Bipolar Affective Disorder Treatment

Bipolar Affective Disorder

Bipolar Affective Disorder, also known as Manic Depression, is a mental condition that affects our mood.

Most of us have daily variations in mood that depend on what is going on around us. For example if you hear some good news you feel happy and consequently if you experience a hardship you feel sadness.

In Bipolar Affective Disorder the two extremes of elation and depression can last for weeks, often for no reason. Symptoms of elation include talking fast, staying awake all night, experiencing racing thoughts, spending large amounts of money in a short period and extreme happiness or agitation. In a manic episode, which can occur as a part of Bipolar Disorder, the symptoms can often last for 1-2 weeks or more.

Similarly, depressive episodes – characterised by feeling sad, having no energy, not enjoying anything, disturbed sleep, reduced appetite, reduced attention and concentration, feelings of guilt, hopelessness and suicidal thoughts – last for two weeks or more.

The treatment of Bipolar Affective Disorder consists of two stages. Initially, it is important to treat the acute manic or depressive phase with a combination of medications and psychotherapy. When stability of mood has been achieved, then the next stage is to prevent a further relapse. This again is through either use of medications or psychotherapy (talking therapy) or both. Management of this condition is primarily led by the Consultant Psychiatrist.

Bipolar affective disorder is a mental illness marked by dramatic shifts in mood, energy, and activity levels. These mood swings are far beyond the typical ups and downs that everyone experiences and can severely disrupt a person’s ability to function. Bipolar disorder is characterized by distinct episodes of mania, hypomania and/or depression.

 

  • Manic or hypomanic episodes: During a manic episode, individuals may feel euphoric, highly energetic, and impulsive. They may take on multiple tasks at once, spend money recklessly, or make poor decisions due to their heightened state. Hypomania is a less severe form of mania but can still interfere with daily life.

     

  • Depressive Episodes: During depressive episodes, individuals may feel overwhelming sadness, fatigue, and hopelessness. They may lose interest in activities they once enjoyed, have trouble concentrating, or struggle with thoughts of worthlessness or even suicide.

     

Bipolar disorder in Dubai is a lifelong condition that requires ongoing management. It affects millions of people globally. Access to specialised bipolar disorder treatment in Dubai is essential for managing the condition effectively.

Bipolar affective disorder has been categorised into 4 types, reflecting the different patterns of mood episodes. Understanding these types helps in identifying the nature of the disorder and identifying appropriate treatment.

 

  1. Bipolar I Disorder: This involves severe manic episodes that may last for at least seven days and are often so intense that immediate hospital care may be required. Depressive episodes can often follow, lasting over two weeks. Bipolar I is characterised by dramatic and disruptive mood swings.

     

  2. Bipolar II Disorder: This type is characterised by a pattern of depressive and hypomanic episodes, but without the full-blown manic episodes seen in Bipolar I. While the manic phases are less severe, the depressive phases can be debilitating.

     

  3. Cyclothymic Disorder (Cyclothymia): Individuals with cyclothymic disorder experience periods of hypomanic symptoms and periods of depressive symptoms lasting for at least two years (one year in children and adolescents). However, the symptoms do not meet the diagnostic criteria for hypomanic or depressive episodes, making this type a milder form of bipolar affective disorder.

     

  4. Unspecified Bipolar and Related Disorders: This category includes individuals who experience bipolar disorder symptoms that do not fit precisely into the other categories. Symptoms might vary in duration, frequency, or intensity, making them harder to classify but still requiring attention and treatment.

     

Recognising these types is important for providing effective bipolar affective disorder treatment, as each stage requires a different approach to manage the condition and reduce the impact on daily life.

Yes, bipolar affective disorder is considered a serious mental illness due to its impact on mood, behaviour, relationships and overall functioning. The disorder can affect every aspect of a person’s life, including their relationships, work, and physical health. Untreated bipolar disorder can lead to severe complications, such as substance misuse, legal or financial problems, and even suicide.

However, with the right treatment and support, individuals with bipolar disorder can lead fulfilling and productive lives. Treatments, including medication, therapy, and lifestyle changes, help manage symptoms and reduce the frequency and severity of mood episodes. Specialised care, such as bipolar affective disorder treatment available in Dubai and the UAE, is essential for effective management and can significantly improve the quality of life for those affected.

The terms “bipolar” and “bipolar affective disorder” are often used interchangeably, but they refer to the same condition. The term “bipolar affective disorder” is a more clinical and technical term used to describe the mood (affective) fluctuations experienced by people with the disorder. In contrast, “bipolar disorder” is a broader, more commonly used term that includes all the different types and variants of the condition, including Bipolar I, Bipolar II, and Cyclothymia.

Both terms highlight the core feature of the disorder: the “2 poles” or the opposing mood states that can exist; manic or hypomanic episodes and depressive episodes. Regardless of the terminology, the condition requires careful diagnosis and individualised Bipolar Affective Disorder treatment in Dubai and the UAE.

Currently, there is no permanent cure for bipolar affective disorder, but it can be managed effectively with the right treatment plan. The focus of bipolar disorder treatment in the UAE and globally is on managing symptoms, reducing the severity and frequency of mood episodes, and helping individuals achieve stability.

 

Key Treatment Approaches Include:

 

  • Medication: Medications such as mood stabilisers, antipsychotics, and antidepressants are often used to manage symptoms. These medications help regulate mood swings and prevent the extremes of mania and depression. Medication should always be prescribed and monitored by a qualified psychiatrist in Dubai, as finding the right combination can take time.

     

  • Psychotherapy: Various forms of therapy, including Cognitive-Behavioural Therapy (CBT), Interpersonal Therapy (IPT), and Family-Focused Therapy, are effective, in combination with other treatments, in treating bipolar affective disorder. These therapies help individuals understand their condition, recognise triggers, and develop coping strategies. Grief therapy and counselling can also support those who experience depressive phases that overlap with personal losses.

     

  • Lifestyle Changes: Incorporating a healthy lifestyle, such as regular exercise, a balanced diet, and adequate sleep, plays a crucial role in managing bipolar disorder. Stress reduction techniques, such as mindfulness and relaxation exercises, also help reduce the risk of triggering manic or depressive episodes.

     

  • Support Systems: Having a strong support system, including family, friends, and support groups, is vital. This is especially important to help identify early warning signs so that a mood episode can be identified and treated early, so as to avoid a full-blown relapse. Sharing experiences with others who understand can provide encouragement and reduce feelings of isolation.

Conclusion

 

Bipolar affective disorder treatment in Dubai is designed to provide comprehensive care that addresses the unique needs of each individual. With ongoing treatment and support, many people with bipolar disorder can achieve stability and lead normal lives.

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