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The World Of Bipolar Disorders
The difficulty involved in determining when and if someone suffers from manic depression or bipolar disorder is something that is common. Have yourself tested for bipolar disorder if you suddenly find yourself given to what is known as flux. A manic depressive is active and happy one moment, then sad and morose the next, often complaining of sleeplessness.
Forms or stages of bipolar disorder are more than one, and as can be expected, people show varying degrees of response while suffering from it. Bipolar disorder manifests itself in four different ways. Bipolar I, Bipolar II, Cyclothymia and Bipolar Disorder Not otherwise Specified are these four. Manic depression in a Bipolar I patient does not necessarily depict itself in an episode of depression, but a mixed episode does.
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Bipolar I patients also exhibit depressive episodes frequently. Bipolar II, the more common type, however showcases at least one episode of both hypomania and depression. Cyclothymia on the other hand tags multiple hypomania and minimal depressive episodes. Although you and I may think that a Cyclothymic patient is only being himself, his mood fluctuations actually deviate alarmingly from what is to be expected in a normal person.
As for Bipolar Disorder Not Otherwise Specified, it is safe to put the idea of it only as a last resort until other diagnostic avenues have been tried and proven wrong. There is a danger of wrongly diagnosing clinical depression in the place of bipolar disorder due to the patient being already depressed on meeting with a doctor. A history of a patient should be investigated before final diagnosis or treatment.
Lastly, on a related note, It has been concluded from recent reviews that most individuals who were diagnosed with bipolar disorder but who are euthymic (have not experienced major depression or (hypo)mania for some time) do not show neuropsychological deficits on most tests.
Also, on another related note, There are lists of criteria for someone to be so diagnosed.
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