Bipolar is a disease state where Brain C-13 the client moves back and forth from depression to mania. Depression is characterized by loss of interest in things that they used to find pleasure in, loss or gain of appetite, typically not wanting to get out of bed for prolonged periods of time, and sometimes suicidal thoughts or actions. Mania is characterized by racing thoughts, pressured speech, decreased need for sleep, spending sprees, road rage, driving fast, promiscuous sex, risk taking behaviors, drug abuse, alcohol abuse. There is also something called dysphoric mania which is angry, irritable or agitated - a state often missed by doctors. Mania is excessive happiness - the client rarely sees it as a problem but they are generally causing distress to those around them. People rarely go to the doctor for manic characteristics, but no one likes being depressed.

There are many new medications for this disease state but the two baseline medications should be Lithium or Depacote. Bipolar is treated with a family of medications that do three things - they prevent seizures (anticonvulsant), reduce psychotic behavior (antipsychotics), and stabilize mood (mood stabilizers). They can be prescribed for any of those conditions but just because one has been prescribed for you does not mean you have all three conditions. Bipolar can have psychotic features such as hallucinations seeing or hearing things that are not there.

Common advice from well meaning but misinformed peopleBipolar or manic depression - should you just be able to cheer up, get over it or buck up? Can't you slow down, why are you acting so hyper, why are you acting so crazy? Calm Down! Can someone with a broken leg just walk on it without support? Yes, but if they do it leaves them crippled and deformed - not to mention that it hurts - a lot!

So many people have an opinion without anything to back it up but their own experience - I hate to be the bearer of bad news but people are different - they do things for their own reasons not yours. They think their own thoughts not yours. It is a simple truth that everyone knows but most of us ignore every day. There is nothing wrong with experience based advice except that just because it worked for one person a certain way does not mean it will work for everyone. As a result people are shamed by their parents, family and friends because they must not be trying hard enough, they must be weak. Who would tell their child to go out and run on a broken leg (bone sticking out through the skin) - No one!

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