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Monday, November 2nd, 2009

Why Accurate Diagnosis is Crucial for those with Bipolar Disorder?

Bipolar disorder is one of the collections of medical conditions known as depressive disorders. The disorder goes by many other names as well – manic depression, manic-depressive disorder, manic-depressive illness, bipolar mood disorder, and bipolar affective disorder – but they are all essentially the same psychiatric condition.

The disorder can be disturbing and frightening for both those who suffer from it and everyone around them. Those who suffer from bipolar disorder typically experience alternating periods of mania and deep depression. The swing between the two can happen in just seconds, with a sufferer happy and over enthusiastic one second and sobbing uncontrollably the next.

Bipolar disorder is a highly misunderstood disease. Those who suffer from it often go misdiagnosed for years. The people around them often dismiss them as crazy and especially during depressive cycles, encourage a sufferer to simply “snap out of it”. Unfortunately those who suffer from bipolar disorder can no more do that than a cancer patient can “snap out” of their ailment.

Most often the symptoms of bipolar disorder first manifest themselves in early adulthood although there is increasing medical evidence that children as young as five can begin suffering from the effects of the disease.

A bipolar sufferer may seem at times to the world as if they are simply an extremely happy, if reckless individual. Often they will take unnecessary risks and display a very bloated sense of their own importance that is until a “low” period sets in and they become quiet, withdrawn and even suicidal.

Many of those who suffer from bipolar disorder begin to “self medicate”, sometimes without even realizing they are doing so. They turn to drugs and alcohol because they feel better when they are “high”. This can have disastrous consequences, worsening their symptoms and it makes it even harder for a medical professional to diagnose their true condition. For some it is not until they have broken their addiction to these substances is it realized that bipolar disorder has been the problem all along, not simply a desire to drink more beer or dabble with dangerous substances.

Bipolar disorder is difficult to diagnose. There is no blood test or radiological test that confirms its presence and only a detailed overview of patient’s medical history and a series of interviews with a skilled psychiatrist can really do that. These days many teens who suffer from bipolar disorder are diagnosed instead with ADD or ADHD, meaning that it may be a long while before they receive the correct treatment for their illness.

And bipolar disorder is an illness. It cannot be cured in a traditional sense but patients can lead a life of relative normality if they carefully follow a well planned treatment plan – typically a combination of medication and therapy.

16 Responses to “Why Accurate Diagnosis is Crucial for those with Bipolar Disorder?”

r Says:

my doctor just laughs and i dont get any treatment

Momofbipolar Says:

What this article failed to mention is that some young teens/young adults ‘grow out of’ bipolar disorder. This is true in my experience with my child and an ex-friend. Bipolar is nothing more than a person escaping REALITY, their excuse is bipolar. When they get their way they are happy, when they don’t get their way they become depressed, suicidal, unhappy. I’ve seen it, when faced with reality they cannot escape or responsibilities some people suddenly have a miraculous cure.

Momofbipolar Says:

These highs and lows alter brain chemistry without a doubt so there is some basis for a medical dx of bipolarism…but don’t discount the fact that a lot of it is based on being spoiled rotten, temper tantrum throwing, can’t get my way, my life is crap so I’ll self medicate or seek revenge, anything to escape the reality which is life. Once they get on the reality train they can re-alter their brain chemistry with the right thinking which takes family support and a knowledgeable therapist and medications if needed.

Dr Bill Rohde Says:

One of the ironies of this terrible illness is that we have had a blood test that can easily detect people who are susceptible to bipolar mood swings for over 30 years. An enzyme called monoamine oxidate regulates the metabolism of substances that are disturbed in bioplar people. The same enzyme can be found in blood platelets. The brain enzyme and the blood platelet enzyme have the same activity. Although the test has been used successfully in research, its use in clinical medicine has been very limited. The human brain is a wonderous organ, but our brains have been primed by evolution to protect us and our knowledge – including a very effective “don’t go there” prohibition against intrusions of any kind, even a simple blood test has been stalled for decades.

Dean Colburn Says:

Being that Bi-Polar Disorder is an imbalance between Nor-epinephrine, Dopamine and Serotonin, I do not understand why the article states that there is no blood test for it. There are many life situations that may contribute to such emotional swings. Say if someone is and has been dealing with an extremely stressful situation in their lives such as a narcissist in their lives, abusive partner or one of the very many other types of situations that force an individual to deal with things that are very difficult to cope with and is beyond their control. Their ability to cope is going to be consistantly drained and will a peak and valley effect on them. This would in fact simulate bi-polar disorder. This also in fact cause them even more problems because instead of being able to focus on the stimuli that is causing them these problems they will be diverted into even worse self-persecution and drive them further into confusion. Either way, the drug companies and psuedo-science of psychology continue’s to thrive. Maybe that is why they call them “Shrinks”, very seldom do they take the time to properly analyze a situation and instead take the quick answer that they pull from the box or should I say DSM, then prescribe a few pills and ultimately reduce the indivual’s self-esteem or should I say “Shrink” their ability to change their lives truly for the better.

