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Bipolar disorder (Kessler, Berglund, Demler , Jin, Merikangas and Walters, 2005) usually develops in the late teens or in the stage of a person's early adult years, whereby at least half of the entire cases start prior to age 25. In addition, this illness is common, in fact, approximately three percent (3%) or 10 million adults (affecting both men and women) in the US population have bipolar disorder (The National Alliance on Mental Illness, 2008). Categories of Bipolar Disorder The National Institute for Health (2009) characterized Bipolar Disorder into four basic types : First is the Bipolar I Disorder, which is mainly defined by episodes of manic or mixed episodes and last at least seven days; in severe cases, the person needs immediate hospital care; Second, the Bipolar II Disorder which is defined by episodes of pattern of depressive shifting back and forth jointly with hypomanic episodes, however, no full-blown Bipolar disorder 3 manic or of mixed episodes; Third is the Bipolar Disorder which is “Not Otherwise Specified” (BP-NOS), diagnosed if a person's illness has symptoms that do not match with diagnostic criteria (whetherr bipolar I or II); Fourth is the Cyclothymic Disorder, or Cyclothymia, manifested by a mild form of bipolar disorder.
In this type of condition, patients exhibit cyclothymia (episodes of hypomania) that shift back and forth together with mild depression around two years. Signs and Symptoms of Illness There is no absolute cause of bipolar disorder, however, most scientists believe that this illness is likely caused by multiple factors, which interact with each other in order to produce a chemical imbalance and affecting some parts of the brain. Most experts also say, Bipolar disorder usually runs in families; and studies suggest that there must be a genetic component to the disorder.
Moreover, the first episode is usually trigger by a stressful event, such as difficult relationship or financial problems,unexpected loss, chronic illness, or any major change in life. Therefore, an individual’s coping strategies of handling stress may play essential role in the development of symptoms (The National Institute for Health, 2009). In some instances, drug abuse can trigger the disorder. Living in a stressful life situations also may lead to sleep loss or changes in one’s schedule can also contribute to the onset as well as, recurrence of depression and mania (The National Alliance on Mental Illness, 2008).
According to New York State Office of Mental Health (2008), the periods of highs and lows are known as episodes of mania and depression. The Signs and symptoms of manic episode include: Restlessness, increased energy, excessively “high,” overly good, euphoric mood, little sleep needed, extreme irritability, racing thoughts and talking very fast, Bipolar disorder 4 inability to concentrate, distractibility, poor judgment, unrealistic beliefs in one’s abilities, increased sexual drive, spending sprees, intrusive, provocative or aggressive behavior, lasting period of behavior usually different from usual, denial that anything is wrong and abuse of drugs, particularly alcohol, cocaine, and sleeping medications.
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