Emoods bipolar mood tracker
Author: s | 2025-04-24
Download eMoods Bipolar Mood Tracker latest version for Android free. eMoods Bipolar Mood Tracker latest update: Janu eMoods eMoods Bipolar Mood Tracker. Cost: Pro version for $2 a month or $10 a year As a way to supplement therapy visits, eMoods Bipolar Mood Tracker was made to log
eMoods Bipolar Mood Tracker APK -Emoods eMoods Bipolar Mood Tracker
Feedback loop, each condition exacerbating the other and making treatment more challenging. The Impact of Alcohol on Bipolar Disorder: A Double-Edged Sword One of the most pressing questions for individuals with bipolar disorder and their loved ones is whether alcohol makes bipolar disorder worse. The short answer is yes, alcohol can significantly exacerbate bipolar symptoms and interfere with treatment efficacy. Alcohol consumption can disrupt the delicate balance of neurotransmitters in the brain, potentially triggering or intensifying mood episodes. For individuals with bipolar disorder, this can mean more frequent, severe, or prolonged manic or depressive episodes. Moreover, alcohol can interfere with sleep patterns and circadian rhythms, which are crucial for mood stability in bipolar disorder. In some cases, excessive alcohol use can even lead to what’s known as alcohol-induced bipolar disorder. This condition mimics the symptoms of bipolar disorder but is directly caused by alcohol consumption. The symptoms may include mood swings, impulsivity, and changes in energy levels that resemble those of bipolar disorder. However, these symptoms typically resolve once alcohol use is discontinued, unlike true bipolar disorder which persists independently of substance use. The relationship between alcohol and bipolar mania is particularly concerning. Alcohol can trigger manic episodes in individuals with bipolar disorder, leading to increased risk-taking behavior, impulsivity, and poor decision-making. During manic episodes, individuals may be more likely to engage in excessive drinking, creating a dangerous cycle of escalating symptoms and substance abuse. Alcohol and Bipolar Disorder: The Risks and Consequences The dangers of drinking with bipolar disorder extend far beyond the immediate effects on mood and behavior. Alcohol use can significantly complicate the course of bipolar disorder, leading to more frequent hospitalizations, increased suicide risk, and poorer overall outcomes. One of the most significant risks is the effect of alcohol on bipolar medication. Many medications used to treat bipolar disorder, including mood stabilizers and antidepressants, can interact dangerously with alcohol. Alcohol and mood stabilizers, for instance, can lead to increased sedation, impaired cognitive function, and reduced effectiveness of the medication. In some cases, these interactions can be life-threatening. Moreover, alcohol use can make it difficult for healthcare
eMoods Bipolar Mood Tracker - Apps on
Bipolar disorder is a condition in which a person experiences dramatic shifts in mood and energy, but at severities that are different from the mood changes the average person goes through. But a common misconception about bipolar disorder is that a person with the diagnosis only experiences two distinct moods: either really high highs (mania), or really low lows (depression). For starters, people with bipolar disorder are not always experiencing symptoms, known as bipolar “episodes.” Plus, these episodes aren't always as simple as high or low.Many episodes that people with a bipolar diagnosis experience are considered “mixed” episodes, sometimes also described as “switching” episodes, or manic/hypomanic or depressive episodes with mixed features. A mixed episode signals that the person is experiencing both aspects of mania or hypomania as well as symptoms of bipolar depression.Before we get into mixed episodes, let’s go over what constitutes a standard episode of mood elevation (mania or hypomania) versus a depressive episode.“Bipolar historically was known as manic depression, and some people will still call it that. So it makes sense to me that many people only associate it with two sort of categories of mood, those being mania and depression,” Wendy Marsh, M.D., director of the Bipolar Disorders Specialty Clinic and an associate professor in the department of psychiatry at the University of Massachusetts Medical School, tells SELF.Symptoms associated with an episode of bipolar depression include lower energy and/or activity levels, difficulty concentrating, loss of interest in things, and changes in appetite and sleep, among others. “And to classify as having an episode of depression, you need to be experiencing a gateway symptom of either a sad mood or loss of interest in life pervasively, in addition to at