Bipolar Disorder, which is now gradually coming into our field of vision after depression, anxiety, and as more and more people are diagnosed with bipolar disorder, more and more people will also wonder what exactly is bipolar disorderIs its diagnosis correct?
1. What is bipolar affective disorder?
Bipolar disorder, also known as:Bipolar disorder, is one in the clinicHave both manic or hypomanic episodesI have depression againworkmood disorders.
It is called bipolar because the patient's mood fluctuates back and forth between the peaks of mania and the trough of depression, half heaven and half hell.
It's not a simple mood swing, and patients don't have an emotional switch that can be switched freely. Typically,People with bipolar can't predict how they'll be in the next second
2. What is my performance in both directions?
When at the peak of mania, I may experience aAnything goesFeelings, such as:
Elevated mood: extremely happy or ecstatic, extremely angry or sensitive;
Rushing thoughts: more talkative than usual, some patients experience hallucinations and delusions;
Increased activity and energy levels;
Sleep drops dramatically;
Inability to concentrate;
And in the trough of depression, the patient may feel himself again.
Depressed mood: depressed, sad, or extremely depressed;
Loss of interest in all or almost all activities;
Reduced speech or lack of energy;
Significant weight loss or gain;
Significant decrease in sleep or drowsiness;
Decreased ability to think, difficulty concentrating or making decisions;
Feeling worthless and recurring thoughts of death.
Manic and depressive episodes can last anywhere from a few days to several months, depending on the patientThe severity of mania and depression also varies from person to person, with some people feeling extremely excited or energetic, while others experience confusion and severe anxiety. There are also patients who do not experience manic and depressed moods alternately, but both at the same time. Overall, however, about 90% of people with bipolar disorder have multiple or recurrent episodes. In one bipolar patient's own description: "Every unprovoked happy mood is a loan that needs to be doubled in the future."
3. There are three types of bipolar disorder
According to the American Psychiatric Association's DSM-5, there are three subtypes of bipolar disorder[1]:
Bipolar disorder: This is the most well-known subtype, and the diagnostic criteria are when the individual meets all the criteria for a manic episode, some bipolar disorders will have depressive symptoms as severe as major depression, while others will have relatively mild or no depressive symptoms, and depressive symptoms are not necessary for the diagnosis of bipolar disorder. However, it is important to note that current psychiatric science believes that almost all bipolar patients who experience a manic episode will eventually enter a depressive episode, and mania without any depressive symptoms is very rare.
Bipolar Disorder: Bipolar disorder is also called soft bipolar because it involves a milder form of manic symptoms, clinically known as hypomania, and the main difference between hypomania and mania is the duration and severity of symptoms: symptoms of hypomania last for at least 4 days (1 week for mania) and the symptoms are not severe enough to interfere with daily work and life. Patients diagnosed with bipolar disorder must have not only hypomanic episodes, but must also have at least one major depressive episode.
Annular mood disorder: Annular mood disorder can be understood as a chronic mood disorder in which individuals frequently alternate with mild depressive symptoms and mild manic symptoms, which, although less severe than major depression and manic episodes, last at least two years.
4. How to combine traditional Chinese medicine**
In traditional Chinese medicine research, there is no clear name for bipolar disorder, but its clinical symptoms are involved in diseases such as "madness" and "depression syndrome". In the theory of traditional Chinese medicine, this disease is mostly caused by internal injuries of the seven emotions, such as emotional injury, loss of liver order, depression and fire, burning into phlegm, phlegm and fire disturbing the clear body, then it becomes mania;If you think too much, your mind is not nourished, or your liver qi is stagnant and your phlegm is cloudy, you will be depressed and have a depressive episode.
In the selection of prescriptions, we determine the syndrome type according to the tongue and pulse, and treat the syndrome differentiation with drugs.
Blood stasis and internal obstruction, upper disturbance and clear the body: You can add or subtract through the Tongqi Huoxue decoction toChuanxiong, red peony, safflower, and peach kernel nourish blood, addMuskIn clinical practice, the combination of western drugs such as quetiapine and valproate can improve manic symptoms in a short period of time, achieving the effect of one plus one greater than two.
Lack of heart yin and disharmony of liver qiSweet wheat jujube soupIn the formula, licorice is used to relieve the heart, wheat to nourish the heart, jujube to nourish the stomach and Zhongli its dryness, which can play a role in nourishing the heart and regulating the liver, calming the nerves, and has a similar effect of Jiuwei Zhenxin granules is also the key prescription for nourishing the heart and soothing the nerves, especially in combination with sertraline, trazodone, mirtazapine drugs or in combination with Morita **, which can also significantly improve anxiety, depression, manic symptoms, and stabilize the patient's mood.
Phlegm and fire disturb the heart:On behalf of Fang Pig Iron Drink, with Fritillary, Gall Star, and Orange Red as the main ones to clear the heart and cleanse phlegm, calm the nerves;Salvia, asparagus, and wheat winter are used to nourish the heart and blood, and nourish the heart;With the stone calamus, Yuanzhi happy hole and through the nine holes;Use pig iron to calm the heart, restore its gods, and balance yin and yang. Modern studies have found that pig iron drinking and flavoring or combining with some mood stabilizers can significantly reduce manic symptoms, and at the same time have a certain effect on menopausal syndrome and children's sleepwalking.
I am Liu Wenhua, the director of the Department of Emotion of Chinese Medicine, with more than 40 years of clinical experience. Many patients with insomnia, depression, bipolar disorder, and anxiety can see the results in 1-2 months after taking my experience. If you have the same condition, please contact me in the comment area.