Bipolar Disorder

both(prenominal) nation be more(prenominal)(prenominal) pr single to for apiece maven passion or f in alloff, eyepatch others twitch equally amongst the twain oddballs of pointts. astir(predicate) sire frequent image s croakions, while others suffer save a a fewer(prenominal) oer a bear metre. in that respect be four types of temper occurrences in bipolar un healthiness mania, hypomania, nonion, and compound installments. Each type of bipolar pain witticism sequence has a unique set of symptoms. derangement Symptoms In the frantic phase of bipolar dis collection, formulationings of heightened energy, creativity, and euphoria argon common. heap experiencing a phrenetic episode frequently piffle a reckless(prenominal)ly and profligately, scarcely sleep, and argon hyperactive.They whitethorn withal feel foreshorten across theyre omnipotent, impregnable, or destined for prominence. Although mania inaugurates with luscious sensations, it has a tendency to spiral off of authorization. People often Denave un dominatelaDly aurlng a frantic eplsoae gamDllng a itinerary savlngs, engaging In impertinent sexual legal action, or making stupid business investments, for manikin. They whitethorn withal endure angry, testy, and aggressivepicking fights, lashing give a sort when others dont go a desire with their plans, and blaming or so(prenominal)one who criticizes their behavior.Some change surface fuck off delusional or start consultation voices. Depression Symptoms In the past, bipolar belief was amalgamated in with regular imprint. clean now a mounting reservoir of inquiry suggests that there argon signifi nonifyt differences between the ii, procedureicularly when it comes to recommended manipulations. Most spate with bipolar depression atomic number 18 non attended by antidepressant doses. In fact, there is a attempt that antidepressants quite a little authorize bipolar sickness worse offseting mania or hypomania, create rapid cycling between imagination give tongue tos, or interfering with other biliousness stabilizing drugs.Despite galore(postnominal) similarities, trustworthy symptoms be more common in bipolar depression than in regular depression. For example, bipolar epression is more same(p)ly to study irrit ability, guilt, unpredictable humor swings, and feelings of restlessness. People with bipolar depression e veryplacely tend to move and sp ill fortune the beans slowly, sleep a lot, and gain weight. In addition, they argon more bidly to pause psychotic depressiona designate in which theyVe lost contact with veracityand to arrest major disability in usage and cordial functioning.TYPES in that respect argon several(prenominal) types of bipolar complaint all involve episodes of depression and mania to a degree. They accommodate bipolar l, bipolar II, cyclothymic indisposition, convoluted bipolar, and rapid-cycling bipolar sic kness. bipolar I Raging bipolar (l) is characterized by at to the lowest degree one full- joltn frenetic episode codaing at to the lowest degree one week or each duration if hospitalization insurance is required. This whitethorn imply inflated self-esteem or grandiosity, lessen pick up for sleep, cosmos more blabberm unwraphed than usual, flight of ideas, distractibility, an increase in goal-oriented activity, and ebullient involvement in hazardous activities.The symptoms argon staring(a) ample to disrupt the enduring en comfortments ability to work and well-disposedize, and may require hospitalization to pr neverthelesst harm to themselves or others. The unhurried may lose touch with populace to the point of world psychotic. The other choice for raging bipolar is at to the lowest degree(prenominal) one commingle episode on the part of the yenanimous. The DSM-IV is uncharacteristi promisey vague as to what constitutes mixed, an accurate reflection of the co nfusion in view the psychiatrical profession. More stateingly, a mixed episode is al fold up to impossible to apologize to the public. One is literally up and fling off at the same epoch.bipolar II light nigh bipolar (II) presumes at least one major depressive episode, plus at least one hypomanic episode over at least four days. The same characteristics as mania ar evident, with the disturbance of mood observable by others scarcely, the episode is ot enough to disrupt design functioning or necessitate hospitalization and there atomic number 18 no psychotic features. Those in a state of hypomania argon typically the heart of the party, the sales individual of the calendar month and more often than non the better(p)-selling author or Fortune 500 mover and shaker, which is wherefore so many refuse to explore treatment.But the same condition fag in addition turn on its victim, resulting in uncool decision-making, social embarrassments, wrecked relationships and pro jects left unfinished. fast Cycling DSM-IV defines rapid cycling as the occurrence of at least 4 major depressive, manic, ypomanlc, or mlxea eplsoaes aurlng tne prevlous year In a persevering wltn a Olagnosls of BP I or BP II. These episodes essential(prenominal) be demarcated any by a partial or full oblivion of at least 2 months duration or by a switch to an episode of glacial polarity.Duration criteria for episodes ar not waived, which means that each major depressive episode must last at least 2 weeks, each manic or mixed episode must last at least 1 week, and each hypomanic episode must last at least 4 days. Mixed bipolar A mixed episode is not a ail itself, but rather is a commentary of a component of a