WHAT IS BIPOLAR DISORDER (Manic depression)?
Bipolar disorder……. this name have we heard before? Maybe or may not be… But this seems to be dangerous. Let us know about this disease…
Before going to see about this, we have to know about depression and mania. This indicates that this disease is linked with mood. Let’s know the major difference between depression and mania.
Depression, we have already known that it is the low mood disorder that means it is based on the mood and behavioral changes.
Mania, it is extremely elevated and exertable mood. That means fluctuations in the mood. It is of two types such as
Unipolar: Unipolar is most common and this is single
Bipolar: Effective mood disturbances. It is also called as maniac depression and it is occurred by hereditary. Now, let’s go in detail about this disease.
ICD 10 CODES of BIPOLAR DISORDER?
Bipolar disorder current episode hypomanic – F31.0
Bipolar disorder current episode manic without psychotic features
Bipolar disorder current episode manic without psychotic features, unspecified – F31.10
Bipolar disorder current episode manic without psychotic features, Mild – F31.11
Bipolar disorder current episode manic without psychotic features, Moderate – F31.12
Bipolar disorder current episode manic without psychotic features, Severe – F31.13
Bipolar disorder current episode manic severe with Psychotic features – F31.2
Bipolar disorder current episode depressed mild or moderate severity, unspecified – F31. 30
Bipolar disorder current episode depressed, mild – F31.31
Bipolar disorder current episode depressed, moderate – F31.32
Bipolar disorder current episode depressed, severe without psychotic features – F31.4
Bipolar disorder current episode depressed, severe with psychotic features – F31.5
Bipolar disorder current episode mixed, unspecified – F31.60
Bipolar disorder current episode mixed, Mild – F31.61
Bipolar disorder current episode mixed, Moderate – F31.62
Bipolar disorder current episode mixed, severe without psychotic features – F31.63
Bipolar disorder current episode mixed, severe with psychotic features – F31.64
Bipolar disorder currently in remission most recent episode, unspecified – F31.70
Bipolar disorder currently in partial remission most recent episode, hypomanic – F31.71
Bipolar disorder currently in full remission most recent episode, hypomatic – F31.72
Bipolar disorder currently in partial remission most recent episode, manic – F31.73
Bipolar disorder currently in full remission most recent episode, manic – F31.74
Bipolar disorder currently in partial remission most recent episode, depressed – F31.75
Bipolar disorder currently in full remission most recent episode, depressed – F31.76
Bipolar disorder currently in partial remission most recent episode, mixed – F31.77
Bipolar disorder currently in full remission most recent episode, mixed – F31.78
Bipolar II disorder – F31.81
Other Bipolar disorder – F31.89
Bipolar disorder, unspecified (manic depression) – F31.9
WHAT IS BIPOLAR DISORDER?
Bipolar disorder or manic depression is a syndrome in which patients suffer from episodes of mania and depression. Mania is an unusually elevated mood. This bipolar disorder is a brain disorder that causes unusual shifts in mood, energy, activity levels and the ability to carry out day to day works.
EPIDEMIOLOGY OF BIPOLAR DISORDER?
Bipolar disorders affect 3.7% – 3.9% of the U.S population. In patients presenting with depression, 21%- 49% of patients have bipolar disorder. Although patients may present with bipolar disorder at any age, most patients have an average age of onset of 21 years, with peak onset occurring between the ages of 15 and 24 years. Suicide occurs in 10%-15% of patients with bipolar disorder.
TYPES OF BIPOLAR DISORDER:
Basically there are four types of this disease.
But all types involve changes in energy, mood, and activity of that person. These moods range from the person who is suffering from this disease, usually sometimes very hyperactive where as sometimes very sad.
1) BIPOLAR-1 DISORDER: The period of this stage is at least 7 days. This stage is so severe that the person needs immediate treatment. The symptoms are mixed with depressive behavior as well as high energetic behavior.
2) BIPOLAR-2 DISORDER: It is defined by a pattern of hypomanic episodes (less severe mania). It is not harmful/ danger as above type.
3) CYCLOTHYMIC DISORDER: It is mixed with depressive as well as hypomanic episodes. The maximum symptoms last for at least 2 years.
4) SPECIFIED/ UNSPECIFIED BIPOLAR: This is unique from above mentioned types, it is different that it may or may not be bipolar disorder.
SYMPTOMS OF BIPOLAR DISORDER:
Sudden feelings and emotions
Fluctuations in mood
DIAGNOSIS OF BIPOLAR DISORDER:
DIAGNOSIS OF BIPOLAR DISORDER:
TREATMENT OF BIPOLAR DISORDER:
Atypical anti psychotics
Electro convulsive therapy (shock treatment)
Treatment duration/ phases:
The treatment of bipolar disorder is structured similarly to that of depression with acute, continuation and maintenance phases. Maintenance treatment is strongly recommended for all patients with bipolar disorder, especially those with a family history.
Patients’ with no or partial response to monotherapy may receive combination therapy with two agents. Agents that can be combined include lithium, valproic acid, and the typical antipsychotics olanzapine, quetiapine, risperidone and ziprasidone. Atypical antipsychotics, if used, should be combined with either valproic acid or lithium and not combined with another atypical antipsychotic.
For depressive episodes, lamotrigine may be combined with another mood stabilizer as first-line therapy and the olanzapine-fluoxetine combination product is a second-line option.
Treatment option in pregnancy:
Multiple agents are used in the treatment of bipolar disorder have been associated with birth defects.
- Lithium, valproic acid, and carbamazepine are pregnancy category D medications
- Lithium has been associated with birth defects, primarily in the first trimester.
- Valproic acid and carbamazepine should be used during pregnancy only if the benefits outweigh the risks. If the decision is made to use these medications during pregnancy, folic acid should be given to minimize the risk of defects.
- lamotrigine and oxcarbazepine are pregnancy category C medications.
IS THIS BIPOLAR DISORDER CAUSE DEATH?
As this disease is related to mood, Almost cause suicidal thoughts and so many people were died due to this disorder. So in order to prevent this, the person who experiences the above symptoms, immediately consult psychiatrist or your family doctor.
In order to overcome this disorder, when you experience low mood or any suicidal thoughts, please try to divert yourself from such thoughts. Because
“Life is the God’s gift which is given only once, we don’t have rights to end it by suicide”…….
Stella Mercy rani, M. keerthi kumari