least five of the other symptoms for two weeks,” Dr. Marsh says.To classify an episode as a mood elevation—meaning mania or hypomania—you must exhibit a prolonged, unusual, high-energy mood, while also showing at least three additional symptoms of mood elevation, including (but not limited to) feeling a sense of euphoria, having increased energy and/or self-esteem, racing thoughts, reduced sleep, and others. (If someone experiences hallucinations or psychosis or is hospitalized as a result of manic symptoms, this would also be considered mania.)A mixed bipolar episode is when a person experiences depressive symptoms and those of a mood elevation at the same time.Dr. Marsh points out that “bipolar” is somewhat of a misnomer, “because while there areeMoods - Bipolar Mood Tracker PsychosisNet.com
Cypress Stretching or muscle relaxation Journaling Visualize colors and shapes A hot bath, followed by sleeping in a colder room.KN: Congratulations. You’ve made it through the ideal day in the life for someone with bipolar. Actually, these steps will make anyone’s mood better. Last year, researchers from New Zealand showed for the first time that Social Rhythm Therapy works for non-bipolar depression. And when I look at the schedule for a luxury resort spa like Canyon Ranch, they are doing the same things we recommended. Here’s what you get at a resort like that: Wake up with the sunrise Morning stroll by the ocean Bike riding in on a forest trail Aromatherapy An evening of relaxing music by the fireside, with no blue lights around A hot spa bath before bed And thrown in are some healthy Mediterranean meals ─ the kind of diet that improves depression.So yes, you can go to Canyon Ranch or Dunton Hot Springs for over $1,000 a day, or just create a mood stabilizing lifestyle in your own home for pennies on the dollar.This episode was adapted from the 2020 book: The Depression and Bipolar Workbook, by Chris Aiken, MD.The Carlat Report brings unbiased educational materials for mental health professionals. This is the first of our Patient Guides, which are special episodes you can share with your patients to help them get more out of their therapy. If you liked it, share it with someone, and tune in on July 6 when Greg Sazima will teach a crisis management technique: The Mindful Breather.Got feedback? Take the podcast survey.. Download eMoods Bipolar Mood Tracker latest version for Android free. eMoods Bipolar Mood Tracker latest update: Janu eMoods eMoods Bipolar Mood Tracker. Cost: Pro version for $2 a month or $10 a year As a way to supplement therapy visits, eMoods Bipolar Mood Tracker was made to logeMoods Bipolar Mood Tracker - Download
Dynamics of patient mental health status. The diagnosis of BPD is most easily established by asking patients whether they believe the criteria for the disorder fits them and by listening to patients describe interpersonal interactions. Patients with BPD may be more likely to accept the assessment process by participating in the diagnosis. As discussed, patients and their families often find it helpful to be informed of the diagnosis and are relieved to learn that others share similar symptoms for which there are effective treatments [43].Click to Review21 . Bipolar II disorder can be differentiated from BPD by all of the following, EXCEPT:A) Excessive inappropriate angerB) Capacity for relationship stabilityC) Appropriate appraisal of self and othersD) Autonomous and persistent mood labilityASSESSMENT AND DIAGNOSISDistinguishing BPD from bipolar disorder, and especially bipolar disorder II, can present a diagnostic dilemma due to the shared, overlapping symptoms. Both disorders have in common a substantial risk of suicide or suicide attempt, impulsivity, and inappropriate anger. However, symptoms that differentiate BPD include self-mutilation, self-injurious behavior without suicidal intent, and a frequent history of childhood abuse. Insecure attachments, reflected by intense abandonment fears, are hallmarks of BPD and uncommon in bipolar disorder. Patients with BPD have higher levels of impulsivity, hostility, and acute suicidal threats relative to those with bipolar disorder. Careful history taking usually elicits a differing time course of mood lability. Patients with BPD are extremely sensitive to rejection and do not have episodes of mania. Mood lability is often triggered by interpersonal sensitivity; mood lability in bipolar disorder tends to be autonomous and persistent [43,129,173].The most frequent diagnostic error is confusing the chronic emotional instability and affect storms of patients with BPD with true hypomanic or manic behavior. This differentiation is easier with bipolar I, while the assumption of hypomanic behavior can form the basis for a bipolar II diagnosis. The diagnosis of bipolar disorder requires at least one episode of a manic (bipolar I) or hypomanic (bipolar II) episode. Accurate assessment of such an episode is essential and is done by patiently ascertaining whether the patient has one or several periods of three to four days (or longer) of dominant and unusually euphoric, angry, or irritated mood, with a sense of heightened energy, affective dyscontrol, little need to sleep, hyperactivity, and unusual behavior that contrasts with the patient norm. The behavior can involve inappropriate sexual exposure or behavior, gross recklessness with money or othereMoods Bipolar Mood Tracker - AlternativeTo