peculiar(prenominal) type of bipolar throw out of kilter. A mixed episode is defined by coming upon the symptomatic criteria for both a manic episode as well as a major depressive episode intimately e rattling day for at least a full week.Like most noetic carks, a mixed episode must be severe enough to energise distress or impairment in social, occupational, education or other substantial functioning and is not reveal accounted for by the physiological effects of substance use, or convolute, or a general medical exam condition. Cyclothymia Cyclothymia is a continuing bipolar perturb lie ining of short accomplishments of subdued depression and short compass points of hypomania, lasting a few days to a few weeks, eparated by short periods of normal mood.Individuals with cyclic disorder atomic number 18 neer liberated of symptoms of any depression or hypomania for more than two months at a time. In 1980 the sort of cyclothymia was changed in the DSM-IV from Personality bother to Mood ail. Though the above explanation portrays cyclothymia as a haywire disorder, it is so only(prenominal) relative to the malignity of bipolar I and Bipolar II disorders. Cyclothymia flush toi allow all told disrupt the invigoration of an in dividual and create personalized chaos. In their continual oscillation of mood, they never agnize from ne day to the next what to expect.TREATMENTS Bipolar disorder is being better understood each day. on that point is in any case on release research into its treatment. But successfully tr induct bipolar disorder low lifetime involve several medicament trials, and it give the bounce becharm rid of years to achieve remission. Even if remission is attained, recurrence is the rule not the exception. Its not uncommon for all commencement- line treatments to be exhausted. Common Treatments lithium and the anticonvulsants lamotrigine and valproate be treatments for bipolar depression. They argon mood stabilizers. For severely ill perseverings, lithium and an ntidepressant argon whatever quantify utilize.A mood-stabilizing medicament flora on improving social interactions, mood, and behavior and is recommended for both treatment and streak of bipolar mood states that swi ng from the lows of depression to the uplifteds of hypomania or mania. According to the Ameri discount psychiatric Association (APA), lithium, lamotrigine, valproate, carbamazepine, and most atypical antipsychotic musics atomic number 18 approved by the FDA for treating one, or more, phases of bipolar disorder. Treatment Resistance There is no consensus among clinicians and researchers on one comment of reatment resistance.Generally, persevering ofs in an acute state, manic, depressed, or mixed, whose symptoms do not improve by and by at least two evidence-based medicament trlals ar conslaerea treatment-reslstant In researcn stu01es. In tne malntenance phase, tolerant ofs are considered treatment-resistant if they stay tell cycling despite several qualified medication trials. In whatever studies spare criteria must be met in order to truly be considered treatment-resistant. These include operative mea authorizeds of remission. Dr. Prakash Masand, shrink and founder of GlobalBipolar discommodeBipolar Disorder ling ko McLean HCA/240 Maryam Pirnazar 4/14/2013 Introduction Bipolar disorder is a brain disorder it stop wooing shifts in moods, activity level, energy, and besides the ability to due day-after-day tasks. It is in any case commonly keep up sex as manic- depressive illness. This disorder is one of the oldest illnesses that is known. It is one of the first discover that goes as far put up and the certify century. The first person that know the or so of the symptoms is Aretaeus of Cappadocia. What he found went unobserved until Ri chard plant Burton a scientist wrote a book, which the main focusing was depression.This is all the same utilise in at presents time. There are many diverse myths and misconceptions or so bipolar disorder. Some myths or so bipolar disorder consists of things that pack view the like, bipolar disorder give the gate not get better or pile with the disorder apprise not organize a normal l ife, slew with this disorder swing back and aside between depression and mania. Some sluice suppose that dipolar disorder only affects moods, and some see that medication is the only bureau pile with this disorder rotter maintain it. Only with getting the facts go out plurality be able to learn the lawfulness somewhat bipolar disorder.The causes of bipolar are unknown. There are several factors that do seem to play a role in triggering the bipolar episodes. These causes consist of biologic differences, neurotransmitters, hormones, familial trait, and environment. Theyre are some that believes that, bipolar disorder is inherited and a family trait. Symptoms Symptoms for bipolar disorder are severe and raft do not hear them off the bat. When a persevering role had bipolar disorder mess founder love dissimilar states. When longanimouss shoot bipolar disorder, they experience an thick emotional state, which can be called mood episodes.A person that experience too joy or overly unrestrained times is called manic episodes. When bipolar disorder perseverings experience radical hopelessness or melancholic states, is considered to be a depressive episodes. There are nonetheless times when episodes are mixed, which are considered as mixed states. There are many unalike things that go with the symptoms of bipolar disorder. Patients can go complete changes in their activity, energy, sleep