signs of mania bipolar

Hypomania and mania represent the manic episodes that come with bipolar disorder. While the signs of mania bipolar may at first seem to be a pleasant diversion from the dark depressive episodes that represent the opposite side of the disorder, the manic phase can also be destabilizing and self-destructive. The feelings of invincibility can lead to delusions of grandeur that result in behaviors that are regretted once the manic episode subsides.

People with undiagnosed bipolar disorder will find its symptoms disruptive to all areas of their life. The extreme mood swings will not only impact one’s career, relationships, and psychological wellbeing, but can also affect anyone closely associated with the individual. The signs of mania bipolar can result in family financial problems, incomplete work projects that affect coworkers, and dangerous behavior that can result in injury to others.

Diagnosis of the disorder will begin the process of treating these disruptive symptoms and thereby improve daily functioning. Managing the bipolar disorder will involve ongoing therapy and medication. By adhering to the treatment plan, and continuing to work on psychosocial skills, individuals with bipolar disorder are able to live a productive, fulfilling life.

About Bipolar Disorder

Bipolar disorder, formerly referred to as manic-depressive disorder, is a mood disorder that involves intense mood shifts, alternating between manic and depressive episodes. The depressive episodes feature feelings of sadness, fatigue, loss of interest, slowed movements, changes in eating and sleeping habits, and suicidal ideation. The manic episodes feature extremely elevated mood, lack of sleep, loss of appetite, impulsive or risky behaviors, and excessive talking.

There are varying degrees of intensity of these episodes, so for that reason bipolar disorder has four classifications:

Bipolar I: The individual experiences both manic and depressive episodes that vary in length, but at least one manic episode that includes psychotic features must last seven days or longer for diagnosis. The manic episode may have been shorter but was severe enough to require hospitalization. Mania is more prevalent in bipolar I.

Bipolar II: The individual experiences hypomania instead of mania. Hypomania is a less severe form of mania. Diagnosis will depend on the individual having experienced at least one hypomanic episode and one depressive episode. Depressive episodes are more prevalent in bipolar II.

Cyclothymic disorder: The individual experiences a milder form of bipolar disorder, with episodes of less severe mania and depression that resembles moodiness instead of bipolar disorder, and lasts more than two years. Untreated cyclothymic disorder can develop into bipolar disorder.

Unspecified: This classification involves abnormal mood disorder symptoms that do not fit a specific pattern.

What are the Signs of Mania Bipolar?

The manic episodes involved in bipolar disorder are characterized by an intensely elevated mood state. A manic episode may last a few hours or several days, and may involve psychotic symptoms. The signs of mania bipolar include:

  • Abundant energy
  • Intense euphoria
  • Racing thoughts
  • Excessive talking, rapid speech
  • Reduced need for sleep
  • Difficulty concentrating or staying on task
  • Highly distracted by multiple stimuli
  • Impulsivity
  • Feelings of grandiosity
  • Restlessness
  • Disjointed thoughts
  • Intensified senses, light, sounds, colors
  • Engage in risky behaviors
  • Hallucinations
  • Delusions
  • Paranoia

People experiencing mania may require hospitalization if symptoms include psychosis, or when episodes last several days.

How to Manage the Signs of Mania Bipolar?

When a manic episode ensues the individual may find their symptoms getting out of control. Abnormal energy levels may prevent someone from completing assignments at school or work. Exaggerated self-esteem may come off as a sense of superiority, and seen as off-putting to coworkers and friends. Minimal sleep over several days can impact health and wellness. Impulsive behavior can result in high risk situations that lead to injury or damages.

When the symptoms of a manic episode emerge there may be a very short window to proactively manage the oncoming slate of symptoms. Seeking out the help of a support system and reaching out to one’s doctor or therapist can help prevent an episode from becoming full-fledged. Better yet is taking the steps prior to seeing the signs of an upcoming manic episode. These proactive steps might include:

  • Maintain a regular sleep schedule
  • Avoid alcohol and drugs
  • Learn how to manage stress using relaxation techniques
  • Adhere to medication
  • Continue with outpatient therapy

How Is Bipolar Disorder Treated?

Treatment for bipolar disorder will involve a combination of medication and psychotherapy. In more severe cases, electroconvulsive shock therapy (ECT) may be utilized. Holistic activities, such as taking yoga, getting regular exercise, mindfulness training, and maintaining a healthy diet can also be beneficial for individuals with bipolar disorder.

