Archives for Mania
In a recent interview with Pam Cook for KTVU News, global mental health spokesman and advocate Kevin Hines suggested that people who suspect a loved one is suffering from depression or bipolar disorder find out more by reading about these conditions and specifically mentioned our...
We're proud to announce the release of the 3rd Edition of Bipolar Disorder For Dummies. About the Book Bipolar Disorder For Dummies, 3rd Edition is a reassuring guide that sorts out the differences between bipolar I, bipolar II, cyclothymic disorder, and other forms of bipolar; explains the biology behind the illness; and covers the latest medications, therapies, and self-help techniques to manage the condition and feel better overall. You discover:
Recently, a young adult child of a friend of mine was admitted to a hospital for a first manic episode. She presented in the most typical of ways with sudden changes in energy, sleep, mood, thinking, behavior, and judgment. She did not see that there was anything wrong, but was eventually hospitalized, against her will, due to dangerous behaviors.
A recent article in the American Journal of Psychiatry sheds light on the vexing challenge of treating depression in individuals who have an underlying bipolar disorder: For many people with bipolar disorder, depression occurs more frequently and damages function more severely than mania, but treating bipolar depression with antidepressants carries the risk of triggering manic symptoms.
Yesterday, I served on a panel of family members who have loved ones with mental illness, where we talked to a room full of police officers (approximately 30 of them) as part of their crisis intervention team (CIT) training. NAMI-WCI (West Central Indiana) provided the training. As I prepared my story for the presentation, I realized that I am never the one who calls 911 when my wife is experiencing a manic episode. My wife has always been the one to call, usually because she is experiencing paranoia and psychosis and feels the need to call the police for protection. This made me wonder... why?
According to a recent study published in the journal Nature Communications entitled "A safe lithium mimetic for bipolar disorder," British researchers are exploring a medication called ebselen as a possible treatment for bipolar disorder in humans. Originally developed to treat stroke, ebselen may be as effective as lithium in treating bipolar mania but carry fewer and less serious side effects than lithium. As the article points out, Lithium is the most effective mood stabilizer for the treatment of bipolar disorder, but it is toxic at only twice the therapeutic dosage and has many undesirable side effects.
In the September issue of the American Journal of Psychiatry, researchers report a series of studies that suggest a strong association between one particular genetic variation and manic symptoms. (Studies in humans and mice implicate neurocan in the etiology of mania. Miró X, Meier S, Dreisow ML, Frank J, Strohmaier J, Breuer R, Schmäl C, Albayram O, Pardo-Olmedilla MT, Mühleisen TW, Degenhardt FA, Mattheisen M, Reinhard I, Bilkei-Gorzo A, Cichon S, Seidenbecher C, Rietschel M, Nöthen MM, Zimmer A. Am J Psychiatry, 2012 Sep 1;169(9):982-90.)
One of the things I hate most about bipolar disorder is how subtly sinister it can be when a loved one is trending toward mania — not manic yet or even hypomanic, just talking faster and louder, blurting out statements that are a little too open and honest and perhaps hurtful, and being more self-centered than usual. A lot of bad stuff can happen during these times to drive a wedge between loved ones, but nothing bad enough to convince the person or a doctor or therapist that bipolar is at work. During periods of low-grade pre-hypomania, uncertainty fogs the mind. In our family, we argue more and "walk on eggshells." Everyone's afraid to mention the elephant in the room out of fear of being accused of blaming bipolar disorder or the person who has it for our family drama. After all, the rest of us in the family are admittedly less than perfect, and even in a normal, healthy family (whatever that is), interpersonal conflicts arise.
The other day, I was looking through a very helpful publication entitled "What To Do in a Psychiatric Crisis in Indiana," published by NAMI Indiana. I read it before and mentioned it in a previous post entitled "What To Do in a Psychiatric Crisis," but what struck me this time was the discussion of calling 911. If you call 911 to report a psychiatric crisis, the dispatcher is most likely to send the police, and NAMI cautions: It is important to note that depending on the police officer involved and other contingencies, s/he may take your loved one to jail instead of to the emergency room. Be clear about what you want to have happen. That's excellent advice, but wouldn't it be better if you called 911 to report a psychiatric crisis, and instead of just the police an ambulance arrived, too? After all, bipolar disorder is an illness, and ambulances have medications that can calm a person down. Also, wouldn't someone who's experiencing a major mood episode be more inclined to voluntarily go away in an ambulance than in a squad car? Wouldn't it be less stigmatizing?
If a loved one with mental illness or suspected mental illness is arrested, the goal is to transition the person as quickly as possible from the legal system to the healthcare system. The Los Angeles NAMI Criminal Justice Committee has posted a very thorough seven-step guide to help families navigate the criminal justice system in Los Angeles County when a family member who suffers from a brain disorder (mental illness) is arrested. It's called "Mental Illness Arrest: What do I do?" This post changes the process a bit, removes details related to the Los Angeles jail, includes some additional notes and tips, and presents everything in more of a checklist format.