Symptoms of Bipolar Disorder
Types of Bipolar Disorder
Treatments
Bipolar Disorder in Children
Helping a friend
Support Groups
Bipolar disorder (also known as manic depression) is a treatable illness marked by extreme changes in mood, thought, energy and behavior. It is not a character flaw or a sign of personal weakness. Bipolar disorder is also known as manic depression because a person’s mood can alternate between the "poles" mania (highs) and depression (lows). This change in mood or "mood swing" can last for hours, days weeks or months.
Bipolar disorder affects more than two million adult Americans. It usually begins in late adolescence (often appearing as depression during teen years) although it can start in early childhood or later in life. An equal number of men and women develop this illness (men tend to begin with a manic episode, women with a depressive episode) and it is found among all ages, races, ethnic groups and social classes. The illness tends to run in families and appears to have a genetic link. Like depression and other serious illnesses, bipolar disorder can also negatively affect spouses and partners, family members, friends and coworkers.
Symptoms of Bipolar Disorder
Bipolar disorder differs significantly from clinical depression, although the symptoms for the depressive phase of the illness are similar. Most people who have bipolar disorder talk about experiencing "highs" and "lows" – the highs are periods of mania, the lows periods of depression. These swings can be severe, ranging from extreme energy to deep despair. The severity of the mood swings and the way they disrupt normal life activities distinguish bipolar mood episodes from ordinary mood changes.
Symptoms of mania - the "highs" of bipolar disorder
• Increased physical and mental activity and energy
• Heightened mood, exaggerated optimism and self-confidence
• Excessive irritability, aggressive behavior
• Decreased need for sleep without experiencing fatigue
• Grandiose delusions, inflated sense of self-importance
• Racing speech, racing thoughts, flight of ideas
• Impulsiveness, poor judgment, distractibility
• Reckless behavior
• In the most severe cases, delusions and hallucinations
Symptoms of depression - the "lows" of bipolar disorder
• Prolonged sadness or unexplained crying spells
• Significant changes in appetite and sleep patterns
• Irritability, anger, worry, agitation, anxiety
• Pessimism, indifference
• Loss of energy, persistent lethargy
• Feelings of guilt, worthlessness
• Inability to concentrate, indecisiveness
• Inability to take pleasure in former interests, social withdrawal
• Unexplained aches and pains
• Recurring thoughts of death or suicide
If you or someone you know has thoughts of death or suicide, contact a medical professional, clergy member, loved one, friend or hospital emergency room or call 1-800-273-TALK or 911 immediately. You cannot diagnose yourself. Only a properly trained health professional can determine if you have bipolar disorder. Our online self-assessment can help you communicate your symptoms to your health care professional.
Many people do not seek medical attention during periods of mania because they feel manic symptoms (increased energy, heightened mood, increased sexual drive, etc . ) have a positive impact on them. However , left unchecked, these behaviors can have harmful results.
When symptoms of mania are left untreated, they can lead to illegal or life-threatening situations because mania often involves impaired judgment and reckless behavior. Manic behaviors vary from person to person. All symptoms should be discussed with your doctor.
Types of Bipolar Disorder
Patterns and severity of symptoms, or episodes, of highs and lows, determine different types of bipolar disorder.
Bipolar I disorder is characterized by one or more manic episodes or mixed episodes (symptoms of both a mania and a depression occurring nearly every day for at least 1 week) and one or more major depressive episodes. Bipolar I disorder is the most severe form of the illness marked by extreme manic episodes.
Bipolar II disorder is characterized by one or more depressive episodes accompanied by at least one hypomanic episode. Hypomanic episodes have symptoms similar to manic episodes but are less severe, but must be clearly different from a person’s non-depressed mood. For some, hypomanic episodes are not severe enough to cause notable problems in social activities or work. However , for others, they can be troublesome.