Providers to accurately diagnose and treat bipolar disorder. The symptoms of alcohol abuse and withdrawal can closely mimic those of bipolar disorder, potentially leading to misdiagnosis. In some cases, alcoholism may be misdiagnosed as bipolar disorder, or vice versa, complicating treatment efforts and delaying appropriate care. It’s important to note that can alcohol cause bipolar disorder is a question that often arises. While alcohol abuse doesn’t directly cause bipolar disorder, it can trigger the onset of symptoms in individuals with a genetic predisposition to the condition. Additionally, chronic alcohol use can lead to changes in brain chemistry that may increase vulnerability to mood disorders. Managing Alcohol Use with Bipolar Disorder: Strategies for Success For individuals grappling with both bipolar disorder and alcohol concerns, developing effective management strategies is crucial. The first step is often acknowledging the problem and seeking professional help. A comprehensive treatment approach that addresses both the bipolar disorder and the alcohol use is typically most effective. Some strategies that can be helpful include: 1. Abstinence or moderation: For many individuals with bipolar disorder, complete abstinence from alcohol may be the safest option. However, for those who choose to drink, strict moderation and close monitoring of mood symptoms are essential. 2. Medication adherence: Consistently taking prescribed medications as directed is crucial for managing bipolar symptoms and reducing the temptation to self-medicate with alcohol. 3. Therapy: Cognitive-behavioral therapy (CBT) and other forms of psychotherapy can help individuals develop coping skills, manage triggers, and address underlying issues contributing to both bipolar disorder and alcohol use. 4. Lifestyle changes: Establishing a regular sleep schedule, engaging in regular exercise, and practicing stress-reduction techniques can help stabilize mood and reduce the desire to drink. 5. Support groups: Participating in support groups such as Alcoholics Anonymous or groups specifically for individuals with dual diagnosis can provide valuable peer support and accountability. Support and Resources for Dual Diagnosis Treatment Fortunately, there are numerous resources available for individuals dealing with both bipolar disorder and alcohol use issues. Understanding bipolar dual diagnosis is the first step towards effective treatment. Many mental health facilities now offer specialized programseMoods Bipolar Mood Tracker - Kids Helpline
The other way around). “Bipolar is not an alternating disorder of mood, it’s a dysregulation of mood,” Dr. Galynker says. “The mood can be all over the place.”Speaking generally, “This is a person who is really ramped up, their thoughts are racing, they’re talking a mile a minute, they don’t need as much sleep—mood elevations symptoms,” Dr. Marsh explains. “But at the same time, they feel sad and blue, they’re beating themselves up in their head, their self-worth is down.” Dr. Marsh also says a person experiencing a mixed episode commonly has thoughts of escaping the misery or even death. “While they may not have suicidal ideation, they may ask themselves questions like, What would happen if I died? What would happen to my children?” she describes. This can be particularly dangerous for a person in a depressive episode with manic symptoms—they’re feeling helpless and miserable and they have the energy to act on that.Initially, you might think it sounds pretty impossible to experience depression and mania at the same time. “It’s very hard to conceptualize,” Dr. Marsh says. “But when you hear people express their own experience with it, it becomes a lot more clear.”For an individual in a mixed episode, it can be one of the most distressing mood states to be in.Gracie, 30, who was diagnosed with bipolar II in July 2018, tells SELF that her episodes are usually mixed. “One minute you’re full of energy, cleaning the house, feeling great about life, having some great ideas, getting your excitement back. Then the next, [you’re] about to cry and