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    Rapid Cycling Bipolar Disorder

    The term rapid cycling can be very confusing. I recently asked my co-author Dr. John Preston for a clear explanation:

    Rapid cycling is at least four discrete episodes during a 12 month period (these can be mania, hypomania, or depression). The term ultra-rapid cycling is not precisely defined but many refer to this as having possibly monthly cycles (e.g. 12 per year)….untradian cycling is where there are not really discrete manic or depressive episodes, but the person is extremely emotionally labile, with chaotic and intense mood changes that occur every day or several times during a day. One way to describe it is that they experience intense emotional instability….some mood shifts are in response to stressful events (e.g. an argument with a friend), but some are unprovoked (seem to come out of the blue and not associated with a specific trigger)

    **  Thanks John.

    Do [ Read More ]

    Get comfortable with uncomfortable bipolar disorder thoughts!

    OMG. My brain says the most ridiculous things- things I would NEVER say on my own. It creates relationships that aren’t there- goes over conversations that never happened and then makes me feel like it’s all true. It has taken me years to realize that I can deny these thoughts- yell at these thoughts and beg them to go away- sometimes this works, sometimes is doesn’t.  It’s very hard to live with a constant conversation in your head. 

     I’ve worked on this for 13 years, so I guess it’s a never ending battle! It’s defintely better. The most important thing is that I don’t act out on these thoughts like I used to. This has saved my relationships- especially with the new people that come into my life. Watching my triggers diligently has made the biggest difference. I feel like a monk though. [ Read More ]

    Newsletter: Bipolar Disorder and Paranoid Delusions

    Parnoia is a type of psychosis called a delusion. A delusion is a false belief.

    For example, paranoia can be the belief that you have done something wrong and that a person or an organization is upset with you. This is a scary delusion as it feels so real. 

    Paranoia used to really cause me a lot of trouble. I have worked hard so that I can at least recognize it before it makes me do something stupid.

    I often get the feeling that my friends are ignoring me and that they have met friends they like a lot better than myself.  It’s a terrible feeling. Luckily, I know the signs of paranoia and I don’t act on them, instead I call my friends and ask them to do something. When they say yes, I know that all is fine. My [ Read More ]

    Bipolar Disorder Moodswings

    We have to learn an entirely new language when bipolar disorder comes into our lives. 

    Here is some very basic information:

    There are two types of bipolar disorder: Bipolar one and Bipolar two. The difference between the two is mania.

    Bipolar One: Those diagnosed with bipolar I (one) experience depression along with full blown mania. 

    70% of these full blown  manic episodes involve psychosis ..and hospitalization is common, especially during a first episode. (The age of this episode is usually teens to early 20s.)

    Biopolar Two: Those with bipolar II (two) have depression with a milder form of mania called hypomania.   Hypomania is milder than full blown mania, but can still be very destructive financially, sexually,  in the work place and for all relationships.

    All forms of mania can be destructive in a very short amount of time, especially if a person makes a life changing decision when ill.

    Rapid Cycling: If a person has four [ Read More ]

    Reader Question: What is the difference between schizophrenia and bipolar disorder?

    What is the difference between schizophrenia and bipolar disorder? 

     Schizophrenia is a psychotic disorder- bipolar disorder is a mood disorder. Bipolar disorder and schizophrenia share some symptoms, but in reality are very different. When my ex partner Ivan got extremely sick in 1994 and was committed to the hospital in a manic/psychotic episode, the first step was to rule out schizophrenia as they look so similar when the symptoms are full blown. Schizophrenia is characterized by chronic psychotic symptoms whereas the psychosis in bipolar disorder is episodic.

    Of course the duration of psychosis can vary in both. When a person has bipolar disorder along with chronic, stand alone psychosis, the illness is called schizoaffective disorder. Psychosis comes in two basic forms- hallucinations and delusions. Hallucinations include seeing, feeling, smelling or hearing something that isn’t there. I’ve had a lot of hallucinations over the years to seeing rats run around chairs, hearing voices that tell [ Read More ]

    Reader question on psychosis……

    Julie,

    I have bipolar 1 + schizoeffective disorder. I am taking Resperidone 1 mg twice a day and Lamictal 50mg at night, which has somewhat worked to help stop my delusions about being a secret agent, cops spying on me bugging the house, but i almost to the point where the medicine isn’t going to keep on working at this dosage. I am already slowed down enough during my day because of the medicine. But I am still hearing things and smelling and seeing things that aren’t there. For instance the other night I swore I had seen a cat outside and I took a second look and there was no cat. I heard someone or thing banging on my window, but there was no one there. I am wondering if I should just get a higher dosage of Resperidone or go to something else.

    Thanks,

    Ranen

    Hi Ranen,

    Psychosis can definitely be hard to [ Read More ]

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