Complementary therapies I take in addition to my
medication:
GNC Triple
Strength Fish Oil
$19.99
Serving Size: 1 Softgel Servings Per Container: 60
Calories: 15 Total Fat: 1.5g
EPA: 647mg DHA: 253mg
GNC Mega Men Sport Multi-Vitamins
(Bonus Size)
$34.99
Other Cool Stuff:
Tablet/Pill Splitter
$5.99
GoFit Yoga Mat
$24.99
Homedics LCD Digital Scale $39.99
Attention:
This
website is probably more suitable for people whom are 18
years of age or older. I use vulgarity from time to time,
and I sometimes talk about things that are generally
inappropriate. Sorry you 1st graders. Beat it.
Bipolar disorder is a lifelong mood disorder characterized by
periods of mania, depression, or a mixed manic-depressive state.
The condition can seriously impair a patient's cognition and
behavior. Psychotic symptoms such as delusions,
hallucinations, and disorganized thinking frequently complicate a
patient's disease course. Typically, periods of symptoms are
separated by periods that are symptom-free. However, with
increasing age or without treatment, the amount of time a patient
has symptoms increases and the symptom-free time decreases.
An estimated 2.3 million Americans or
approximately 1.2% of the United States' adult population has
bipolar disorder. The term "bipolar disorder" includes bipolar
I disorder, bipolar II disorder, cyclothymic disorder, and bipolar
disorder not otherwise specified. Many patients with bipolar I
disorder will have disease recurrences.
Substantial morbidity and mortality are associated with bipolar
disorder. In fact, bipolar disorder is estimated to be the
ninth leading cause of years of life lived with a disability
worldwide. Complications related to bipolar disorder may
severely impact a patient's relationships with family, friends, and
employers. For example, the divorce rate for patient's with
bipolar disorder is 2 to 3 times higher than comparison controls.
Likewise, patients with bipolar disorder are twice as likely to be
unemployed or underemployed compared with comparison controls.
In a study evaluating close to 3000 persons with bipolar disorder,
approximately 64% were unemployed, although more than 60% had
attended college and 30% had received undergraduate degrees.
Mortality is also a concern.
Bipolar disorder is associated with the highest suicide rate among
all major psychiatric illnesses. Approximately 20% to 25% of
persons with bipolar type I disorder will attempt suicide at some
point during their lives; 10% to 15% of these patients will succeed.
Suicide attempts are most likely to occur during a depressive or
mixed episode.
Criteria for the manic episode are defined in the DSM-IV.
Symptoms that occur during manic episodes may be categorized as
mood, behavioral, or cognitive. The most common symptoms
reported by patients with mania include:
pressured speech
hyperverbosity
physical hyperactivity and agitation
decreased need for sleep
hypersexuality
extravagance
DSM-IV-TR criteria for a manic episode
A. A
distinct period of abnormally and persistent elevated,
expansive, or irritable mood, lasting at least 1 week (or
any duration if hospitalization is necessary). B. During the period of mood disturbances, 3
(or more) of the following symptoms have persisted (4 if the
mood is only irritable) and have been present to a
significant degree:
(1) inflated self-esteem or
grandiosity
(2) decreased need for sleep
(feels rested after only 3 hours of sleep
(3) more talkative than usual
or pressure to keep talking
(4) flight of ideas or
subjective experience that thoughts are racing
(5) distractibility (attention
too easily drawn to unimportant or irrelevant external
stimuli)
(6) increase in goal directed
activity (either socially, at work, or sexually) or
psychomotor agitation
(7) excessive involvement in pleasurable
activities that have a high potential for painful
consequences (engaging in unrestrained buying sprees, sexual
indiscretions, or foolish business investments) C. The symptoms do not meet the criteria for a
mixed episode D. The mood disturbance is sufficiently severe
to cause marked impairment in occupational or in usual
social activities or relationships with others, or to
necessitate hospitalization to prevent harm to self or
others, or there are psychotic features. E. The symptoms are not due to the direct
physiological effects of a substance (a drug of abuse, a
medication, or other treatment) or a general medical
condition (hyperthyroidism).
Mood, behavioral, and
cognitive symptoms seen in manic episodes
Criteria for a hypomanic episode are also defined in the DSM-IV.
Generally, episodes of hypomania are milder than episodes of mania
and do not cause marked impairment or require hospitalization.
DSM-IV-TR criteria for a hypomanic episode
A.
persistently elevated, expansive, or irritable mood, lasting
throughout at least 4 days, that is clearly different from
the usual nondepressed mood. B. During the period of mood disturbance, 3 (or
more) of the following symptoms have persisted (4 if the
mood is only irritable) and have been present to a
significant degree.
(1) inflated self-esteem or
grandiosity
(2) decreased need for sleep
(feels rested after only 3 hours of sleep
(3) more talkative than usual
or pressure to keep talking
(4) flight of ideas or
subjective experience that thoughts are racing
(5) distractibility (attention
too easily drawn to unimportant or irrelevant external
stimuli)
(6) increase in goal directed
activity (either socially, at work, or sexually) or
psychomotor agitation
(7) excessive involvement in pleasurable
activities that have a high potential for painful
consequences (engaging in unrestrained buying sprees, sexual
indiscretions, or foolish business investments) C. The episode is associated with unequivocal change
in functioning that is uncharacteristic of the person when
not symptomatic. D. The disturbance in mood and the change in
functioning are observable by others. E. The episode is not severe enough to cause
marked impairment in social or occupational functioning, or
to necessitate hospitalization, and there are no psychotic
features. F. The symptoms are not due to the direct
physiological effects of a substance (a drug of abuse, a
medication, or other treatment) or a general medical
condition (hyperthyroidism).