over-emotional for no reason, so lost in life you don’t know where you’re going [or] how you’re feeling, just that you’re not feeling good at all, feeling like you’ve not slept in weeks, irritated beyond belief by anything and everything,” she describes. “You want your significant other there to hug you and hold you and tell you it’s going to be ok but at the same time the idea of someone touching you makes your skin crawl.”Joey, 41, who was diagnosed with bipolar II in 2006, also experiences episodes with mixed features. “Even when [I’m] hypomanic I’m still suffering, as the manic energy just drives the depression,” he tells SELF. “And I’m even more aware that my depression prevents me from doing most of the things my manic side screams at me to do.”He describes periods of moreeMoods Bipolar Mood Tracker - Finding North
Like a volatile cocktail, the combination of bipolar disorder and alcohol consumption creates a dangerous mixture that can amplify symptoms, complicate treatment, and lead to dire consequences for those affected. This complex relationship between bipolar disorder and alcohol use has long been a subject of concern for mental health professionals and researchers alike. Understanding the intricate interplay between these two conditions is crucial for effective treatment and support of individuals grappling with this dual challenge. Bipolar disorder, characterized by extreme mood swings ranging from manic highs to depressive lows, affects millions of people worldwide. This mental health condition can be challenging to manage on its own, but when combined with alcohol use, the difficulties can multiply exponentially. Alcohol, a central nervous system depressant, has a profound impact on mental health, often exacerbating existing conditions and potentially triggering new ones. Bipolar Disorder and Alcohol Abuse: A Common Combination The prevalence of alcohol abuse among individuals with bipolar disorder is alarmingly high. Studies have shown that people with bipolar disorder are more likely to develop substance use disorders, with alcohol being one of the most commonly abused substances. This co-occurrence is not merely coincidental but reflects a complex interplay of genetic, environmental, and psychological factors. Research indicates that up to 60% of individuals with bipolar disorder will develop a substance use disorder at some point in their lives, with alcohol abuse being particularly common. This high rate of comorbidity suggests a strong link between the two conditions, raising questions about the nature of their relationship and the underlying mechanisms at play. The connection between alcohol abuse and bipolar symptoms is multifaceted. For some individuals, alcohol may be used as a form of self-medication, an attempt to alleviate the intense emotional states associated with bipolar disorder. During manic episodes, alcohol might be consumed to “slow down” racing thoughts or reduce inhibitions. Conversely, during depressive episodes, it may be used to numb emotional pain or temporarily lift mood. However, this self-medication approach often backfires, leading to a vicious cycle of worsening symptoms and increased alcohol dependence. Bipolar disorder and substance abuse can create a. Download eMoods Bipolar Mood Tracker latest version for Android free. eMoods Bipolar Mood Tracker latest update: Janu
eMoods Bipolar Mood Tracker for iPhone - Download
Standard hypomania as a “little moment of clarity and relief, [like] when you are looking through binoculars and finally get them perfectly focused.”For Emma, 20, mixed states are the most common. “I get extremely agitated. I'm very short with people. Even the smallest things can set off my anxiety. I'm quick to snap when I'm in a mixed state, because my mind and body are so confused. How can you be manic and depressed at the same time? [It feels like] your brain isn't equipped to handle that,” she tells SELF. (In April 2017, she was diagnosed with bipolar II.)“So one minute I could feel totally fine. A few hours later, a text message could burst my entire day into flames and I can't see any of the good that happens,” Emma continues. “And then if I ask for help, it's like my mind doesn't want it, and I flip out on whoever I was asking.”Treatment and management of bipolar disorder can vary greatly depending on the individual and their type of bipolar, as well as their episode patterns.Whether or not you have bipolar I or II—and even if you’re not completely sure if your mood episodes present with mixed features—taking mood-stabilizing medications is the standard of care for bipolar disorder as a whole, Dr. Marsh says. “But there are a lot of exceptions and caveats—for instance, these drugs come with side effects,” she adds. “So there is