Medications: Depending on the class of bipolar disorder the medications may include antidepressants, antipsychotics, and mood stabilizers

Psychotherapy: Cognitive behavioral therapy (CBT) is the most used form of psychotherapy for treating bipolar disorder. CBT therapists will guide the individual to identify thought distortions or triggers that lead to the disruptive behaviors, and the change the destructive thought patterns. In addition to CBT, interpersonal and social rhythm therapy and family-focused therapy are helpful as well.

When the symptoms of bipolar disorder are not improving through outpatient mental healthcare, it may indicate that more intensive approach is warranted. A residential program offers more focused and integrative interventions in an environment that is free of the usual triggers or stressors that can result in the mood swings. This allows the clinical team to give the individual more targeted and individualized attention that can benefit them significantly after they complete the program.

Elevation Behavioral Health Provides Luxury Residential Mental Health Services

Elevation Behavioral Health is a Los Angeles-based residential mental health center that offers a wide array of services for individuals in need of a more intensive treatment approach. With a blending of evidence-based and holistic treatment methods, a broader spectrum of care can result. The beautiful private facility offers upscale accommodations and resort-like amenities, which enhance the overall experience while being cared for at Elevation. For more details about our treatment program for bipolar disorder, please reach out to Elevation Behavioral Health today at (888) 561-0868.

 

Signs of Bipolar Depression Relapse

Living with bipolar disorder can be seen as an exercise in both patience and proactive planning. Patience, because the fact is that bipolar disorder is a chronic and complex mental health disorder that is ever shifting, and proactive planning is key to managing the warning signs of an impending relapse.

And relapse there will be. Bipolar disorder is a lifelong diagnosis, the alternating manic and depressive episodes that one must learn to manage. Even the most valiant efforts to stave off recurrence may fail when signs of bipolar depression relapse are flashing. But doing something is a better option than doing nothing when impending relapse is on the horizon.

Sometimes a relapse will completely surprise the person. There may not be any foreseeable signs of bipolar depression relapse on the horizon—it just happens. Even though the relapse was unforeseen, there are still steps to take to mitigate the symptoms of depression. Living with bipolar disorder is all about management.

About Bipolar Disorder

Bipolar disorder, once known as manic-depressive disorder, is a mental illness that features extreme shifts between manic emotional states and depressive emotional states. In most cases, bipolar disorder appears in the teen or early adult years, and affects 2.6% of the U.S. adult population, or approximately 5.7 million people, according to the National Institute on Mental Illness. Of those diagnosed with bipolar disorder, more than 8 out of 10 will have a severe form of the mental health disorder.

While bipolar disorder is characterized by extreme mood swings between mania and depression, there are variations of the disorder. These include:

Bipolar I Disorder: Features dramatic mood swings between manic episodes and depressive episodes, with normal period between them.

Bipolar II Disorder: Features at least one depressive episode and one hypomanic (less severe than manic) episode. Depression symptoms are more prevalent.

Cyclothymic Disorder: Features milder versions of both mania and depression that occur often.

Bipolar Disorder Not Otherwise Specified: Features the symptoms of mania and depression that do not meet diagnostic criteria.

Common Bipolar Depression Relapse Signs

Although the actual cause of a bipolar relapse is still unknown, there may be a pattern of triggers or situations that can lead to a bipolar depression relapse. Lack of sleep and too much stress are common triggers that can bring on a bipolar relapse. Research shows that at least 75% of those with bipolar disorder will experience relapse, according to a study published in the Iranian Journal of Psychiatry. Bipolar II disorder, which is defined by the prevalence of depressive episodes, is more prone to relapse.

Some of the signs of bipolar depression relapse include:

  • Increasing irritability
  • Restlessness
  • More headaches, stomachaches
  • Change in eating habits
  • Sleep problems
  • Trouble concentrating
  • Fuzzy thinking
  • Difficulty making decisions
  • Avoiding social interaction, skipping school, staying home from work
  • Not taking medication, missing therapy appointments
  • Feeling flat
  • Thoughts of suicide

Anticipate Potential Triggers and Take Preventative Steps

When the signs of an impending relapse are seen, as often they are not and depression can suddenly appear without warning, there are some steps to take to ward off the relapse. Because bipolar is a chronic condition, it may help track the triggers or symptoms of the disorder by keeping a journal. This is a tool that may begin to reveal a pattern of signs that can help the individual become more aware of a forthcoming relapse back into depression.