Bipolar II disorder may be misdiagnosed as depression if you and your doctor don’t notice the signs of hypomania. In a recent DBSA survey, nearly seven out of ten people with bipolar disorder had been misdiagnosed at least once. Sixty percent of those people had been diagnosed with depression. How can I spot hypomania? Talk to your doctor about the possibility of hypomania if you’ve had periods of several days when your mood is especially energetic or irritable, and/or
• You feel unusually confident
• You need less sleep
• You are unusually talkative
• Your thoughts come and go faster than usual
• You are more easily distracted or have trouble concentrating
• You are more goal-directed at work, school or home
• You are more involved in pleasurable or high-risk activities, such as spending or sex
• You feel like you’re doing or saying things that are unlike your usual self
• Other people say you’re acting strangely or you’re not yourself
Cyclothymic disorder is characterized by chronic fluctuating moods involving periods of hypomania and depression. The periods of both depressive and hypomanic symptoms are shorter, less severe, and do not occur with regularity as experienced with bipolar II or I. However , these mood swings can impair social interactions and work. Many, but not all, people with cyclothymia develop a more severe form of bipolar illness.
There is also a form of the illness called bipolar disorder not otherwise specified (NOS) that does not fit in to one of the above definitions.
Because bipolar disorder is complex and can be difficult to diagnose, you should share all of your symptoms with your health care provider. If you feel your symptoms are not getting better with your current treatment and your doctor does not want to try something new, do not hesitate to see another doctor to get a second opinion.
Treatments for Bipolar Disorder
Several therapies exist for bipolar disorder and promising new treatments are currently under investigation. Because bipolar disorder can be difficult to treat, it is highly recommended that you consult a psychiatrist or a general practitioner with experience in treating this illness. Your treatment may include medications and talk therapy.
Be sure to tell your health care providers all of the symptoms you are having. Report all of the symptoms you have had in the past, even if you don’t have them at the time of your appointment. Since these illnesses can run in families, look at your family history. Tell your health care provider if any of your family members experienced severe mood swings, were diagnosed with a mood disorder, had “nervous breakdowns” or were treated for alcohol or drug abuse. With the right diagnosis, you and your doctor have a better chance of finding a treatment that is right for you.
• Learn more about emerging technologies in the treatment of bipolar disorder by clicking here.
Bipolar Disorder in Children
Bipolar disorder is more likely to affect the children of parents who have the disorder. When one parent has bipolar disorder, the risk to each child is estimated to be 15-30%. When both parents have bipolar disorder, the risk increases to 50-75%.
Symptoms of bipolar disorder may be difficult to recognize in children, as they can be mistaken for age-appropriate emotions and behaviors of children and adolescents. Symptoms of mania and depression may appear in a variety of behaviors. When manic, children and adolescents, in contrast to adults, are more likely to be irritable and prone to destructive outbursts than to be elated or euphoric. When depressed, there may be complaints of headaches, stomach aches, tiredness, poor performance in school, poor communication and extreme sensitivity to rejection or failure.
The treatment of bipolar disorder in children is based on experience in treating adults with the illness, since very few studies have been done of the effectiveness and safety of the medications in children and adolescents. It is important to find a doctor that is well-versed in treating this illness in children and one that you work closely with throughout the course of treatment.
According to the American Academy of Child and Adolescent Psychiatry, up to one-third of the 3. 4 million children and adolescents with depression in the United States may actually be experiencing the early onset of bipolar disorder.
Helping a Friend
One of the most important thing family and friends can do for a person with bipolar disorder is learn about the illness. Often people who are depressed or experiencing mania or mood swings do not recognize the symptoms in themselves. If you are concerned about a friend or family member, help him or her get an appropriate diagnosis and treatment. This may involve helping the person to find a doctor or therapist and make their first appointment. You may also want to offer go with the person to their first appointment for support. Encourage the individual to stay with treatment. Keep reassuring the person that, with time and help, he or she will feel better.
It is also important to offer emotional support. This involves understanding, patience, affection, and encouragement. Engage the person in conversation and listen carefully. Resist the urge to function as a therapist or try to come up with answers to the person’s concerns. Often times we just want someone to listen. Do not put down feelings expressed, but point out realities and offer hope. Invite the depressed person for walks, outings, to the movies, and other activities. Be gently insistent if your first invitation is refused.
It is often a good idea for the person with bipolar disorder to develop a plan should he or she experience severe manic or depressive symptoms. Such a plan might include contacting the person’s doctor, taking control of credit cards and car keys or increasing contact with the person until the severe episode has passed. Your plan should be shared with a trusted family member and/or friend. Keep in mind, however , that people with bipolar disorder, like all people, have good and bad days.
Being in a bad mood one day is not necessarily a sign of an upcoming severe episode. Never ignore remarks about suicide. Report them to the person's therapist. Do not promise confidentiality if you believe someone is close to suicide. If you think immediate self-harm is possible, contact their doctor or dial 911 immediately. Make sure the person discusses these feelings with his or her doctor.
