Many aspects of bipolar disorder are misunderstood.
of specific symptoms to be considered manic/hypomanic or depressive. “If you have, let’s say, two or three of the four symptoms you need to clinically be having a mood elevation, we would call that partial remission, or having subdiagnostic symptoms,” Dr. Marsh says.
In many cases, a person will exhibit similar early signs when a mood episode is coming on, Dr. Galynker says . So ideally a person is somewhat familiar with those initial symptoms and can recognize them and implement the appropriate treatment before they tip into a full episode. So, a person with bipolar will very likely be on medication and working with a therapist all throughout their life. “The symptoms don't magically disappear because I go to therapy and I have medication and I've taken the time and effort to develop coping mechanisms,” Emma says. “Having a mental health disorder is like having a cold, but the cold is in your head. Sometimes I need to sleep a little more. Sometimes my appetite isn't there.
“Many people assume that mania is always this great, fantastic place to be—this ‘I can do anything’ type of experience,” Dr. Marsh says. “But mania can be really miserable or unpleasant for somebody.” “A recent example of this is a man saying to me, ‘Watch a good movie and you’ll feel better,’” Mike recalls. “My dad would say to me when I was in my teens and 20s and showing symptoms of bipolar disorder to ‘find yourself a new girlfriend and you’ll feel better.’ This is a complex disorder and difficult to manage, but that does not register with people.”
Bradley, who is 54 years old and has bipolar I, first picked up on symptoms of his condition when he was 48. He tells SELF that a reliable, informed support system is key in helping a person with bipolar stay on top of their treatment. “If the person is in denial about their condition, then friends and family need to conduct a loving intervention to explain their care and the need for the person to be evaluated,” he suggests.
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