Bipolar disorder (also known as bipolar affective disorder,manic-depressive
disorder, or manic
depression) is a psychiatric
diagnosis for a mood
disorder. Individuals with bipolar disorder
experience episodes of a frenzied state known as mania, typically alternating with episodes of depression.
At the lower levels of mania known as hypomania, individuals
appear energetic and excitable and may in fact be highly productive. At a
higher level, individuals begin to behave erratically and impulsively, often
making poor decisions due to unrealistic ideas about the future, and may have
great difficulty with sleep. At the highest level, individuals can experience
very distorted beliefs about the world known as psychosis. Individuals who experience manic episodes also commonly
experience depressive episodes; some experience a mixed state in which features of both mania and depression are present
at the same time. Manic and depressive episodes typically last from a few days
to several months and can be interspersed by periods of "normal" mood.
Current research suggests that about 4% of people experience some
of the characteristic symptoms at some point in their life. Prevalence is
similar in men and women and, broadly, across different cultures and ethnic
groups. Genetic factors contribute
substantially to the likelihood of developing bipolar disorder, and
environmental factors are also implicated. Bipolar disorder is often treated
with mood stabilizing
medications and psychotherapy. In
serious cases, in which there is a risk of harm to oneself or others, involuntary commitment may be used. These cases generally involve severe manic
episodes with dangerous behavior or depressive episodes with suicidal ideation. There are widespread problems with social stigma, stereotypes, and prejudice
against individuals with a diagnosis of bipolar disorder. People with bipolar
disorder exhibiting psychotic symptoms can sometimes be misdiagnosed as having schizophrenia.
The current term bipolar
disorder is of fairly recent
origin and refers to the cycling between high and low episodes (poles). The
term "manic–depressive illness" or psychosis was coined by German
psychiatrist Emil Kraepelin in the late
nineteenth century, originally referring to all kinds of mood disorder. German
psychiatrist Karl Leonhard
split the classification in 1957, employing the terms unipolar disorder (major depressive disorder)
and bipolar disorder.
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