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Neurotransmitters are powerful chemicals that regulate numerous physical and emotional processes such as cognitive and mental performance, emotional states and pain response. Virtually all functions in life are controlled by neurotransmitters.
Interactions between neurotransmitters, hormones, and the brain chemicals have a profound influence on overall health and well-being. When our concentration and focus is good, we feel more directed, motivated, and vibrant. Unfortunately, if neurotransmitter levels are inadequate these energizing and motivating signals are absent and we feel more stressed, sluggish, and out-of-control.
Disrupted communication between the brain and the body can have serious effects to ones health both physically and mentally. Depression, anxiety and other mood disorders are thought to be directly related to imbalances with neurotransmitters. Some of the more common neurotransmitters that regulate mood are Serotonin, Dopamine, and Norepinephrine. Serotonin imbalance is one of the most common contributors to mood problems. Some feel it is a virtual epidemic in the United States.
Serotonin is key to our feelings of happiness and very important for our emotions because it helps defend against both anxiety and depression. You may have a shortage of serotonin if you have a sad depressed mood, anxiety, panic attacks, low energy, migraines, sleeping problems, obsession or compulsions, feel tense and irritable, crave sweets, and have a reduced interest in sex.
Additionally, your hormones and Estrogen levels can affect serotonin levels and this may explain why some women have pre-menstrual and menopausal mood problems. Moreover, stress can greatly reduce your serotonin supplies.
Dopamine and Norepinephrine are responsible for motivation, energy, interest, and drive. They are associated with positive stress states such as being in love, exercising, listening to music, and sex. These neurotransmitters are the one's that make you feel good. When we don't have enough of them we don't feel alive, we have difficulty initiating or completing tasks, poor concentration, no energy, and lack of motivation. Low neurotransmitter levels drive us to use drugs (self medicate) or alcohol, smoke cigarettes, gamble, and overeat. For many years, it has been known in medicine that low levels of these neurotransmitters can cause many diseases and illnesses. A neurotransmitter imbalance can cause Depression, anxiety, panic attacks, insomnia, irritable bowel, hormone dysfunction, eating disorders, Fibromyalgia, obsessions, compulsions, adrenal dysfunction, chronic pain, migraine headaches, and even early death.
What causes neurotransmitter dysfunction?
• Prolonged periods of stress can deplete neurotransmitters levels. Our fast paced, fast food society greatly contributes to these imbalances.
• Poor Diet. Neurotransmitters are made in the body from proteins. Also required are certain vitamins and minerals called “cofactors”. These are precurors to neurotransmitters. If your nutrition is poor and you do not take in enough protein, vitamins, or minerals to build the neurotransmitters, a neurotransmitter deficiency develops. We really do think and feel what we eat.
• Genetic factors, faulty metabolism, and digestive issues can impair absorption and breakdown of our food which reduces are ability to build neurotransmitters.
• Toxic substances like heavy metals, pesticides, drug use, and some prescription drugs can cause permanent damage to the nerves that make neurotransmitters.
• Certain drugs and substances deplete neurotransmitters such as caffeine, alcohol, nicotine, NutraSweet, antidepressants, and certain cholesterol lowering medications.
• Hormone Imbalances
Testing is now available to detect Neurotransmitter Imbalances.
Basing a treatment on symptoms alone (traditional medicine) will not provide the information needed to address the underlying imbalance. A visit to a doctor or practitioners office for depression involves telling them how you have been feeling emotionally. The typical depressed person leaves the office with a prescription for an antidepressant without ever having any conclusive laboratory evidence of what is causing their symptoms. New sophisticated equipment and tests are now available to evaluate neurotransmitter imbalances using a urine or blood sample. This provides a neurotransmitter baseline assessment and is useful in determining the root causes for diseases and illnesses such as those mentioned above. Laboratory analysis can now provide precise information on neurotransmitter deficiencies or overloads, as well as detect hormonal and nutrient co-factor imbalances which influence neurotransmitter production. Individuals require individual solutions. Testing helps to determine exactly which neurotransmitters are out of balance and helps to determine which therapies are needed for an individualized treatment plan. It also helps in monitoring the effectiveness of an individual's treatment.
