Rabu, 28 Mei 2008

Famous People With Bipolar Disorder Past and Present

There have been many famous people with bipolar disorder, or thought now to have had it based on their lifeworks and stories. There have been so many, in fact, that it is considered by some to be a mark of genius. That may or may not be true, but it is easy to see why the connection in made after a look at the many famous people with bipolar disorder.

Writers have been, and continue to be, some of the great famous people with bipolar disorder. Mark Twain was one such writer. He, like many such writers, was highly functional in his writing. However, he could be depressed-seeming and pessimistic at times. He also had overblown business ideas which. Like many manics' ideas never were accomplished.

Kurt Vonnegut, who wrote the modern classic Slaughterhouse-Five and many other books, and William Faulkner, who created an entire fictional place called Yoknapatawha County as a setting for his novels, were two other famous people with bipolar disorder

Some of the most well-known names in modern history have been thought to have had this disorder. These famous people with bipolar disorder include names such as: Winston Churchill, Abbie Hoffman, Edgar Allen Poe, Beethoven, Van Gogh, Isaac Newton. The world would not have been the same without these and the many other famous people with bipolar disorder.

Some famous people with bipolar disorder have written about the disorder. Most notably, Patty Duke wrote a lengthy book on the subject of her own illness. There have been other famous people with bipolar disorder who have written books about the subject. Kay Redfield Jamison, a psychologist well-known in her field wrote two books, including a memoir and a treatise on the connection between the illness and creativity. Besides these, there have been many other books written by famous people with bipolar disorder about their experiences.

Some famous people with bipolar disorder have been posthumously diagnosed to have had it. Many are current stars and may have actually received the diagnosis from their doctors. Some of these are actresses Linda Hamilton, Margot Kidder, Carrie Fisher, and Patty Duke. Others are musicians such as Kurt Cobain, Ozzy Osbourne, Axel Rose, and Trent Reznor of Nine Inch Nails.

In the past, famous people with bipolar disorder lived very difficult lives. They may not have even known that they had any kind of disorder at all. Many thought the way of mania and depression was just the way of the world.

Now, famous people with bipolar disorder are under an extraordinary amount of pressure to work through their cycles of mania and depression. The case of Kurt Cobain proved that bipolar disorder untreated is a disaster. On the other hand, many feel that the medications stunt their creativity. Therapy is seen by some as a vent by which the powerful force of their expression is lost.

This is a controversial topic, and many doctors feel that great strides have been made in medications that are not as debilitating to the creative person. Therapy, too, has changed in many quarters. One thing is certain. The prognosis is better these days than it ever has been for famous people with bipolar disorder.

Prozac for Bipolar Disorder, Bulimia, and Anxiety

Prozac is a medication often prescribed for bipolar disorder, bulimia, and anxiety disorders. The medication is highly effective because it acts as a serotonin inhibitor, which means that it helps balance serotonin levels in the brain. Serotonin levels are responsible for mood stability, depressive states, and control of anxiety, fears, or phobias.

Bipolar disorder, or manic depression, is a mental illness that is caused by a combination of biological, neurological, emotional, and situational factors. The true causes of bipolar disorder are not yet fully understood. However, it is understood that imbalances in the neurotransmitters of the brain, such as serotonin, are partially responsible for the predisposition of bipolar disorder in some patients.

Bulimia is an eating disorder in which the patient eats excessively then purges themselves of the food they have eaten through either vomiting or induced bowel movements. Bulimia is caused by a combination of psychological and emotional factors, and in some cases environmental factors. The emotional factors relating to bulimia are very similar if not identical to factors involved with depression and low self worth issues, which are connected to serotonin levels in the brain.

Anxiety disorders are thought to be caused by erratic fluctuations in brain chemistry. Anxiety is defined as the intense somewhat debilitating feeling that something horrible is going to happen. Everyone feels anxiety at some point, but typically the normal person has a logical reason to feel anxious. With anxiety disorders, the reason for the anxiety may not be known, or it may not be logical if it is known.