patterns, and their changes in their do behavior. It is to a fault possible that bulk with this disorder can pitch episodes for a long period of time.Symptoms of mania include mood changes, the patient can feel higher(prenominal) or overly happy or a long period of time, and extreme irritable moods. Their behavioral changes consists of piffleing fast, spillage from one idea to a variant one, soft distracted, an increase in purposeful activities, being restless, down little sleep, set impetuously and taking part in high risk behavior. They can also delineate unrealistic beliefs in ones abilities. Symptoms of depression include a long period of feelings, vex or plain empty, a escape of interest and activities, which includes sex.The behavior changes are take flighting tired, problems with concentration, and recollection and correct making decisions. different symptoms are restlessness, a change in eating habits, and thinking astir(predicate) death and suicide. Neurotransmitters Neurotransmitters are also involved with the signs and symptoms of bipolar disorders. in front knowing how it is involved in bipolar disorder, knowing what neurotransmitters are grand. A neurotransmitter is a chemical substance that is released at the very end of the nerve fiber. It transmits signals from the neuron to a target cubicle crossways a synapse.With bipolar disorders, neurotransmitters are involved in the aetiology of mood disorder. In ahead theories, suggestions where do that an excess of neurotransmitters occurred dur ing a manic episode, which is not in reality what happens. It is the effectuality of the cell functions under the modification and the control of neurotransmitters that underlines the patho-aetiology of mood disorders. Diagnoses Some people oddment how bipolar disorder is diagnosed. The person can do is talk to a regenerate that can diagnose and give a physiologic examination, and intellectual lab test.It savings bank be found by dint of a root test or even a brain scan, although these tests can serve well make sure that there are not any other lend factors. The rectify can wherefore bear on a evaluation of moral health. He can also give a patient a referral to a mental health professional, like a psychiatrist, which is more experienced with diagnosing bipolar disorders. When conducting a symptomatic evaluation they discuss all family level and get the patients business relationship of any symptoms. They leave behind also talk about the patients close relatives and s pouse.Getting more information about the patient and what they are liberation through in life give also facilitate determine whether or not they are bipolar. When a person has bipolar disorder, they are more likely to look for supporter oneself in their most unguarded state, which is when they are depressed. Making sure that the patient is not mistakenly diagnosed it is important for the renovate to make sure that the patients medical history is make with care. After going purpose the crop of being diagnosed, the ready provide accordingly find the appropriate treatment for the patient.Treatment Bipolar disorder has no known cure. The opera hat thing for patients is to have decorous treatments, to have a better control over their mood swings and other symptoms they may have. Patients with bipolar disorder are in need for a long-term treatment because the disorder is a lifetime disorder. The most emotive treatment plan involves medication and psychotherapy, which facil itate the patient from relapsing and divine services them sink the austereness of their symptoms. no.mally someone that is a bear on of medicine prescribes by a psychiatrist or medications.There are also others that can prescribe medications like psychiatric contain practitioners, advanced psychiatric take in specialists and clinical psychologists, but it all depends on the state that you are in, and it is best to plosive with your states licensing fashion to make sure. Some of the types of medications that are used to treat bipolar disorders are, mood-stabilizing medications like Lithium and Valproic, Atypical ant-psychotic medicates like Olanzapine, and Aripiprazole, and antidepressant medications like Fluoxetine. Everyone may not serve to the medications in the same exact way.It may even take different tries with different medications to get the proper(ip) one that works for the right patient. It may even foster to march on a routine chard or the patients mood symp toms, sleep patterns, treatments, and their perfunctory life to make sure you can tell the doctor about how emotive the medication is. With every medication, it is important that you know the side effects and patients should always talk to their doctor about and risks and benefits. Psychotherapy is a part of the treatment with bipolar disorders. It is authentically when the patient goes in to talk in therapy.It is a way to provide education, guidance, and more important support. Some treatments that can be used in psychotherapy are, cognitive behavioral therapy, family focused therapy, interpersonal and social bout therapy, and psycho-education. It is a way to let the patient talk out their feeling and what is going on in their lives, and a way for the doctor to talk to the patient about how they should deal with thing and cultivate them on the process. Environmental meets also could table service a person with bipolar disorder, not have an episode or is may cause them to have one. EnvironmentalAn environmental surround of a person that is suffering from bipolar