FrustratedSis Says:

I wish people would not arrogantly generalize a disorder because their own experiences didn’t quite fit the category. Shame on so many here who play this down. Yes, we live in a society where often simple denial can breed excuses and often professionals will quickly jump to buzz-word diagnoses. HOWEVER, most reputable doctors take things like this seriously and will not just quickly jump to any diagnosis. I don’t believe this is something you outgrow. I believe if you had/were a child with symptoms that mirror this and once they’ve/you’ve reached adulthood and those symptoms have simply vanished it was more than likely NOT Manic Depressive Disorder. It is a very real and very accepted disorder, that being said, it’s not something to “outgrow”. One might learn how to cope with or live with it but those are rarely going to be the more severe cases.

I have a sister with this disorder and she was mis-diagnosed with numerous other disorders before a doctor finally listened to my mother and myself telling her full spectrum of problems. Only then has she received the proper treatment and her life is now almost back to normally-functioning.

Please, if you have been told your child has this and now they seem fine consider yourself lucky that they were probably misdiagnosed and don’t have to deal with this REAL nightmare of a disorder. It is not an excuse! It’s a friggin well-documented, studied and accepted mental disorder!

Bob A. Says:

There is a grave difference between dated “life situations” and stressful situations in relation to on-going lifetime struggles with bipolar disease. I am a 52 year old male who has fought the labels society placed on me for decades. Years of drug and alcohol abuse, risky and dangerous behavior and suicidal thoughts and actions lead me to a diagnosis of bipolar disease, therapy, and medication. I still suffer from manic and depressive moments however, it is under (for most parts) control. It is important for anyone who suffers, or the families of those who suffer to seek help. DO NOT listen to armchair professionals who want to tell you it’s due to spoiled children or adults looking for attention. It is real, and it’s dangerous if left untreated.

Momof3andlifelongbipolar Says:

I feel very sorry for whomever the child of momofbipolar is. She is obviously uneducated, or downright to stubborn to open her mind and learn. Try reading a book. The temer tantrums, attention getting, all of it, is related to a chemical imbalance, and yes some to being a teen. Period. If you are a true bipolar, you never grow out of it, not ever. It is humanly impossible. Once the gene is expressed it’s there for life. Are there people called “light bi polar’s” that can function with occasional or no medication? Yes, but they don’t grow out of it, their symptoms are just manageable. You make me ill. I just want to hug your child and let them know there are people who do understand and that they are not alone. Being a teen is hard enough without having to fight bipolar an an idiot of a mother who is bitter she has a harder job to do than others. Put your big girls panties on and get over it! This is the hand you were dealt, help your child and quit feeling sorry for yourself! ugh!

Momof3andlifelongbipolar Says:

One last note… If a child has been diagnosed as a bipolar, which in my opinion is too soon to diagnose, as there is usually just not enough evidence in the early years to do so, and then they just seem to snap out out of it… Guess what sports fans??? They never had it! It doesn’t go away, never, never, never. Show me one medical document, research study, thesis, anything that shows even one person who’s bipolar disappeared. You won’t find it, but good luck.

LC Says:

Somebody posted that bipolar people are just have bad moods when they dont get their way. That is not true at all. I have bipolar disorder and i know that it results from problems with the brain and depression happens even when nobody says anything to make you upset. So saying that bipolar people throw temper tantrums when they dont get their way is completely wrong. And no it never goes away if you have bipolar disorder you will struggle with it your whole life. It has nothing to do with what is going on in your life its about a mental disorder that cannot be changed.

Bach Says:

I have had emotional issues my entire life. A few doctors have mentioned, Bi-Polar” or “Manic”. I even have a prescription that I had filled but was too afraid of taking it… What if I was misdiagnosed?
How does one be sure?

emorgan Says:

Clearly the only people caring to comment on this article are ignorant morons who have no understanding of psychology. I have suffered from bipolar disorder since i was around 13 years old and it is a very real, terrifying, and crippling disease. You people apparently have never suffered from mental illness or had to watch someone you love suffer from it so until you do, keep your ignorant uneducated “opinions” to yourself.

j9new Says:

Thanks Bob.
I am not bipolar yet there is a lot of mental illness in my family. People who judge are very in the wrong. I have known many very mentally ill people and am thankful I have been lucky in this area. I was seemingly autistic as a baby, yet have come a long way and feel very sensitive and understanding to mental illness. I have worked long and hard to fit in society. But I have siblings who have not succeeded in getting along without disorder.

Sue G Says:

Is their really any good medication for a bipolar patient? Just looking for suggestions.

Karl Bruno Gatti Says:

Dear Sue G., there are many excellent medications for bipolar disorder. I know because I was diagnosed in 1977 and since one lapse in 1979, I have stayed on my meds and although I haven’t avoided getting depressed at times, I have never again become manic which for me is crucial because the three times I have been manic I became so out of it that I became psychotic and delusional and had to be hospitalized. Now, some of the meds available have very definite side effects but it is worth it in the end to be mania free and have your regular depressions be less severe.

Lana Hurst Says:

Bi-polar is real and often misdiagnosed. When we were chldren my two brothers and I loved our sister but we did not like her, little did we know her attitude and behavior were even then probably related to her mood swings. She attempted suicide at age 17 and has had the usual pattern of self mediating until finally getting the proper medications. Pleae understand that this is a medical condition like diabetes or cancer. You cannot “will” it away. -Lana, RN, MSN

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