a lot of discussion with the patient when prescribing treatment.”Dr. Galynker also points out that it can take several months to find the right combination of medication, and the most effective medications for a person can change over time, too. “The illness is cyclical, and the same medication that may work at one point, let’s say in the more depressive phase of their cycle, may not work in the more manic phase of their cycle or in a period with mixed features,” he explains. “That’s why it’s very important to learn the very subtle behavioral changes a person exhibits at the early stages of their cycle.”Therapy is also often helpful for this reason. “One of the ways that therapy has been found to be beneficial for people with bipolar disorder is that psychoeducation aspect—teaching people what their first symptoms of a mood elevation are, for instance, so they can catch them as quickly as possible when they present and implement the necessaryeMoods Bipolar Mood Tracker Alternatives Journaling Apps like eMoods
Two poles, they’re not necessarily experienced separately,” she says. “This can be a very hard concept to grasp for someone observing a patient who is having symptoms associated with both poles at the same time, and for the patients themselves.”With bipolar disorder in general, it’s actually quite common for a person to experience episodes that are mixed, Igor Galynker, M.D., associate chairman for research in the department of psychiatry at Mount Sinai Beth Israel, tells SELF. (Research suggests an estimated 20 to 40 percent of people with bipolar have mixed episodes.)The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) included specific diagnostic criteria for mixed episodes, Dr. Marsh says. But the DSM-5, the latest version of the manual, replaced the “mixed episode” diagnosis with a “mixed-features specifier” that clinicians now apply to episodes of depression, hypomania, or mania. The issue that some researchers took with the DSM-4 mixed episode diagnosis was that it required a person to meet the complete diagnostic criteria for a depressive episode, as well as the full criteria for a manic episode, for a week or longer. “Simply put, you had to be experiencing ongoing full mania and full depression simultaneously,” Dr. Marsh says. But in reality, a person may present mixed features but not necessarily check every single diagnostic box for both.According to the latest edition of the DSM, a bipolar episode may be clinically classified as having mixed features if a person is experiencing one mood episode along with at least three symptoms of the opposite mood episode for the majority of the time. So, for instance, you may have a week-long manic episode with at least three symptoms of a depressive episode for five of those days. You can find a list of diagnostic symptoms for mania/hypomania and depression here. And it’s worth noting that episodes with mixed features can present in both bipolar I and II.So what does a mixed episode look like exactly?This will typically depend on which mood episode is the predominant one—for instance, are you having a manic/hypomanic episode with symptoms of depression, or having a depressive episode with symptoms of mania? In some cases, a person presenting mixed features may be in a full mania and a full depression at the same time; in other cases, a person may be experiencing all of the symptoms of mania/hypomania and only a few depressive symptoms (or. Download eMoods Bipolar Mood Tracker latest version for Android free. eMoods Bipolar Mood Tracker latest update: JanueMoods Bipolar Mood Tracker 4 - App Store
ForgiveMeGod Guest Nov 11, 2024 As someone who has dealt with mental illness for pretty much my entire adult life. Does anyone know of anything on thought disorders and how to improve the health of someone with a thought disorder, such as bipolar disorder? Nov 11, 2024 Yes. Bipolar Disorder is classified as a Mood Disorder. This will affect your thoughts. If you haven't already seen a psychiatrist or mental health professional, it may be a good start so you can receive the correct diagnosis and treatment. Treatment may include medication to help your mood as well as counseling. Often people who struggle with neurodivergence, also self-medicate and end up with addictions.