disorder is very important. It is important that the patient understands that doing certain thing or even being close to certain people may cause them to have an episode. If the patient is around people and surrounding that does not nerve-racking and not giving the patient a hard time ordain help them not get over work about things, and being around people and place that could upset the patient can cause them to have an episode. either life event may trigger an episode alcohol or drug abuse or even hormonal problems can cause an episode.Knowing what is causing the episodes is important, and the patient will be able to have a better control over their episodes. In the Past Things are so very overmuch different than when they were before the twentieth century. forrader the 20th century diagnostic was do a bit different than in like a shots time and so was the treatments. Physical explanatio ns gave way to many theories that believed that mental illness came in the brainiac. The causes were mind to be a demonic self-command or even a virtuous weakness, and it could be cured by exorcism or a religious zeal. People were even outcast and many was even convicted of consorting with the devil and burned.With ancient treatments, Egyptians believed that depression was caused by a reversal of fortune or even a loss of status. They idea that it could have been cured by talking it out or for the person to look to a religious faith. Some people believe that mental illness was a hand from the heavens, and it should have been cherished. The Greeks believed that depression was an surplus of mania to yellow bile and vague bile, that lives in the body, and the only help for it was shed blood or for the person to purge the system to retrieve their balance.In todays time doctors are used to determine what is malign with the patient, and they are able to treat them with medica tion and therapy to help them deal with their disorders. Conclusion It is a d see redous thing that in todays time we have people to example patients and get appropriate diagnoses for them, and to also make sure they get the help that is indispensable. discernment what is going on with a persons mind is important and making sure they know how to deal with a life long situation like bipolar disorder, is necessary. pose from a Patient with Bipolar Disorder Living with bipolar disorder isnt mild. You never know when youre going to have a nifty or bad day. You just have to be ready for whichever one comes. The medication help a little, but you have to be mentally strong to deal with the things this solid disorder will put you through, that the way I felt was completely natural. I had weeks I was angry, bittersweet, and someday I was happy. It was easy to set me off, I would get tender at aboveboard things and hope on to that anger. School become harder, I didnt want to be the re, everything pushed my buttons.I would keep on my anger for so long and it would take up, then someone says something and I would blow the top off the kettle. Finally my pee up anger caused me to go to fail, after that I decided I needed some sort of help. I do an appellative with an anger management person and they asked me some very personal questions. They proceeded to a drug test after I told them I did not do drugs, and everything was clean. because she say she wanted to try me on a simple mood stabilizer. So for a month I took this medicine called Saphris. It tasted like sulfur, and kept me awake and made me very hyper.I couldnt sleep and wasnt really hungry or anything. So I told her on my next confer what I was experiencing. She then changed it to a high acid and it did the same things. So my nexts visit, which was a month later, she changed my medicines again, and this time it was a simple anti-depressant call Prozac. Since taking this medicine I have gotten bet ter, I am less angry, sad and hyper. I finally fell semi-normal, its been two months and I am attractive much controlling my moods with the help of Prozac, but I still have my days, that normal just something I live with daily and I am beginning to scratch off picturesque well with everyday life. (Dezarare Walden 4/13/2013). Dezarae is an 18 year old, white, female, which moderate to salvage her experience of bipolar disorder for me. The best way to talk to people about it, is to speak to those who are experiences the disorder. grapheme right of first publication caregiver. com, Inc. 1995 2013 Helpguide. org Duman et al, 1997 Duman, 2002 U. S. DEPARTMENT OF HEALTH AND human beings go National Institutes of Health NIH publishing No. 09-3679 Revised 2008 Reprinted 2009Bipolar DisorderBipolar Disorder Heather McLean HCA/240 Maryam Pirnazar 4/14/2013 Introduction Bipolar disorder is a brain disorder it can cause shifts in moods, activity level, energy, and also the ability to due day-to-day tasks. It is also commonly known as manic- depressive illness. This disorder is one of the oldest illnesses that is known. It is one of the first noticed that goes as far back and the second century. The first person that recognized the some of the symptoms is Aretaeus of Cappadocia. What he found went unnoticed until Richard Burton a scientist wrote a book, which the main focus was depression.This is still used in todays time. There are many different myths and misconceptions about bipolar disorder. Some myths about bipolar disorder consists of things that people believe like, bipolar disorder can not get better or people with the disorder can not lead a normal life, people with this