Prozac is an effective treatment for bipolar disorder, bulimia, and anxiety because it controls and balances the serotonin levels in the brain. In bipolar patients, it is often prescribed in conjunction with other medications. Prozac is an effective treatment for depression, but may cause manic episodes to worsen. For this reason, Prozac is generally prescribed along with an anti-psychotic drug that helps tone down manic episodes. Therapy sessions or counseling is also generally a part of treatment.

In bulimia patients, Prozac is often the only prescription given. However, it is combined with treatment of symptoms via counseling and therapy. The idea behind this counseling is to identify why the patient has developed a sense of self-worth, and to allow the patient to learn that what they perceive is not necessarily reality. This is very helpful in bulimia patients who binge and purge as a result of how they perceive their bodies.

Anxiety patients are often prescribed Prozac with great success. Counseling may also be a part of treatment. In therapy sessions, patients may learn techniques to control their anxiety through rationalization of situations that may not at first appear rational. For example, if a patient feels anxiety over a cigarette burning in an ashtray, they can learn techniques to allow their mind to rationalize the situation and understand that there is no real danger of fire, and therefore no reason for the anxiety. These techniques are very successful in conjunction with Prozac for treating anxiety.

Overall, Prozac is an effective treatment for many mood disorders. Along with Lithium, it is often considered a miracle drug, helping patients gain stability and normal lives while living with an unstable, unrealistic view of themselves or their surroundings.

Concerns of Bipolar Disorder Self Injury

In bipolar disorder, there is sometimes concern about bipolar disorder self injury. This can take many shapes, but is always serious.

One form of bipolar disorder self injury that is coming most recently into the public consciousness is self mutilation, or "cutting". This practice is found in people with other diagnoses, too. Bipolar people are just some of those who self injure.

Cutting, burning or other self harming behaviors are often seen in adolescent girls and others, even in men. Much of this is a part of bipolar disorder self injury.

Although people who self mutilate are often depressed or beyond that, suicidal, these acts are not intended as suicide attempts. They are often desperate acts of those who feel out of control, worthless, or angry. It is no wonder, given the similar symptoms, that this is often a case of bipolar disorder self injury.

Suicide, of course, is the most extreme form of bipolar disorder self injury. Before suicide, there may be suicidal ideations, plans for suicide, and possibly many attempts before suicide is committed, if it ever is. In any case, all threats of bipolar disorder self injury should be taken seriously.

Suicidal thoughts may cloud the thinking of a depressed person to the extent that he or she can think of nothing else. It may seem that the world would be better off without them, or that they can show others that they should have been treated better. At this stage there is concern of bipolar disorder self injury, but the ideas are just at a simmer.

When a person begins to make plans, the danger of bipolar disorder self injury becomes more imminent. A person may make elaborate plans for years. Another person may only think of a plausible way to go about it. The trouble is that either of these people may at any time actually commit suicide. It is never easy to predict the likelihood of bipolar disorder self injury.

Many times a person's suicidal tendencies will not be noted unless an attempt is made. While some attempts seem more serious than others, a wise person will treat all attempts seriously. More serious attempts could be those where a note was found, or the outcome was more certain in comparison to other sorts of attempts. Bipolar disorder self injury is always possible in these situations.

Whatever the method of attempt at bipolar disorder self injury, there is seriousness attached to it. After all, people who have attempted suicide in the past are 40 times more likely to commit suicide than those who never have attempted it before.

If a person begins to make final arrangements, or to set his or her affairs in order for no particular reason, suicide may be on his or her mind. It could be as simple as giving away possessions, or as complex as making financial arrangements. If this is suddenly seen in a bipolar individual, it should be determined whether or not that person is in danger of bipolar disorder self injury.