Treatment
Nutrient therapies greatly increase the levels of neurotransmitters that a person has been found to be deficient in. Studies have shown that it is both safe and effective. These nutrients will cross the blood brain barrier into the brain where they will be synthesized into neurotransmitters and this will raise the number of neurotransmitter molecules needed by the brain. They are prescribed according to the results of laboratory testing giving the imbalanced person a more individualized plan of treatment. Prescription drugs such as antidepressants do not increase the overall number of neurotransmitter molecules in your brain, they merely move them around or stop the breakdown. If your levels are too low to start with, medication may work initially, then "poop out" or not work from the beginning. There is also the issue of side-effects and more recently the FDA warning that SSRI antidepressants could cause suicidal thoughts in some children, teens and adults. There are specialized nutrient formulas which help antidepressant medications work more effectively. Under the supervision of a trained practitioner these treatments may be used in addition to the persons existing medication to boost their effectiveness or to target another neurotransmitter that is also causing symptoms. Many antidepressant or anti-anxiety medications just target one neurotransmitter but many mental health disorders involve multiple neurotransmitters.
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2. Write a list of 5 affirmations that you want to repeat regularly
These affirmations should be related to the goal you want to achieve. For example, if you want to do better in study, you could say "I study well", "I am organized", "I do well in my exams". These will help to build your confidence and change your thinking if you are struggling on these things.
3. Repeat the affirmations you have, every single day
Do this for 1-2 minutes at most. This is all that is required. Repeat it as if it is true and in a confident way with passion. This allows the messages to penetrate more easily in the unconscious mind.
4. Affirmations only change your beliefs. Physical action must be done by you
You will still need to put the physical actions in to achieve what you want. The affirmations are only changing the beliefs, but physical action allows you to take advantage of those beliefs in the best way possible. As you learn to focus your mind and establish greater control within, greater results overall can be created for you.
Overall, affirmations can be a useful way to change your thinking and belief systems. When repeated with passion and as if it is real, it can enter your unconscious mind (same as the subconscious) and be charged with the power of intention. This means you will act as if the belief is true, and this will help to carry you in the direction of your goal. However, remember than you still need to put in all the physical efforts to make maximum progress from this.
Symptoms of Bipolar Disorder
Types of Bipolar Disorder
Treatments
Bipolar Disorder in Children
Helping a friend
Support Groups
Bipolar disorder (also known as manic depression) is a treatable illness marked by extreme changes in mood, thought, energy and behavior. It is not a character flaw or a sign of personal weakness. Bipolar disorder is also known as manic depression because a person̢۪s mood can alternate between the "poles" mania (highs) and depression (lows). This change in mood or "mood swing" can last for hours, days weeks or months.
Bipolar disorder affects more than two million adult Americans. It usually begins in late adolescence (often appearing as depression during teen years) although it can start in early childhood or later in life. An equal number of men and women develop this illness (men tend to begin with a manic episode, women with a depressive episode) and it is found among all ages, races, ethnic groups and social classes. The illness tends to run in families and appears to have a genetic link. Like depression and other serious illnesses, bipolar disorder can also negatively affect spouses and partners, family members, friends and coworkers.
Symptoms of Bipolar Disorder
Bipolar disorder differs significantly from clinical depression, although the symptoms for the depressive phase of the illness are similar. Most people who have bipolar disorder talk about experiencing "highs" and "lows" – the highs are periods of mania, the lows periods of depression. These swings can be severe, ranging from extreme energy to deep despair. The severity of the mood swings and the way they disrupt normal life activities distinguish bipolar mood episodes from ordinary mood changes.
Symptoms of mania - the "highs" of bipolar disorder
̢ۢ Increased physical and mental activity and energy
̢ۢ Heightened mood, exaggerated optimism and self-confidence
̢ۢ Excessive irritability, aggressive behavior
̢ۢ Decreased need for sleep without experiencing fatigue
̢ۢ Grandiose delusions, inflated sense of self-importance
̢ۢ Racing speech, racing thoughts, flight of ideas
̢ۢ Impulsiveness, poor judgment, distractibility
̢ۢ Reckless behavior
̢ۢ In the most severe cases, delusions and hallucinations
Symptoms of depression - the "lows" of bipolar disorder
̢ۢ Prolonged sadness or unexplained crying spells
̢ۢ Significant changes in appetite and sleep patterns
̢ۢ Irritability, anger, worry, agitation, anxiety
̢ۢ Pessimism, indifference
̢ۢ Loss of energy, persistent lethargy
̢ۢ Feelings of guilt, worthlessness
̢ۢ Inability to concentrate, indecisiveness
̢ۢ Inability to take pleasure in former interests, social withdrawal
̢ۢ Unexplained aches and pains
̢ۢ Recurring thoughts of death or suicide
If you or someone you know has thoughts of death or suicide, contact a medical professional, clergy member, loved one, friend or hospital emergency room or call 1-800-273-TALK or 911 immediately. You cannot diagnose yourself. Only a properly trained health professional can determine if you have bipolar disorder. Our online self-assessment can help you communicate your symptoms to your health care professional.