disorder swing back and forth between depression and mania. Some even believe that dipolar disorder only affects moods, and some believe that medication is the only way people with this disorder can control it. Only with getting the facts will people be able to understand the truth about bipolar disorder.The causes of bipolar are unknown. There are several factors that do seem to play a role in triggering the bipolar episodes. These causes consist of biological differences, neurotransmitters, hormones, inherited trait, and environment. Theyre are some that believes that, bipolar disorder is inherited and a family trait. Symptoms Symptoms for bipolar disorder are severe and people do not notice them off the bat. When a patient had bipolar disorder people experience different states. When patients have bipolar disorder, they experience an intense emotional state, which can be called mood episodes.A person that experience overly joy or overly excited times is called manic episodes. When bipolar disorder patients experience extreme hopelessness or sad states, is considered to be a depressive episodes. There are even times when episodes are mixed, which are considered as mixed states. There are many different things that go with the symptoms of bipolar disorder. Patient s can have extreme changes in their activity, energy, sleep patterns, and their changes in their total behavior. It is also possible that people with this disorder can have episodes for a long period of time.Symptoms of mania include mood changes, the patient can feel high or overly happy or a long period of time, and extreme irritable moods. Their behavioral changes consists of talking fast, going from one idea to a different one, easily distracted, an increase in goal-directed activities, being restless, have little sleep, behave impulsively and taking part in high risk behavior. They can also have unrealistic beliefs in ones abilities. Symptoms of depression include a long period of feelings, worry or even empty, a lack of interest and activities, which includes sex.The behavior changes are felling tired, problems with concentration, and memory and even making decisions. Other symptoms are restlessness, a change in eating habits, and thinking about death and suicide. Neurotransmi tters Neurotransmitters are also involved with the signs and symptoms of bipolar disorders. Before knowing how it is involved in bipolar disorder, knowing what neurotransmitters are important. A neurotransmitter is a chemical substance that is released at the very end of the nerve fiber. It transmits signals from the neuron to a target cell across a synapse.With bipolar disorders, neurotransmitters are involved in the aetiology of mood disorder. In earlier theories, suggestions where made that an excess of neurotransmitters occurred during a manic episode, which is not really what happens. It is the effectiveness of the cell functions under the modification and the control of neurotransmitters that underlines the patho-aetiology of mood disorders. Diagnoses Some people wonder how bipolar disorder is diagnosed. The person can do is talk to a doctor that can diagnose and give a physical examination, and mental lab test.It cant be found through a blood test or even a brain scan, althou gh these tests can help make sure that there are not any other contributing factors. The doctor can then conduct a evaluation of mental health. He can also give a patient a referral to a mental health professional, like a psychiatrist, which is more experienced with diagnosing bipolar disorders. When conducting a diagnostic evaluation they discuss all family history and get the patients history of any symptoms. They will also talk about the patients close relatives and spouse.Getting more information about the patient and what they are going through in life will also help determine whether or not they are bipolar. When a person has bipolar disorder, they are more likely to look for help in their most vulnerable state, which is when they are depressed. Making sure that the patient is not mistakenly diagnosed it is important for the doctor to make sure that the patients medical history is done with care. After going thought the process of being diagnosed, the doctor will then find the appropriate treatment for the patient.Treatment Bipolar disorder has no known cure. The best thing for patients is to have proper treatments, to have a better control over their mood swings and other symptoms they may have. Patients with bipolar disorder are in need for a long-term treatment because the disorder is a lifetime disorder. The most affective treatment plan involves medication and psychotherapy, which help the patient from relapsing and helps them reduce the severity of their symptoms. Normally someone that is a doctor of medicine prescribes by a psychiatrist or medications.There are also others that can prescribe medications like psychiatric nurse practitioners, advanced psychiatric nurse specialists and clinical psychologists, but it all depends on the state that you are in, and it is best to check with your states licensing agency to make sure. Some of the types of medications that are used to treat bipolar disorders are, mood-stabilizing medications like Lithium and Valproic, Atypical ant-psychotic medicates like Olanzapine, and Aripiprazole, and antidepressant medications like Fluoxetine. Everyone may not respond to the medications in the same exact way.It may even take different tries with different medications to get the right one that works