having symptom-free periods that alternate with the presence of symptoms.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
Patient discussion about episodic
Q. One of my friend`s son in the manic episode. I have seen people in manic episode to be happy. What could be the reason for their happiness. One of my friend`s son in the manic episode, is generally seen with high euphoria, but often he gets in to different episodes, where he seems to be happy but at the same time aggressive, which is a symptom of depression. Please clarify?
A. Yes Waylon, all bipolar in manic episode are happy for no reasons. All Bipolar with depressions are depressed continuously with aggression and agitation. These two episodes of bipolars are at different poles, but a bipolar with mixed episodes is also found among some. Your friend’s son may also be in the mixed episode where bipolars have mania and depression as well at the same time.
Q. what is this and how it differs during episodes of mania and depression? I have heard of psychotic symptoms, what is this and how it differs during episodes of mania and depression?
A. I believe that psychosis is more common among people who have Bipolar 1. Psychosis develops in manias as Johnson said above, the person believes themselves to be someone, something they are not. They can believe themselves to be rich or invincable. I knew a gentleman once that was arrested at a car dealership because he believed that he had all the money in the world and was insisting that the dealership give him a Dodge Viper and refused to leave the showroom. When the day before he had spent both his and his partners entire paychecks on a bike (leaving no money for bills etc...) Sometime during that day he left the bike lying arund on the street somewhere because he said he had plenty of money and would just go and get another one.
In a depressive state psychosis can manifest in other ways such as believeing in all kinds of conspiracy theories, believing the world is ending... etc...
Essentially the difference between psychosis in mania and depression is that in mania the per
Q. how can these trigger his episodes and what exactly has happened to him? My son is a bipolar patient. We took him to the doctor as his manic episode has started again. This episode was a high one as compared to his previous episodes. Previous episodes used to get triggered due to his work related stress. He keeps himself in routine which makes his life comfortable. Recently he went on a vacation with his colleagues. Once he was back I found his condition was worse and soon his episodes started again. His regular medicines were not of any help. So I took him to the doctor. His medicines were not changed except a new one was added. Doctor had told to reduce on any stress as much as possible. Strictly he has been told to reduce on anything which triggers stress like coffee, tea, high sugar intake, on cigarettes as well. How can these trigger his episodes and what exactly has happened to him?
A. Depending on the type of vacation he took it is possible that he drank a lot of alcohol which interfears with the effectivness of his medications. It is also probable that he did not keep the routine that he is on while on his vacation. If it was a tropical vacationhe could have spent mornings drinking coffee waking up from late nights. There are so many possibilities. Now that he is home he can begin his routine again, take his medications as perscribed and you will see that the episode passes. I hope that for you and your son the episode passes quickly and without too much damage.More discussions about episodic
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