Bipolar Disorders, (Manic Depression), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

Bipolar Disorder (Manic Depression) is a medical disorder in which people swings between periods of a very good or irritable mood (mania) and depression.
Bipolar disorder is a mental illness that causes extreme mood swings.
This disorder is also called manic-depressive illness or manic depression.
Bipolar disorder is a mental disorder in which a person has wide or extreme swings in their mood.
Periods of feeling sad and depressed may interchange with periods of being very happy and active or being angry or irritable.
The precise cause is still not known, but it can happen in families of people with Bipolar Disorder.
Bipolar disorder may be produced by a chemical imbalance in the brain.
Both men and women can have bipolar disorder.
Persons of all ages can have it.
It normally begins between ages 15 - 25.
Occasionally, a person who has bipolar disorder may feel very pleased, full of energy and capable of doing anything.
A. Manic phase -last from days to months:
1. Easily distracted
2. Little need for sleep
3. Full of energy and restlessness
4. Feeling very powerful and self-important
At other times, a patient who has bipolar disorder may feel very miserable and depressed.
B. Depressed stage of both forms of Bipolar Disorder:
1. Daily low mood or sadness
2. Feeling of hopelessness
3. Tiredness or lack of energy
4. Feeling worthless, hopeless, or guilty
Treatment is first with mood stabilizers such as:
1. Carbamazepine
2. Lamotrigine
3. Lithium
4. Sodium Valproate (valproic acid)
Other drugs used to treat are:
1. Antipsychotic drugs and anti-anxiety drugs (benzodiazepines)
2. Antidepressant medications
With medicines, the patient may start to feel better
Psychotherapy (or Talk Therapy) may be helpful
Electroconvulsive therapy (ECT) may be used to treat the manic or depressive phase of Mood Swings if it does not respond to medicine

Suicide, serious suicide attempts, eating disorders, and self-mutilation are examples of self-injurious behavior are frequent in bipolar disease patients.
In fact half of the bipolar diseases patients experience suicides in his or her lifetime.
Understanding this behavior, recognizing the warning signs and managing ongoing risk is an important point to understanding this condition by doctors.
Bipolar disorder is definitely one of the most difficult of mental illnesses for any intimate relationships.
The family must be able to endure episodic and recurrent mood swing.
Episodes of mania or depression can affect the patient’s ability to continue employment and provide his or her family’s income

TABLE OF CONTENT
Introduction
Chapter 1 Bipolar Disorder
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Hypomania
Chapter 8 Clinical Depression
Epilogue

• Language: English
• Publisher: Kenneth Kee
• Release date: Oct 4, 2016
• ISBN: 9781370958849

Kenneth Kee

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972. He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993. Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades. Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day. He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits. He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police. Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours. Beyond his medical career, Dr. Kee is also an author. He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience. Over time, he published various books, many of which provide simple and accessible guides to different health conditions. His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon. His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history. Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources. Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include: "A Family Doctor's Tale" This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories. "Specialized Medical Conditions" Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...

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Bipolar Disorders,

(Manic Depression),

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2016 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Bipolar Disorder (Manic Depression) Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What The patient Need to Treat Bipolar Disorder (Manic Depression))

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank the patient for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Conditions into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical conditions.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Bipolar Disease

Suicide, serious suicide attempts, eating disorders, and self-mutilation are examples of self-injurious behavior are frequent in bipolar disease patients.

In fact half of the bipolar diseases patients experience suicides in his or her lifetime.

Understanding this behavior, recognizing the warning signs and managing ongoing risk is an important point to understanding this condition by doctors.

Bipolar disorder is definitely one of the most difficult of mental illnesses for any intimate relationships.

The family must be able to endure episodic and recurrent mood swing.

Episodes of mania or depression can affect the patient’s ability to continue employment and provide his or her family’s income

What is Bipolar Disorder?

Bipolar Disorder (Manic Depression) is a medical disorder in which people swings between periods of a very good or irritable mood (mania) and depression.

Bipolar disorder is a mental illness that causes extreme mood swings.

This disorder is also called manic-depressive illness or manic depression.

Bipolar disorder is a mental disorder in which a person has wide or extreme swings in their mood.

Periods of feeling sad and depressed may interchange with periods of being very happy and active or being angry or irritable.

What are the Causes of Bipolar Disorder?

The precise cause is still not known, but it can happen in families of people with Bipolar Disorder.

Bipolar disorder may be produced by a chemical imbalance in the brain.

It occasionally occurs in families.

If the patient has a parent who has bipolar disorder, the patient has a higher possibility of having it.

1-2 per cent of the population has Bipolar Disorder over their natural life.

Both men and women can have bipolar disorder.

Persons of all ages can have it.

It normally begins between ages 15 - 25.

What are the Types of Bipolar Disorder?

There are several different forms of bipolar disorder.

The form of bipolar disorder that the patient has is dependent on how rapidly the patient moves from manic episodes to depression and back again, as well as how serious the symptoms are.

1. Bipolar Disorder type I have had at least one manic incident and events of major depression.

2. Bipolar Disorder type II has never had full mania episode.

There are events where there is high energy levels and impulsiveness but that is not as intense as mania (called hypomania).

These hypomania episodes interchange with events of depression.

3. Mild form of Bipolar Disorder called cycloymia affects less serious mood swings alternating between hypomania and mild depression.

4. Mixed features are known as the occurrence of simultaneous symptoms of opposite mood polarities during manic, hypo-manic or depressive events.

It is marked by high energy, insomnia, and fast thoughts.

At the same time, the person may feel discouraged, despondent, ill-tempered, and suicidal.

5. Rapid-cycling is a name that describes having four or more mood events within 12-month duration.

Events must last for some minimum amount of days in order to be described distinct events.

Some people also observe changes in polarity from high to low or vice-versa within a single week, or even within a single day, meaning that the full symptom summary that defines distinct, separate episodes may not be present (the person may not have a reduced need for sleep).

Occasionally known as ultra-rapid cycling, there is dispute within psychiatry as to whether this incident is a suitable or entrenched feature in bipolar disorder.

An episode of rapid cycling can happen at any time in the route of sickness, even though some doctors believe that it may be more frequent at later points in the lifetime period of illness.

Women tend more possible than men to have rapid cycling.

A rapid-cycling pattern raises risk for severe depression and suicide attempts.

Antidepressants may occasionally be linked with stimulating or extending periods of rapid cycling.

What are the risk factors of Bipolar Disorder?

In most patients with bipolar disorder, there is no obvious reason for the episodes of extreme happiness and high activity or energy (mania) or low activity or energy (depression).

The following may activate a manic event:

Stimuli of a manic event in people with Bipolar Disorder are:

1. Life alterations such as childbirth

2. Medicines such as antidepressants or steroids

3. Periods of sleeplessness

4. Recreational drug use

What are the symptoms of Bipolar Disorder?

Symptoms

Occasionally, a person who has bipolar disorder may feel very pleased, full of energy and capable of doing anything.

The person may not want to take it easy when feeling this way.

This mood is called mania.

At other times, a patient who has bipolar disorder may feel very miserable and depressed.

The person may not want to do anything when he or she has this feeling.

This mood is called depression.

People who have bipolar disorder can quickly swing from mania to depression and back again.

The manic phase may last from days to months.

A. Manic phase -last from days to months:

1. Easily distracted

2. Little need for sleep

3. Full of energy and restlessness

4. Feeling very powerful and self-important, full of new ideas and important plans

5. Poor temper control

6. Reckless behavior and lack of self control

7. Binge eating, drinking, and drug use

8. Sex with many partners (promiscuity) without