Also, just anticipating events or situations that might trigger a depressive episode can help prepare for it. Noting on a calendar a few days before a potentially triggering event can help one focus on self-care, to take proactive steps that can possibly diminish the impact of the event. This might include massage therapy, acupuncture, mindfulness meditation, getting quality sleep, eating nutrition rich foods, and seeing the therapist.

Managing Bipolar Disorder

Although there is no cure for bipolar disorder, the condition can be managed using a combination of psychotherapy, medication, and lifestyle adjustments. By being vigilant and proactive with these interventions, an individual can expect to enjoy more stability and overall wellness while living a productive life.

Medication: Mood stabilizing medications, such as antipsychotics and antidepressants, are the most commonly prescribed drugs for treating bipolar disorder. Lithium is the most commonly prescribed medication for controlling bipolar disorder, while anticonvulsants and SSRIs are also utilized often as well. It is important for patients to comply with their medication schedule and dosing to maintain stability.

Psychotherapy: Because thoughts can influence behaviors, and negative thoughts can lead to self-destructive behaviors, cognitive behavioral therapy is an excellent therapy for helping individuals with bipolar disorder. CBT helps one identify and correct the irrational and troublesome behavior patterns associated with bipolar disorder.

Lifestyle: Establishing a healthy routine is an essential aspect of managing bipolar disorder. Sticking to a regular sleep schedule, getting regular exercise, eating nutritiously, and managing stress are all intrinsic to achieving stability and reducing the probability of a relapse.

Even a diligent adherence to these important treatment methods may not deter the signs of bipolar depression relapse. Bipolar disorder remains an unexplained mystery in many ways, including the cycling of relapses. However, by charting thoughts, feelings, situations, trigger exposures, emotional issues, work and family issues, and health conditions, managing pre-relapse situations and taking proactive steps can help avoid the onset of a relapse.

Elevation Behavioral Health Residential Treatment for Bipolar Disorder

Elevation Behavioral Health is a Los Angeles-based mental health provider that provides residential services for individuals with bipolar disorder. When symptoms have worsened and relapse becomes a chronic issue, a stay at Elevation Behavioral Health may provide the intensive and focused care needed. Our expert clinical team will design a customized treatment protocol that addresses each individual’s unique bipolar features for best results. Using a medley of evidence-based therapies and holistic approaches, Elevation Behavioral Health addresses all aspects of the person. For more details about our residential program, please contact Elevation today at (888) 561-0868.

trauma counseling

A traumatic experience can remain deeply troubling for a period of time, impacting daily life and overall wellness. Having witnessed or personally experienced a traumatic event may leave psychological wounds and a heightened sense of emotional arousal that can cause impaired functioning, ill health, or relationship problems. While most people who experience trauma will eventually process the fallout, some may go on to develop pot-traumatic stress disorder, a prolonged and more severe form of trauma disorder.

Trauma counseling is a key element in the process of healing after experiencing a shocking or distressing event. A trauma therapist is trained to use specialized therapies that help take the edge off the traumatic memory, allowing the individual to become less sensitive to the memories of it, or the people, places, or situations that may trigger the memories. Trauma counseling, and adjunctive therapies that compliment the counseling, allow the individual to gradually move forward in their lives.

Trauma Defined

So how is a trauma different from any other upsetting event? A traumatic event tends to cause an intense psychological response when the individual feels they are in a dangerous or life-threatening situation. Traumatic events might include a natural disaster, military combat, a serious car accident, a violent physical or sexual assault, or the sudden unexpected death of a close loved one. Trauma often makes the individual feel a loss of control over their safety.

Signs of Trauma Disorder

Living through a traumatic event can shake someone to the core. Trauma symptoms include:

  • Shock
  • Anger
  • Denial
  • Mood swings
  • Flashbacks
  • Nightmares
  • Insomnia or sleep disturbance
  • Persistent feelings of sadness and despair
  • Headache, intestinal problems
  • Feelings of guilt or shame
  • Emotional detachment
  • Feeling isolated
  • Hopelessness
  • Anxiety
  • Trust issues
  • Loss of interest in usual sources of enjoyment, withdrawing from friends and family
  • Substance abuse

What Is Trauma Counseling and How Does It Work?

When an individual is struggling to overcome the effects of the trauma to a point where it is negatively impacting daily functioning and quality of life, it is appropriate to seek treatment. Goals of overcoming trauma include reclaiming one’s personal power, to shift focus from the past to the present, and to reduce the impact that the trauma has on one moving forward.