Many people do not seek medical attention during periods of mania because they feel manic symptoms (increased energy, heightened mood, increased sexual drive, etc . ) have a positive impact on them. However , left unchecked, these behaviors can have harmful results.
When symptoms of mania are left untreated, they can lead to illegal or life-threatening situations because mania often involves impaired judgment and reckless behavior. Manic behaviors vary from person to person. All symptoms should be discussed with your doctor.
Types of Bipolar Disorder
Patterns and severity of symptoms, or episodes, of highs and lows, determine different types of bipolar disorder.
Bipolar I disorder is characterized by one or more manic episodes or mixed episodes (symptoms of both a mania and a depression occurring nearly every day for at least 1 week) and one or more major depressive episodes. Bipolar I disorder is the most severe form of the illness marked by extreme manic episodes.
Bipolar II disorder is characterized by one or more depressive episodes accompanied by at least one hypomanic episode. Hypomanic episodes have symptoms similar to manic episodes but are less severe, but must be clearly different from a person̢۪s non-depressed mood. For some, hypomanic episodes are not severe enough to cause notable problems in social activities or work. However , for others, they can be troublesome.
Bipolar II disorder may be misdiagnosed as depression if you and your doctor don̢۪t notice the signs of hypomania. In a recent DBSA survey, nearly seven out of ten people with bipolar disorder had been misdiagnosed at least once. Sixty percent of those people had been diagnosed with depression. How can I spot hypomania? Talk to your doctor about the possibility of hypomania if you̢۪ve had periods of several days when your mood is especially energetic or irritable, and/or
̢ۢ You feel unusually confident
̢ۢ You need less sleep
̢ۢ You are unusually talkative
̢ۢ Your thoughts come and go faster than usual
̢ۢ You are more easily distracted or have trouble concentrating
̢ۢ You are more goal-directed at work, school or home
̢ۢ You are more involved in pleasurable or high-risk activities, such as spending or sex
̢ۢ You feel like you̢۪re doing or saying things that are unlike your usual self
̢ۢ Other people say you̢۪re acting strangely or you̢۪re not yourself
Cyclothymic disorder is characterized by chronic fluctuating moods involving periods of hypomania and depression. The periods of both depressive and hypomanic symptoms are shorter, less severe, and do not occur with regularity as experienced with bipolar II or I. However , these mood swings can impair social interactions and work. Many, but not all, people with cyclothymia develop a more severe form of bipolar illness.
There is also a form of the illness called bipolar disorder not otherwise specified (NOS) that does not fit in to one of the above definitions.
Because bipolar disorder is complex and can be difficult to diagnose, you should share all of your symptoms with your health care provider. If you feel your symptoms are not getting better with your current treatment and your doctor does not want to try something new, do not hesitate to see another doctor to get a second opinion.
Treatments for Bipolar Disorder
Several therapies exist for bipolar disorder and promising new treatments are currently under investigation. Because bipolar disorder can be difficult to treat, it is highly recommended that you consult a psychiatrist or a general practitioner with experience in treating this illness. Your treatment may include medications and talk therapy.
Be sure to tell your health care providers all of the symptoms you are having. Report all of the symptoms you have had in the past, even if you don’t have them at the time of your appointment. Since these illnesses can run in families, look at your family history. Tell your health care provider if any of your family members experienced severe mood swings, were diagnosed with a mood disorder, had â€Å“nervous breakdownsâ€
You have probably spent time around a depressed
person only to find yourself also depressed!
If so, this email should help you understand a little
bit more about the nature of depression and why it's so
important to stay away from people who are chronically
depressed...
The Power of Association Have you ever heard of the term "guilty by association"
? If so, it might not have occurred to you
that guilt isn't the only thing that we acquired by
association.
