingly severe. They are different from the normal ups and downs that people go through from time to time. Bipolar disorder symptoms can result in stressed and damaged relationships, poor job or school performance, or even suicide. However, bipolar disorder can be successfully treated, and people with this illness can lead full and productive lives.
Bipolar disorder causes people to experience abnormally intense emotional states which occur in distinct periods known as .mood episodes.. An overexcited or overly joyful state is called a manic episode, and a hopeless or an extremely sad state is called a depressive episode, but there are other moods that are associated with bipolar disorder. Explosions of anger or extreme irritability, or unusual changes in sleep patterns, energy and activity levels, and behavior can also be displayed by people with bipolar disorder. It is possible for someone with bipolar disorder to have a long-lasting period of unstable moods rather than definitive episodes of depression or mania.
The thing which distinguishes bipolar behavior is the length of time of the mood episodes. If a person shows symptoms of bipolar disorder for most of the day, every day for a week, that person can be diagnosed with bipolar disorder according to the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association. Sometimes the symptoms are so severe that the person cannot function normally at work, school, or home.
The manic phase of bipolar disorder usually includes some of these symptoms: euphoria, extreme optimism, inflated self-esteem, poor judgment, rapid speech, racing thoughts, aggressive behavior, agitation, increased physical activity, decreased need for sleep, tendency to be easily distracted, inability to concentrate, increased drive to perform or achieve goals, and risky behaviors such as spending sprees, sexual promiscuity, and drug abuse.
The depressive phase of bipolar disorder usually includes some of these symptoms: sadness, hopelessness, suicidal thoughts or behavior, anxiety, guilt, sleep problems, a loss of or increase in appetite, fatigue, loss of interest in daily activities, difficulty concentrating, irritability, and chronic pain with no medical cause.