(I don't like the negativity associated with the word mental illness, since many "mental illnesses" are often caused by brain abnormalities. I prefer the word neurodivergence as Autism is now called.) Most certainly prayer will help as you seek Jesus in your thoughts. Jesus said, "come to me, all who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. For my yoke is easy and my burden is light".Matthew 11:28-30. I wish you the best and pray your mental health improves through God's grace and love. Nothing I have written herewith should be considered medical advice. Rather, spiritual help. Please seek professional help if you feel it is necessary.In Christ's Love,Docgero ForgiveMeGod Guest Nov 11, 2024 Yes. Bipolar Disorder is classified as a Mood Disorder. This will affect your thoughts. If you haven't already seen a psychiatrist or mental health professional, it may be a good start so you can receive the correct diagnosis and treatment. Treatment may include medication to help your mood as well as counseling. Often people who struggle with neurodivergence, also self-medicate and end up with addictions.(I don't like the negativity associated with the word mental illness, since many "mental illnesses" are often caused by brain abnormalities. I prefer the word neurodivergence as Autism is now called.) Most certainly prayer will help as you seek Jesus in your thoughts. Jesus said, "come to me, all who are weary and burdened, and I will give you rest. Take my yoke upon you and learn from me, for I am gentle and humble in heart, and you will find rest for your souls. For my yoke is easy and my burden is light".Matthew 11:28-30. I wish you the best and pray your mental health improves through God's grace and love. Nothing I have written herewith should be considered medical advice. Rather, spiritual help. Please seek professional help if you feel it is necessary.In Christ's Love,DocgeroThank you, I’ve been seeing a nurse practitioner for a few months and psychiatrist before that for about 14 years. Just got rediagnosed to bipolar a few months ago and so ever since that happened, my nurse practitioner has been weaning me off of my previous antipsychoticComments
Feedback loop, each condition exacerbating the other and making treatment more challenging. The Impact of Alcohol on Bipolar Disorder: A Double-Edged Sword One of the most pressing questions for individuals with bipolar disorder and their loved ones is whether alcohol makes bipolar disorder worse. The short answer is yes, alcohol can significantly exacerbate bipolar symptoms and interfere with treatment efficacy. Alcohol consumption can disrupt the delicate balance of neurotransmitters in the brain, potentially triggering or intensifying mood episodes. For individuals with bipolar disorder, this can mean more frequent, severe, or prolonged manic or depressive episodes. Moreover, alcohol can interfere with sleep patterns and circadian rhythms, which are crucial for mood stability in bipolar disorder. In some cases, excessive alcohol use can even lead to what’s known as alcohol-induced bipolar disorder. This condition mimics the symptoms of bipolar disorder but is directly caused by alcohol consumption. The symptoms may include mood swings, impulsivity, and changes in energy levels that resemble those of bipolar disorder. However, these symptoms typically resolve once alcohol use is discontinued, unlike true bipolar disorder which persists independently of substance use. The relationship between alcohol and bipolar mania is particularly concerning. Alcohol can trigger manic episodes in individuals with bipolar disorder, leading to increased risk-taking behavior, impulsivity, and poor decision-making. During manic episodes, individuals may be more likely to engage in excessive drinking, creating a dangerous cycle of escalating symptoms and substance abuse. Alcohol and Bipolar Disorder: The Risks and Consequences The dangers of drinking with bipolar disorder extend far beyond the immediate effects on mood and behavior. Alcohol use can significantly complicate the course of bipolar disorder, leading to more frequent hospitalizations, increased suicide risk, and poorer overall outcomes. One of the most significant risks is the effect of alcohol on bipolar medication. Many medications used to treat bipolar disorder, including mood stabilizers and antidepressants, can interact dangerously with alcohol. Alcohol and mood stabilizers, for instance, can lead to increased sedation, impaired cognitive function, and reduced effectiveness of the medication. In some cases, these interactions can be life-threatening. Moreover, alcohol use can make it difficult for healthcare
