Many people do not understand what bipolar disorder is. In fact, these symptoms are not uncommon. Patients usually show symptoms such as depression, low mood, or mania. Some may also have difficulty sleeping, major changes in appetite, and even suicidal thoughts. Therefore, when these symptoms occur, they must be taken seriously and active treatment measures must be taken. 1. Symptoms 1. People with bipolar disorder who also have these symptoms are sometimes misdiagnosed with schizophrenia, another serious mental illness. It's helpful to think of the changing moods of bipolar disorder as a series or continuum. At one end is severe depression, above that is moderate depression, and then the mild low mood that, when it occurs briefly, people call "the blues"; and when it is chronic, we define it as "dysthymia." This is followed by a normal or stable mood, hypomania at the higher end (mild to moderate mania), and finally severe mania. However, in some people, symptoms of both mania and depression occur at the same time, which is called mixed bipolar disorder. Mixed symptoms often include agitation, trouble sleeping, significant changes in appetite, psychosis, and suicidal thoughts. A person can be very sad and hopeless and feel very alive at the same time. 2. Treatment methods ⒈ The vast majority of patients require hospitalization, and severe cases require compulsory hospitalization. Isolate the patient from other people, keep him/her quiet, ensure adequate food intake, and pay attention to water and electrolyte balance. The use of antipsychotic drugs chlorpromazine, haloperidol, and clozapine can help quickly control excitement. Lithium salts have a good therapeutic effect on manic episodes and can prevent recurrences, 1 to 2 g each time, 2 to 3 times a day, for 4 weeks. It should not be used in combination with haloperidol. ⒉ Treatment with carbamazepine and lithium. ⒊ Sodium valproate is used when lithium salts and carbamazepine are ineffective, 600-1200 mg per day. ⒋ This method is suitable for electric shock therapy for those who are severely excited and agitated and who urgently need to control their condition. ⒌ For patients who have recurrent episodes after more than 2 maintenance treatments, long-term medication should be used in principle. The maintenance dose of lithium salt is 2/3 to 1/2 of the original treatment dose. 0.75-1.0g per day. |
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