Many thoughts, plans, or attempts actually do end in suicide. 11 percent of deaths in the US are as a result of suicide. More women than men attempt suicide, but 80 percent of the deaths by suicide are by males. More and more adolescents are committing suicide every year. Bipolar disorder self injury, then, is a distinct and growing problem.

It is difficult enough dealing with the affective, social, legal, and physical consequences of the disease. Self harm and suicide make attention to bipolar disorder self injury most necessary.

Kamis, 15 Mei 2008

Exploring the Various Bipolar Disorders

Bipolar disorders are not all alike. There are even specialized categories for the bipolar disorders which doctors use to distinguish one kind from another. This makes it easier for them to discuss the particular types of problems a patient might be having. A fairly benign and often overlooked member of the family of bipolar disorders is hypomania. It is overlooked for good reason. It is seldom a problem for the person who has it. It may even increase his chances for success by making him more outgoing, quick thinking, and optimistic. Treatment is rarely sought and seldom needed.

The most common disorder to be thought of as one of the bipolar disorders is bipolar I. This encompasses all those who suffer from alternating manic and depressed states. Those with bipolar I go from having the highest opinion of themselves to having little regard for their own well being. They go from periods of fast and outlandish activity to times of desperation and thoughts of death.

Of all the bipolar disorders, bipolar I is perhaps the most difficult to treat. Mood stabilizers such as lithium or anticonvulsants are useful. If depression, or especially mania, turns into psychosis, an antipsychotic medication is called for to bring the patient back to reality.

The difficulty comes in treating simple depression in bipolar I. An antidepressant would seem to be in order but, for the person who may become manic, it may be dangerous. It could start a cycle of rapid changes from depression to mania and back again in relatively short order. In the bipolar disorders this problem is most prevalent in bipolar I.

Dual diagnosis is another of the bipolar disorders. This is the combination of any bipolar disorder with alcohol and/or drug abuse. Most often, the abuse, in this case, of alcohol or drugs comes after the onset of one of the bipolar disorders.

These substances are used by the person with bipolar disorder to alleviate the symptoms of the illness. A stimulant may seem to help a person to overcome depression, and a depressant, such as alcohol may be thought to lessen the over activity of mania, for example. In reality, the abuse of drugs and/or alcohol only makes the episodes more severe in the end. This is not an answer for those with bipolar disorders.

Less obvious, but also considered one of the bipolar disorders, is MDD, or major depression. People with MDD spend most of the time that they are ill being depressed. They may have minor and short manic episodes, but the depression dominates. For these people, life is grim, unsatisfying, and perhaps seems unbearable. Episodes of depression for these people may last for months or sometimes years.

Treatment for these people is usually less complicated. They may respond well to antidepressants, talk therapy, and even to something as simple as exercise. There is less chance of triggering a manic episode, so treatment is less risky in these bipolar disorders.

There are many bipolar disorders. There are also many ways to treat these bipolar disorders. The trick is to match a disorder to the correct treatment and to encourage the patient to follow that treatment to the best of his or her ability. Having words to describe the different bipolar disorders makes it that much easier for the doctors and others to do their parts.

All About Bipolar Disorder Treatment

Bipolar disorder treatment is not new. Men of medicine were treating for it before they even knew what it was. Yet every year new medications and methodologies are added to the bipolar disorder treatment.

Although first recognized in the second century A.D., bipolar disorder has struggled as a diagnosis to become accepted. Bipolar disorder treatment up to and through the 1960's, if any, was usually comprised of either locking the patient away or leaving him or her to fend for him or herself.

In the 1970's manic-depression, as it was then called, began to become seen as an accepted diagnosis and therefore, bipolar disorder treatment began in earnest. At that time, laws were enacted and standards set to help those who sought bipolar disorder treatment.

In bipolar disorder treatment, the first thought may be the use of medications. They are, actually, a powerful tool in the management of the disorder. One only needs look at the vast array of medications that is available to see that medication has been extensively used in bipolar disorder treatment.