Mental health professionals use a variety of modalities to help individuals overcome the intense effects of the trauma. These might include:

Trauma-Focused Cognitive Behavioral Therapy.  TFCBT is designed for helping individuals overcome trauma by reshaping the thoughts associated with the trauma that led to the negative emotions and behaviors. By helping the trauma victim express their feelings about the experience, the therapist will show them how those thoughts have led to withdrawal, guilt, loneliness, anxiety, etc. By encouraging the individual to examine the negative thoughts and reframe them in a more productive manner, the trauma loses potency.

Psychodynamic Therapy. This is a longer-term therapy that delves into childhood experiences and how they may relate to issues in their adult life. The insights gained during psychodynamic therapy can help the individual develop a new perspective on those childhood experiences, as well as dysfunctional adult interpersonal relationships, how to rise above them and not allow them to negatively impact their present daily life anymore.

Exposure Therapy. This is a short-term behavioral therapy that helps individuals become less sensitive to the memories or triggers of the trauma. By encouraging discussion of the event and gradually exposing them to the triggers within a safe environment, the impact is gradually reduced over time. This helps with the avoidance behaviors they may have acquired following the trauma.

Adjunctive Therapies for Treating Trauma

In addition to the various traditional psychotherapies used, there are some excellent alternative therapies that compliment and augment those therapies. These include:

Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a type of therapy that helps individuals by desensitizing them to the disturbing memories of the trauma. EMDR is an 8-phase program that focuses on the past, present, and future. The therapist will have the client follow an object or finger back and forth with their eyes while discussing the disturbing memory, the related emotions and beliefs, which has the effect of reducing the impact of the trauma over the course of the sessions.

Neurofeedback. Neurofeedback is a type of biofeedback where the individual’s brain wave patterns and activity can be modified through a computer software program, training the individual to be calmer when thoughts of the trauma arise.

Holistic Activities. Holistic practices can help promote relaxation while reducing stress, which can help in the response to thoughts of the trauma. Managing stress through deep breathing exercises, mindfulness meditation, guided imagery, yoga, massage therapy, and acupuncture can benefit the individual as they heal from the trauma.

When a Higher Level of Care is Appropriate for Trauma Disorder

When efforts to relieve the symptoms of trauma are not successful using outpatient services, it may be necessary to consider a higher level of care. Individuals whose trauma disorder is seriously impacting their daily life and their relationships may benefit from a more focused approach at a residential treatment center. This safe, supportive setting allows the individual to fully focus on getting better without the daily distractions and triggers that have so far impeded that effort. Customized treatment plans will provide the most tailored, intensive treatment approach to healing from the traumatic event and getting one’s life back.

Elevation Behavioral Health Provides Trauma Counseling in a Residential Setting

Elevation Behavioral Health is a residential mental health program in Los Angeles, California. Trauma victims who have not yet been able to move through the residual emotional pain find that the safe, supportive setting of a residential program helps them heal. Leaving the reminders or triggers of the trauma by residing at Elevation Behavioral Health for a period, patients find much needed solace. Individualized treatment plans incorporate a combination of relevant interventions to allow patients to move past the painful memories and regain control over their lives within a compassionate environment. For more information about trauma counseling and treatment options, please reach out to Elevation Behavioral Health today at (888) 561-0868.

difference between bipolar and manic depression

When wondering what is the difference between bipolar and manic depression it can be a bit confusing. These two terms are still used interchangeably, leaving the impression that they are two distinct mental health disorders. In reality, manic depression is the same disorder as bipolar disorder, but happens to be an outdated label. In 1980, the DSM-3 officially reclassified this particular disorder as bipolar disorder.

Individuals who struggle with bipolar disorder understand why it was once called manic-depressive disorder, as it manifests itself with features of both clinical depression and mania or hypomania. There are different degrees of severity of the disorder, leading to a total of four types of bipolar disorder to be listed in the DMS-5. Since there is no difference between bipolar and manic depression, let’s push past the labeling and talk about bipolar disorder.

What Is Bipolar Disorder?

Bipolar disorder is a complex mental health disorder that is considered a “mood disorder,” and features extreme shifts between moods and energy levels. Someone with this challenging condition may find that it can impair daily functioning, career stability, and relationships. 

The intensive mood swings between mania and depression can be very disruptive in daily life, although there may be long periods of calm that separate these mood shifts. While there is no cure for bipolar disorder, there are methods and medications that help individuals manage the symptoms and enjoy a productive life. In most cases, bipolar disorder is first diagnosed in the teen years or early adulthood, although there are cases of it being diagnosed in later years as well.

