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What is the Other Term for Bipolar Disorder?

by gongshang26

Bipolar disorder is a complex and often misunderstood mental health condition. It has another commonly used term that you might have heard of: manic-depressive illness. Let’s explore what this means and why it’s used interchangeably with bipolar disorder.

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What is Bipolar Disorder?

Bipolar disorder is a brain disorder that causes unusual shifts in a person’s mood, energy, activity levels, and the ability to carry out day-to-day tasks. These mood swings can be extreme, ranging from periods of extremely elevated, energetic, and euphoric moods known as manic episodes to deeply depressed states.

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During a manic episode, an individual might feel on top of the world. They could have an inflated sense of self-esteem, believing they can achieve anything. For example, someone might suddenly think they have the talent to write a bestselling novel in a week or come up with a revolutionary business plan overnight. They often have a decreased need for sleep, yet still feel full of energy. Their speech may become rapid, jumping from one topic to another in a way that’s hard for others to follow. They might engage in risky behaviors too, like spending large amounts of money on impulse purchases, driving recklessly, or having promiscuous sexual encounters. It’s as if their inhibitions are completely gone, and they’re driven by an internal force that makes them act in ways that are out of character when they’re in a more stable state.

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On the other hand, depressive episodes are just as debilitating. People with bipolar disorder in a depressive state may experience overwhelming sadness, hopelessness, and a lack of interest in things they used to enjoy. They might have trouble getting out of bed in the morning, struggle to concentrate on even simple tasks like reading a short paragraph, and have changes in their appetite, either eating too much or too little. Thoughts of self-harm or suicide can also be prevalent during these dark times.

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Why is Manic-Depressive Illness Another Term?

The term “manic-depressive illness” has been around for a long time. It was one of the early ways to describe this condition because it so accurately captures the two main poles of the mood swings that sufferers experience. “Manic” refers to the elevated, hyperactive, and sometimes out-of-control high phases, while “depressive” points to the lows of sadness, lethargy, and despair. This name was used to help doctors, patients, and the general public understand that it’s a disorder characterized by these alternating and extreme mood states.

For decades, medical literature and professionals used “manic-depressive illness” to diagnose and discuss the condition. It was a way to group together the symptoms related to both the highs and lows. As our understanding of mental health has evolved, the term “bipolar disorder” has become more prominent, but the essence of what it describes remains the same. In fact, in many conversations, especially among older generations or in some more traditional medical settings, you’ll still hear “manic-depressive illness” being used.

The Diagnostic Criteria and How the Terms Tie In

To be diagnosed with bipolar disorder, or manic-depressive illness, certain criteria must be met. Clinicians use the Diagnostic and Statistical Manual of Mental Disorders (DSM) as a guide. For a manic episode, the person must have an abnormally elevated, expansive, or irritable mood that lasts for at least a week (unless hospitalization is required, in which case it can be a shorter period). During this time, they must also have at least three other symptoms such as increased energy, grandiosity, decreased need for sleep, racing thoughts, distractibility, and excessive involvement in pleasurable but risky activities

For a depressive episode, the criteria include a depressed mood or loss of interest or pleasure in most activities for at least two weeks, along with symptoms like changes in appetite, sleep disturbances, feelings of worthlessness or guilt, low energy, difficulty concentrating, and recurrent thoughts of death. When a person has a history of both types of episodes, they are likely to be diagnosed with bipolar disorder, regardless of whether the clinician uses the term “bipolar” or “manic-depressive illness.”

Treatment Approaches and the Significance of the Terms

Treatment for bipolar disorder/manic-depressive illness typically involves a combination of medications and psychotherapy. Mood stabilizers are often the cornerstone of pharmacological treatment. Lithium, for example, has been used for decades to help level out the extreme mood swings. It helps prevent both manic and depressive episodes from occurring as frequently or as severely. Anticonvulsant medications like valproate and carbamazepine are also used as mood stabilizers. During depressive episodes, antidepressants might be carefully added to the treatment regimen, but this has to be done with caution as they can sometimes trigger a manic episode in some patients.

Psychotherapy is equally important. Cognitive-behavioral therapy (CBT) can help patients recognize and manage the thoughts and behaviors that come with their mood swings. For instance, in CBT, a person might learn to identify the early signs of a manic or depressive episode, like noticing when their sleep patterns start to change or when they begin to have overly optimistic or pessimistic thoughts. This awareness can then allow them to take steps to prevent a full-blown episode, such as reaching out to their doctor or using relaxation techniques.

The terms we use matter in treatment too. When a patient is first diagnosed, understanding whether they are told they have bipolar disorder or manic-depressive illness can impact how they perceive their condition. Some might find “bipolar disorder” to be a more modern, perhaps less stigmatized-sounding term, while others who grew up hearing about “manic-depressive illness” might relate better to that. But regardless of the name, it’s crucial that patients understand the nature of their illness and the importance of adhering to treatment.

The Impact on Daily Life and Relationships

Living with bipolar disorder/manic-depressive illness can be extremely challenging. During manic episodes, relationships can become strained. Family members and friends might be bewildered by the sudden changes in behavior. A person who is usually responsible with money might suddenly max out credit cards, leaving their loved ones to deal with the financial fallout. At work, manic behavior can lead to poor job performance. They might start multiple projects but not finish any, or be so distracted that they make careless mistakes.

During depressive episodes, social isolation often occurs. The person may withdraw from friends and family, cancel plans, and not answer phone calls. Loved ones might not understand why the once sociable individual has become so reclusive. In relationships, the constant mood swings can create a sense of instability. Partners may feel like they’re walking on eggshells, never knowing which mood their significant other will be in next.

Coping Mechanisms and Support Systems

For those with bipolar disorder/manic-depressive illness, having a strong support system is vital. Family and friends can learn about the condition to better understand what the person is going through. They can offer practical help during difficult times, like making sure the person takes their medications, accompanies them to doctor’s appointments, or just provides a listening ear when they’re feeling down.

Self-care is also crucial. Maintaining a regular sleep schedule, eating a balanced diet, and engaging in regular exercise can all help stabilize mood. For example, going for a daily walk can release endorphins that boost mood and reduce stress. Hobbies can also be a great distraction and source of fulfillment. Painting, writing, or playing a musical instrument can give a person an outlet for their emotions during both manic and depressive phases.

Conclusion

In conclusion, bipolar disorder and manic-depressive illness are two terms for the same complex mental health condition. Understanding its symptoms, diagnosis, treatment, and impact on life is essential for patients, their loved ones, and society as a whole. By using either term, we are referring to a disorder that requires compassion, understanding, and comprehensive care to help those affected lead fulfilling lives despite the challenges it presents. Whether we call it bipolar disorder or manic-depressive illness, the goal remains the same: to support individuals in managing their mood swings and regaining control of their lives. We need to continue to break down the stigmas associated with this condition, so that people feel comfortable seeking help and treatment, and so that they can thrive in spite of their diagnosis. As research progresses, we may gain even more insights into how to better treat and live with this condition, but for now, awareness and support are key.

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School Anxiety: Causes, Symptoms & Treatment

Separation Anxiety in Adults: Symptoms, Treatment & More

Everything You Need to Know About Situational Anxiety

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