Lithium carbonate was the first major breakthrough in the medications for bipolar disorder treatment. It belongs to a class of medications called "mood stabilizers". These medications help to prevent or ease manic episodes. They also help to ward off the extremes of depression, such as suicide.

Bipolar disorder treatment may also include the use of other mood stabilizers that were originally used as anticonvulsants. These have been shown to have a great effect on mood. Some of these, such as valproic acid and carbamazepine, are tried and true. Lamotrigine, gabapentin, and topiramate have also been used for this purpose but not conclusively proven effective.

Caution must be taken in the use of antidepressant therapy as a part of bipolar disorder treatment. Mood stabilizers are usually tried first, because antidepressants can trigger manic episodes or rapid-cycling. If an antidepressant must be used, there are certain ones which are less likely to cause these problems. One of these is bupropion.

The treatment of psychotic symptoms has evolved quickly in modern times. At first, there were powerful anti-psychotics. The first of these were said to put the mind in a "mental strait-jacket". They virtually stopped all thought. They also had an intense side effects known as tardive dyskinesia. This causes permanent neurological damages. Researchers, then were trying to find alternatives that would cause less, or even no, damage in bipolar disorder treatment.

Other anti-psychotics were tried, and found to have fewer neurological effects. The newest of these medications are actually relatively safe when used as prescribed. They are also very helpful in bipolar disorder treatment both in psychotic episodes and even in simple mania. Some of the newer ones are risperidone and olanzapine.

Talk therapy is also used in bipolar disorder treatment. It can be useful to help a person to recognize and deal with symptoms of the disorder. Cognitive behavioral therapy can help a person to identify destructive patterns of thinking and behavior, and help him or her to act in ways that will have a positive influence on his or her disease process.

Other types of talk therapy are used in bipolar disorder treatment to help a person to deal with the devastating consequences of the illness and to explore the history of that person's disease. Talk therapy has been used successfully in bipolar disorder treatment.

All of these components constitute a lifelong process. Medication and talk therapy can contribute to effective bipolar disorder treatment today. No one knows what science will bring to bipolar disorder treatment in the future.

Bipolar Disorder in Children

Bipolar disorder is a being diagnosed in children as young as six years old in recent years. Some doctors think this is a good assessment of many children while others think the diagnosis is overdone. While it may be just an intellectual controversy to some, others who know a child who may have bipolar disorder will not be amused. It is important therefore to take into account all the facets of the disorder.

It is a tricky diagnosis to say the least. Bipolar disorder in children often appears similar to ADHD, or as simply rambunctious childhood behavior. Young children may cycle fast, meaning that they go from a depressed state to a manic state and back, etc. very quickly, often within weeks or even days.

Suicide attempts often happen on the spur of the moment, with little or no warning. This is different than in most adults where the depression is often long-lasting and suicide attempts may be well thought-out. For this reason it is imperative that children with the disorder be treated successfully.

Bipolar disorder in children often presents in mania. In the younger children this is often likely to come with hallucinations, both auditory and visual. It may seem that these would be difficult to distinguish from a healthy imagination. Sometimes, in fact, it is. Many times, though, the visions and voices are more disturbing and threatening than a healthy child would imagine.

Teens with bipolar disorder are, for the most part, similar in their symptoms to adults. A major complicating factor with teens is the use of drugs and alcohol. As with adults, this practice of trying to use street drugs and alcohol to control mood swings, is called "self-medicating." It is a dangerous business and often masks the symptoms of the disorder. Bipolar disorder in children should always be considered when drugs are being used by them, if only to rule it out.

Bipolar disorder in children who are older, such as teenagers, is still different from the adult disorder in that the person with the disorder is still a minor. This leads to situations where the older child has an adversarial relationship with authorities and is therefore hard to convince that treatment is a good thing.

There are some ways to cut down on the confusion. Speaking with the child's teachers gives an outside opinion of how the child is doing day-to-day. Also, this shows how the child fares in a different setting from the home environment. Bipolar disorder in children, if it is masquerading as some other form of disorder or behavior, is more likely to be found out if more people are alert to its symptoms.