2025-04-13Bipolar disorder is a condition in which a person experiences dramatic shifts in mood and energy, but at severities that are different from the mood changes the average person goes through. But a common misconception about bipolar disorder is that a person with the diagnosis only experiences two distinct moods: either really high highs (mania), or really low lows (depression). For starters, people with bipolar disorder are not always experiencing symptoms, known as bipolar “episodes.” Plus, these episodes aren't always as simple as high or low.Many episodes that people with a bipolar diagnosis experience are considered “mixed” episodes, sometimes also described as “switching” episodes, or manic/hypomanic or depressive episodes with mixed features. A mixed episode signals that the person is experiencing both aspects of mania or hypomania as well as symptoms of bipolar depression.Before we get into mixed episodes, let’s go over what constitutes a standard episode of mood elevation (mania or hypomania) versus a depressive episode.“Bipolar historically was known as manic depression, and some people will still call it that. So it makes sense to me that many people only associate it with two sort of categories of mood, those being mania and depression,” Wendy Marsh, M.D., director of the Bipolar Disorders Specialty Clinic and an associate professor in the department of psychiatry at the University of Massachusetts Medical School, tells SELF.Symptoms associated with an episode of bipolar depression include lower energy and/or activity levels, difficulty concentrating, loss of interest in things, and changes in appetite and sleep, among others. “And to classify as having an episode of depression, you need to be experiencing a gateway symptom of either a sad mood or loss of interest in life pervasively, in addition to at least five of the other symptoms for two weeks,” Dr. Marsh says.To classify an episode as a mood elevation—meaning mania or hypomania—you must exhibit a prolonged, unusual, high-energy mood, while also showing at least three additional symptoms of mood elevation, including (but not limited to) feeling a sense of euphoria, having increased energy and/or self-esteem, racing thoughts, reduced sleep, and others. (If someone experiences hallucinations or psychosis or is hospitalized as a result of manic symptoms, this would also be considered mania.)A mixed bipolar episode is when a person experiences depressive symptoms and those of a mood elevation at the same time.Dr. Marsh points out that “bipolar” is somewhat of a misnomer, “because while there are
2025-04-14Dynamics of patient mental health status. The diagnosis of BPD is most easily established by asking patients whether they believe the criteria for the disorder fits them and by listening to patients describe interpersonal interactions. Patients with BPD may be more likely to accept the assessment process by participating in the diagnosis. As discussed, patients and their families often find it helpful to be informed of the diagnosis and are relieved to learn that others share similar symptoms for which there are effective treatments [43].Click to Review21 . Bipolar II disorder can be differentiated from BPD by all of the following, EXCEPT:A) Excessive inappropriate angerB) Capacity for relationship stabilityC) Appropriate appraisal of self and othersD) Autonomous and persistent mood labilityASSESSMENT AND DIAGNOSISDistinguishing BPD from bipolar disorder, and especially bipolar disorder II, can present a diagnostic dilemma due to the shared, overlapping symptoms. Both disorders have in common a substantial risk of suicide or suicide attempt, impulsivity, and inappropriate anger. However, symptoms that differentiate BPD include self-mutilation, self-injurious behavior without suicidal intent, and a frequent history of childhood abuse. Insecure attachments, reflected by intense abandonment fears, are hallmarks of BPD and uncommon in bipolar disorder. Patients with BPD have higher levels of impulsivity, hostility, and acute suicidal threats relative to those with bipolar disorder. Careful history taking usually elicits a differing time course of mood lability. Patients with BPD are extremely sensitive to rejection and do not have episodes of mania. Mood lability is often triggered by interpersonal sensitivity; mood lability in bipolar disorder tends to be autonomous and persistent [43,129,173].The most frequent diagnostic error is confusing the chronic emotional instability and affect storms of patients with BPD with true hypomanic or manic behavior. This differentiation is easier with bipolar I, while the assumption of hypomanic behavior can form the basis for a bipolar II diagnosis. The diagnosis of bipolar disorder requires at least one episode of a manic (bipolar I) or hypomanic (bipolar II) episode. Accurate assessment of such an episode is essential and is done by patiently ascertaining whether the patient has one or several periods of three to four days (or longer) of dominant and unusually euphoric, angry, or irritated mood, with a sense of heightened energy, affective dyscontrol, little need to sleep, hyperactivity, and unusual behavior that contrasts with the patient norm. The behavior can involve inappropriate sexual exposure or behavior, gross recklessness with money or other
2025-04-10