Criteria for a major depressive episode are in the
DSM-IV-TR as well. Patients with bipolar disorder presenting
with depression are typically difficult to distinguish from patients
presenting with unipolar depression. Because antidepressant
monotherapy can cause a switch to mania or be ineffective in a
person with bipolar disorder, it's important to make every effort to
distinguish between unipolar and bipolar depression. Some
atypical depression symptoms that may occur more commonly in
patients with bipolar depression than with unipolar depression
include hypersomnia, hyperphagia, and profound fatigue.
DSM-IV-TR criteria for a major depressive episode
A. Five
(or more) of the following symptoms have been present during
the same 2-week period and represent a change from previous
functioning; at least 1 of the symptoms is either (1)
depressed mood or (2) loss of interest or pleasure.
(1) depressed mood most of the
day, nearly every day, as indicated by either subjective
report (feels sad or empty) or observation made by others
(appears tearful)
(2) markedly diminished
interest or pleasure in all, or almost all, activities most
of the day, nearly every day (as indicated by either
subjective account or observation made by others)
(3) significant weight
loss when not dieting or weight gain (a change of more than
5% body weight in a month), or decrease or increase in
appetite nearly every day<==Note: in children, consider
failure to make expected weight gains
(4) insomnia or hyperinsomnia
nearly every day
(5) psychomotor agitation or
retardation nearly every day (observable by others, not
merely subjective feelings of restlessness or being slowed
down)
(6) fatigue or loss of energy
nearly every day
(7) feelings of worthlessness
or excessive or inappropriate guilt (which may be
delusional) nearly every day (not merely self-reproach or
guilt about being sick)
(8) diminished ability to think
or concentrate, or indecisiveness, nearly every day (either
subjective account or observed by others)
(9) recurrent thoughts of death
(not just fear of dying), recurrent suicidal ideation
without a specific plan, or a suicide attempt or a specific
plan for committing suicide B. The symptoms do not the meet criteria for a mixed
episode. C. The symptoms cause clinically significant
distress or impairment in social occupational, or other
important areas of functioning. D. The symptoms are not due to the direct
physiological effects of a substance (a drug of abuse, a
medication) or a general medical condition
(hyperthyroidism). E. The symptoms are not better accounted for by
bereavement (after the loss of a loved one), the
symptoms persist for longer than 2 months or are
characterized by marked functional impairment, morbid
preoccupation with worthiness, suicidal ideation, psychotic
symptoms, or psychomotor retardation.
Patients with bipolar disorder can also present with a mixed
episode, meaning that both manic and depressive symptoms are
present. These patients meet both DSM-IV-TR criteria for mania
and depression, although depressive symptoms need be present for
only 1 week. Approximately 30% of patients with mania will
present with depressive symptoms.
Patients with bipolar disorder can have a rapid-cycling disease
course. Rapid cycling is defined as 4 or more mood episodes
during the previous 12 months. Rapid cycling occurs more
commonly in woman than men. Clinical or subclinical
hypothyroidism and the use of antidepressants medications or
substances of abuse can induce rapid cycling in patients with
bipolar disorder.
Bipolar disorder is classified in the DSM-IV-TR as bipolar I
disorder, bipolar II disorder, cyclothymic disorder, and bipolar
disorder not otherwise specified.
A diagnosis of bipolar I disorder requires that a patient have had 1
manic episode with or without a history of a depressive episode.
The manic episode cannot be better accounted for by schizoaffective
disorder or superimposed on schizophrenia, schizophreniform
disorder, delusional disorder, or psychotic disorder not otherwise
specified.
A diagnosis of cyclothymic disorder requires that the patient
experience numerous hypomanic and depressive periods within 2 years.
During this period, the patient cannot have been diagnosed with a
major depressive, manic, or mixed episode.
A diagnosis of bipolar disorder not otherwise specified requires
that a patient have features of bipolar disease but not meet the
criteria for any other specific bipolar disorder.
Name:Zachary Adam Odette Birthdate:06-06-1985 Location:Swartz Creek, Michigan USA Diagnosis: schizoaffective Medications Taken Daily: 40mg of
Abilify at night, 300mg of Wellbutrin in the morning, 600mg of Trileptal at
night, 50mg of Revia at night Complementary Therapies: talk-therapy
once every two weeks, 4g of omega-3 EPA fish oils taken daily, 1000 I.U. vitamin E taken daily,
1000mg of VItamin C taken daily, Mega Men Sport multi-vitamins taken daily,
Magma Plus Green Foods supplement taken daily, animal-assisted therapy (dogs), go running and
exercise daily,
taking two classes at local college, no street drugs taken since year 2005, and
I'm tryin' to give up cheap booze...
pressured speech