Being around enthusiastic people causes you to become
enthusiastic, being around ambitious people encourages
you to become ambitious...and being around depressed people
causes you to become depressed.
This is because human beings are social creatures and we
rely on the support of one another to survive. Think about
how painful rejection is, and that ought to give you an
idea of how connecting with others is hardwired into us.
It's a part of our survival instincts, and so there's
nothing you can do to change that...and most of the time
that's okay.
But this survival instinct also causes us to blend in
with the people around us so that we will have a sense of
belonging. This, again, is completely normal - but it can
also be a double-edged sword.
Think about it, if you're around people who are
depressed all the time, how are you going to develop a
sense of belonging when you're with them?
By identifying with the way that they think and "tuning
in" to the same physical vibrations which you can "feel"
coming off of them. This might sound a little bit new age,
but the human body actually admits electrical signals and
vibrations according to the condition of the nervous system...
...which is an electrical system by the way. So when I say that you "tune in" to the
vibration of the people around you, I mean that your body
can actually pick up on these vibrations and cause you to
think thoughts that will cause you to match that vibration.
This is also the same reason why depressed people are
attracted to one another, enthusiastic people are attracted
to one another, and so on and so on.
What About Influencing Them Instead? Now, it might be tempting to think that you can be a
positive person around the depressed and cause them to take
on YOUR vibration. This is true sometimes....but it's also
true that for most people, vice comes easier than virtue...
Mahatma Gandhi said that by the way. He also said that it's not possible for a reformer to be
in a close relationship with someone who they are reforming.
So if you know someone who is chronically depressed, it's
probably a good idea if you create some distance and
boundaries. Even if you love this person, depression isn't
as weak a state of mind as many of us think it is... for many
it's a position of power.
It's a position which allows people to gather sympathy
from others and to suck away their emotional energy.
The best way to help someone who has fallen into
chronic depression is to provide a positive example for them
to see...and it's hard to do this when you're allowing
them to suck all of your energy away.
At best, you can set an example for them to follow and
give them advice as to how they can change...but if they
won't, don't assume that they can't. More likely, their
depression is a position of power that they've been using to
get what they want for a very long time.
Knowing this, and the fact that depression is contagious,
it's best that you focus on keeping your vibrations consistent
with the type of people who will build you up and empower you
to become a better person.
If you would like to eliminate negative self beliefs and
thoughts, give "Subliminal MP3s" a go to retrain your
subconscious mind:
Go Here Now
Moving From Bipolar Disorder To Bipolar IN Order
Everyone has up and down times. It is a natural part of life. If we observe our lives over time we might say there are two poles that we have; some days we feel on top of the world and other days perhaps on the bottom. That is the basis for the word bipolar and the reason I say that everyone is bipolar. Some may argue that there are people who are unipolar and only experience the up or down side, but even they have a range of experience with a "pole" on each end.
Unfortunately, the word bipolar is generally used to describe a subset of people who have adverse reactions when they go to far toward the high and low poles. Although related to how far from center one is, there is no distance from center that guarantees one would necessarily react to it in an adverse way. It really depends on how far we are from our comfort zone. One person might be perfectly comfortable and highly functional at a certain point from center while another could be so uncomfortable that he/she is literally in danger of suicide. I see the comfortable person as keeping life in-order, while the person in danger of suicide has lost control and is in dis-order. Using bipolar as a term to describe the dis-ordered person is an over-simplification that goes too far. We should at least distinguish the difference between having Bipolar Dis-Order or Bipolar In-Order.
But life is not even that simple. If I just won a marathon, for example, I might be very high emotionally yet completely drained and low physically. To really see where we are on the spectrum from high to low we need to consider all of the aspects of our lives: physical, mental, emotional, spiritual, social, and career/financial. It is probably more accurate at any given time to say that we are really in a "mixed state" instead of somewhere on a straight line between the two poles, so we must see even the expansion of bipolar to Bipolar Disorder and Bipolar IN Order as just a convenient simplification of a much more complex topic.

There are six distinct stages of bipolar: Crisis, Managed, Recovery, Freedom, Stability, and Self-Mastery. The first three are considered Disorder, while the last three are clearly IN Order once you understand the difference.