What Causes Bipolar Disorder?

To date, science has not yet been able to identify the exact cause of bipolar disorder. However, there are strong indications that there is a genetic component, as chances of developing the disorder are enhanced if a close family member has the condition. But even so, when studying identical twins there may be one twin with the disorder and the other who never develops it.

It is also thought that particular features in brain structure might predispose someone to bipolar disorder, especially in light of traumatic events or intensely stressful life events that might trigger a bipolar episode.

What Are the Symptoms of Mania?

The symptoms of mania include:

  • Very little sleep
  • Easily distracted
  • Irritability
  • Excessive energy, hyperactivity
  • Intense euphoria
  • Overly ambitious undertakings
  • Exercising poor judgment
  • Impulsivity
  • Engaging in risky behaviors
  • Aggression
  • Psychosis

Hypomania is a less severe form of mania, with symptoms lasting four days or more but which do not cause severe impairment in daily functioning as mania does.

What are the Symptoms of Depression?

The symptoms of depression include:

  • Persistent sadness, feelings of despair
  • Insomnia or hypersomnia
  • Irritability
  • Fatigue
  • Changes in weight
  • Difficulty concentrating or making decisions
  • Physical symptoms such as chronic digestive problems or headaches
  • Feelings of guilt or shame
  • Suicidal ideation

Types of Bipolar Disorder

When an individual is being evaluated for bipolar disorder they will first undergo a physical exam to rule out any medical reason for the symptoms. Then using the DSM-5 diagnostic criteria and various assessments, the mental health practitioner can pinpoint the specific type of bipolar disorder According to the National Alliance on Mental Illness there are four types of bipolar disorder. These include:

Bipolar I. Bipolar I disorder involves one or more manic episodes, with or without depressive episodes occurring. The mania must be severe enough that hospitalization is required and last a week or longer.

Bipolar II. Bipolar II disorder is characterized by the shifting between the less severe hypomanic episodes and depressive episodes.

Cyclothymic disorder. Cyclothymic disorder involves chronic mood shifts between depressive and hypomanic lasting more than two years. There may be periods of normal mood as well, but those periods last less than 8 weeks.

Unspecified bipolar disorder. Bipolar disorder not otherwise specified is present when the symptoms do not fit the other three diagnoses, but still involve episodes of unusual manic mood.

Treatment for Bipolar Disorder

While there is no difference between bipolar and manic depression labeling, both the mania and the depression must be managed. Once the particular type of bipolar disorder is diagnosed, a treatment protocol will be created for the individual. In most cases, a combination of medication and psychotherapy is the first line of treatment. For those who have bipolar I, admission into a residential treatment program or hospitalization is the appropriate level of care.

Medication: Psychotropic medications are prescribed according to the predominant features of the bipolar disorder. These may include antidepressants, benzodiazepines, and anti-psychotic medication.

Psychotherapy: Talk therapy and group therapy helps individuals process the disruption that their bipolar disorder causes in daily life and find solutions for managing relationships and other stressors better. CBT can assist the individual with shifting pessimistic thoughts that drives irrational behaviors to more optimistic thinking.

Family-focused therapy: Stress that is a common feature within families when a member has bipolar disorder can undermine recovery. This involves helping family members learn to communicate better, practice better problem solving skills, and manage anger and conflicts more effectively.

Stress-management: Teaching individuals with bipolar disorder to better manage their stress level is intrinsic to a positive outcome. These methods include deep breathing, yoga, and mindfulness training.

Medical detox and addiction treatment for dual diagnosis: Substance use disorders often co-occur with bipolar disorder. If so, the individual will benefit from detox and addiction treatment in addition to the targeted treatment for bipolar disorder.

Elevation Behavioral Health is a Leading Provider of Bipolar Disorder Treatment

Elevation Behavioral Health is a residential mental health program that treats individuals with bipolar disorder. What sets Elevation Behavioral Health apart from other residential programs is its “elevation” of treatment interventions to a more focused and comprehensive level of intensity. At Elevation Behavioral Health, patients find themselves in a compassionate, supportive environment that allows them to heal. Interventions are designed to help stabilize the severity of the mood shifts, to learn new ways to recognize and manage oncoming symptoms, improving their level of functioning at school or work, and teach them methods to reduce stress and promote relaxation. For more information about whether there is a difference between bipolar and manic depression, or any other questions, please contact Elevation Behavioral Health at (888) 561-0868.