Getting a second opinion is also very important, since so many doctors disagree on bipolar disorder in children. Once the second opinion is obtained, the family can make a more informed decision as to what the problem is and how to proceed. Doctors may not all agree on bipolar disorder in children, but a second opinion should help to clarify the situation. The parent or guardian can listen carefully and determine if the doctor's explanation sounds accurate. Then, ultimately, it is the parents' job to make the call. Misdiagnosis and wrong treatment would be unthinkable, but if bipolar disorder in children is the correct diagnosis, it is surely better to accept it.

Selasa, 13 Mei 2008

Treatments for Bipolar Disorder

Bipolar disorder, or manic depression, is a mental illness which causes mood swings and mood cycling. Mood cycling refers to the transition between mania and depression. Mania, or manic episodes, typically consist of feelings of elation and invincibility, and cause disorientation, lack of sleep, and obsessive behaviors. Depression typically consists of feelings of overwhelming sadness and low self worth.

There are many treatments available for bipolar disorder, ranging from medications to therapy. There are too many medications to be discussed here in depth. There are also many forms therapy can take, and techniques that can be learned to assist the patient in gaining some control over their bipolar disorder.

Typically, bipolar disorder is treated with more than one medication. This is due to the dual nature of bipolar disorder. Most patients need at least two medications: one to control depression and one to control mania. The combination of these two types of medication works to obtain balance in moods and stop mood cycling. Often, a third medication, called a mood stabilizer, is also prescribed. The most common mood stabilizer is Topomax.

Popular medications for treatment of mania in bipolar patients include lithium, valproate (Depakote), carbamazepine (Tegretol), olanzapine (Zyprexa), and ziprasidone (Geodon). Lithium has long been considered the miracle drug of bipolar disorder. It is a sodium based medication that helps to balance the chemical imbalance in the brain that causes manic episodes in bipolar patients.

Valproate, or Depakote, was originally developed as a seizure medication. However, its effects on bipolar patients who have rapid cycling bipolar (moods that cycle every few hours or days rather than weeks or months), it has been quite effective. Carbamazepine, or Tegretol, is another anti-seizure medication. While it appears to have similar effects on bipolar disorder as Depakote, it has not yet been approved by the Food and Drug Administration for use as a bipolar disorder treatment.

Olanzapine, or Zyprexa, and Ziprasidone, or Geodon, are both anti-psychotic drugs, and are particularly effective for treatment of bipolar disorder in which mania becomes so severe that psychotic symptoms are present.

Medications for treatment of depression are called anti-depressants. Common anti-depressants include citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). All of these medications have been proven to be successful treatments for depression, although Celexa and Prozac are the most commonly prescribed.

Typically, treatment of bipolar disorder includes a combination of medications and therapy, or counseling. However, in some cases, medication may not be necessary for milder cases of bipolar disorder. In other cases, medication may not be desired by the patient, and the patient may wish to seek out other alternatives to medication for treatment of their bipolar disorder.

For these patients, Cognitive Behavioral Therapy (CBT) can be quite effective. CBT is a method of bipolar disorder treatment that involves teaching the patient techniques to recognize triggers and symptoms of their mood cycling, and use that information and recognition to prevent the triggers from occurring, or the mood cycling from being quite as severe. Most of these techniques require the patient to develop cognitive thinking skills as well as critical thinking and problem solving capabilities. If the bipolar disorder is severe to the point that the patient is unable to engage in these thinking abilities and skills, CBT may not be a viable form of treatment in and of itself.

Overall, there are many treatments available for bipolar disorder. There are many options for the patient that can be discussed with the patient's doctors. If a patient is not satisfied with the form their treatment is taking, they should discuss it with their doctor, and not be afraid to change doctors in order to change treatment methods. All in all, effective and successful treatment of bipolar disorder rests in the hands of the patient.