Bipolar Disorder
We are in Crisis when the intensity of our high or low state overwhelms us. On the down side, commonly called depression, we either cannot function or we can function only enough to attempt suicide. On the up side, commonly called mania, we lose our ability to control our behavior and may put ourselves and others at great risk.
But, even the most disordered of us are not in crisis all the time. The majority of people considered to have Bipolar Disorder spend most of their time in Managed Stage. They use various tools to keep the intensity from reaching a Crisis level, yet still experience times when it is clearly uncomfortable. They struggle to minimize the intensity with the goal of getting to Recovery.
Recovery, as defined by the National Institute of Mental Health (NIMH), means the manias and depressions have been removed. The recovery movement might challenge such a definition, but I have yet to hear anyone define recovery as moving further toward the two poles. At the least, recovery means to decrease the intensity of mania and depression to the point where we are in control of our behaviors.
The NIMH has determined Recovery to be an unstable state in their landmark
STEP-BD study: "According to the researchers, these results indicate that in spite of modern, evidence-based treatment, bipolar disorder remains a highly recurrent, predominantly depressive illness." Therefore, one is still considered to have Bipolar Disorder even when in temporary remission.
The medical model that only sees bipolar as a disorder or an illness is not working. The assessments, tools, and goals are all based on the idea that bipolar is a disease that must be managed toward reduction if not completely eliminated. It is a system that has been proven not to work by their own studies and is unacceptable given that we have already produced much better outcomes.
Bipolar IN Order
Freedom Stage begins when we reject the notion that we cannot handle bipolar and are making the effort to expand our comfort zone instead of trying to hold on to remission. We assess where we are in terms of ability to function at different intensities, use tools designed for increasing functionality at slightly elevated intensities instead of reducing them, and take well planned steps slightly outside of our comfort zone and immediately back in again. With practice, we find that we become highly functional and comfortable with intensities that were once outside of our full control. We learn to thrive WHILE manic and depressed instead of aiming for temporary remission.
Stability Stage is achieved when we are able to expand our comfort zone to the same intensities that once caused a Crisis for us. It takes tremendous insight and effort to achieve such Stability, but the idea that it is impossible has already been proven wrong; many of us have already accomplished it. We are definitely Bipolar, but there is no way to consider our condition in disorder. When we are in Stability we are comfortable instead of suffering and so are the people around us.
Some of us have achieved a stage beyond Stability. We call if Self-Mastery because we have mastered ourselves to the point that we can function highly during levels of intensity beyond what once caused a Crisis for us. This stage is reserved for those willing to dedicate a tremendous amount of effort to it. I like to compare it to the difference between a casual hiker and one who would climb the Himalayas. Mastery is functioning at the top level in any endeavor; Self-Mastery comes with understanding (instead of rejecting) every state of mind, while being able to function so highly that you see the value in every one of them.
Even for those who do not aspire to Self-Mastery, breaking out of the disorder model gives us all an opportunity to achieve measurably better results through better assessments, better tools, and stage specific plans that were developed by those of us who have already succeeded with them. In business and sports, we learn from those at the top of their game because they have achieved the ultimate success. We would never seek instruction from someone who settles for half way. Those who struggle with their bipolar condition should learn from those who have achieved Bipolar IN Order and reject the advice of those who defend Bipolar Disorder as the best they can hope for.
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Books By Timothy Kendrick
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The Truth About Hypnosis
Panic Miracle
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Tom Wootton -
see on YouTube, follow on Twitter, or
Facebook - is CEO of
Bipolar Advantage. Along with experts in complementary fields, including doctors teaching the next generation of therapists, their mission is to help people with mental conditions shift their thinking and behavior so that they can lead extraordinary lives. Tom is the author of three books:
The Bipolar Advantage,
The Depression Advantage, and most recently,
Bipolar In Order: Looking At Depression, Mania, Hallucination, And Delusion From The Other Side.
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Even if you've only recently been diagnosed with Bipolar Disorder, you have probably been on this journey for a long time. You may have been misunderstood or misdiagnosed for years. You may have been up and down with severe mood swings or relapses. You may feel your current treatment is not working, or you may be troubled by the side effects of your medication.
Bipolar Disorder is a serious condition, and each individual's symptoms are different. Taking ownership of your treatment plan is the first step toward managing your symptoms.
You're not the only person living with Bipolar Disorder
If your symptoms are not managed, friends and family may feel confused by your extreme changes in mood. It may be constructive for you and your family to attend family therapy together. This can help promote understanding and strengthen relationships.
Friends and family can be tremendous sources of support. They can help you stick to your treatment plan by encouraging you to avoid harmful habits, learning the warning signs of an episode, and sharing the responsibility for care.
To get the most from your treatment, make sure you
talk with your doctor about how you're feeling on your medication and whether you are experiencing any side effects. Ask about what you can do, other than taking medication, to help treat your symptoms.
Learn how a healthy lifestyle that includes weight management and avoidance of alcohol can help you.
Learn more. Importance of therapy
While there is no cure for Bipolar Disorder, there are effective approaches to help manage these symptoms. Some options may include talk therapy, group therapy, and prescription medication or any combination of these.
Some healthcare professionals encourage patients to track their moods and discuss mood changes with a therapist. Many healthcare professionals agree that sharing this information and establishing a supportive and consistent relationship between a patient with Bipolar Disorder and a therapist can be an invaluable part of the treatment plan.
In addition to having the opportunity to discuss current challenges and ways to cope with symptoms during these sessions, patients with
Bipolar Disorder may also be able to discuss and better understand past episodes and behaviors.

There are about 15,000 Rehab and detox centers in the USA & Canada. Unfortunately, statistics show that their national average success rate is only 20%. Tibor Palatinus, founder of DrugRehabAdvisor.com spent the past decade educating children about the damaging effects of drugs and addiction, and searching for suitable rehab programs to help individuals who had fallen victim of addiction.
After a decade of research we have so far found 35 programs that produced results 3 to 4 time better than the national average. We only recommend centers that are client centered and focused on the person's full recovery.
Why Some Holistic Rehab & Detox Programs Are More Successful
Holistic means addressing the whole person: socially, emotionally, physically, mentally, educationally, nutritionally, and medically. Holistic rehab & detox programs treat the whole individual. We'll help you discover what to look out for so you can expect a 60% to 80% chance of success!
Conversely a non-holistic rehab program tends to focus on behavior and perhaps medical assessment. These non-holistic rehabs may include meetings and medication, that's not holistic; even if they have an exercise or yoga class and call themselves 'holistic'. Often a for-profit or insurance based rehab program is about numbers. I'll help you spot those and avoid them before even calling them up.
Rehab means rehabilitating a person back to health and recovery while in drug rehab. Achieving a healthy recovery requires more than dry or clean time plus meetings. Rehabilitated applies to the whole person's life.
The Right & Wrong Way to Measure Success in Rehab
There are several types of 12-step programs as well as alternatives to 12-step, and all define success differently, so it is important to know how a rehab program that boast a high success rate measures its success.
For example, a typical 12-step rehab center defines a success as someone who completes the first 3 steps of a 12-step program within 28 days, and is then sent home to complete the remaining steps. But you know that person is not yet worthy of your trust and stable enough to be considered a success.
Other rehab centers prescribe substitute drugs, which can be highly addictive, for months and years, and call this compliant person a 'program completion or success'.
A Drug Rehab Advisor Success is:
At Drug Rehab Advisor, a 'Rehab success' is someone who is off ALL addictive drugs
and capable of living an honest and productive life after the rehab program is finished.
A medical 'Detox success' is someone who is stably off ALL addictive or abusive drugs with minimal to no withdrawal symptoms.
Over the past decade we have sent over 500 hundred addicts to specific rehab and medical detox centers across North America and spoken to about 15,000 people who went to other rehabs. During this past decade, we have found 23 private rehab and detox centers across North America that meet our standard of success and some that boast impressive success rates that are 4 times that of the national average.
Our services at Drug Rehab Advisor are complementary
We represent alternatives to 12-step and 12-step rehab programs. All these rehab and detox programs are Holistic, which means they help the person deal with all their life situations. Holistic programs also use the latest scientific breakthroughs to treat underlying medical conditions as well as the source of emotional distress. This is far more effective than merely treating symptoms with more medication.
Our Rehab and Detox Intake counselors will answer your questions, such as:
- Which programs represent the best hope of recovery for your loved one?
- Which centers accept PPO Insurance?
- Where can you find a loan to finance a private rehab program?
- Is one of these centers in your local area?
- Will the center use medication to help recovery?
- How can you convince a loved one to reach out for help?
- How to increase the likelihood of success by 40%
- How long is the program that we recommend for your loved one?