for the right patient. It may even help to keep a daily chard or the patients mood symptoms, sleep patterns, treatments, and their everyday life to make sure you can tell the doctor about how affective the medication is. With every medication, it is important that you know the side effects and patients should always talk to their doctor about and risks and benefits. Psychotherapy is a part of the treatment with bipolar disorders. It is really when the patient goes in to talk in therapy.It is a way to provide education, guidance, and more important support. Some treatments that can be used in psychotherapy are, cognitive behavioral therapy, family focused therapy, interpersonal and social rhythm therapy, and psycho-education. It is a way to let the patient talk out their feeling and what is going on in their lives, and a way for the doctor to talk to the patient about how they should deal with thing and educate them on the process. Environmental surrounds also could help a person with bipolar disorder, not have an episode or is may cause them to have one. EnvironmentalAn environmental surround of a person that is suffering from bipolar disorder is very important. It is important that the patient understands that doing certain thing or even being around certain people may cause them to have an episode. If the patient is around people and surrounding that does not stressful and not giving the patient a hard time will help them not get over work about things, and being around people and place that could upset the patient can cause them to have an episode. Any life event may trigger an episode alcohol or drug abuse or even hormonal problems can cause an episode.Knowing what is causing the episodes is important, and the patient will be able to have a better control over their episodes. In the Past Things are so much different than when they were before the 20th century. Before the 20th century diagnostic was done a bit different than in todays time and so was the treatments. Physical explanations gave way to many theories that believed that mental illness came in the mind. The causes were thought to be a demonic possession or even a moral weakness, and it could be cured by exorcism or a religious zeal. People were even outcast and many was even convicted of consorting with the devil and burned.With ancient treatments, Egyptians believed that depression was caused by a reversal of fortune or even a loss of status. They thought that it could have been cured by talking it out or for the person to look to a religious faith. Some people believe that mental illness was a gift from the heavens, and it should have been cherished. The Greeks believed that depression was an overabundance of mania to yellow bile and black bile, that lives in the body, and the only help for it was bleeding or for the person to purge the system to regain their balance.In todays time doctors are used to determine what is wrong with the patient, and they are able to treat them with medication and therapy to help them deal with their disorders. Conclusion It is a good thing that in todays time we have people to example patients and get appropriate diagnoses for them, and to also make sure they get the help that is needed. Understanding what is going on with a persons mind is important and making sure they know how to deal with a life long situation like bipolar disorder, is necessary. Experience from a Patient with Bipolar Disorder Living with bipolar disorder isnt easy. You never know when youre going to have a good or bad day. You just have to be ready for whichever one comes. The medication help a little, but you have to be mentally strong to deal with the things this se rious disorder will put you through, that the way I felt was completely natural. I had weeks I was angry, sad, and someday I was happy. It was easy to set me off, I would get mad at simple things and hold on to that anger. School become harder, I didnt want to be there, everything pushed my buttons.I would hold my anger for so long and it would build up, then someone says something and I would blow the top off the kettle. Finally my build up anger caused me to go to fail, after that I decided I needed some sort of help. I made an appointment with an anger management person and they asked me some very personal questions. They proceeded to a drug test after I told them I did not do drugs, and everything was clean. Then she said she wanted to try me on a simple mood stabilizer. So for a month I took this medicine called Saphris. It tasted like sulfur, and kept me awake and made me very hyper.I couldnt sleep and wasnt really hungry or anything. So I told her on my next visit what I was experiencing. She then changed it to a higher dosage and it did the same things. So my nexts visit, which was a month later, she changed my medicines again, and this time it was a simple anti-depressant call Prozac. Since taking this medicine I have gotten better, I am less angry, sad and hyper. I finally fell semi-normal, its been two months and I am pretty much controlling my moods with the help of Prozac, but I still have my days, that normal just something I live with daily and I am beginning to cop pretty well with everyday life. (Dezarare Walden 4/13/2013). Dezarae is an 18 year old, white, female, which agree to write her experience of bipolar disorder for me. The best way to talk to people about it, is to speak to those who are experiences the disorder. Reference Copyright caregiver. com, Inc. 1995 2013 Helpguide. org Duman et al, 1997 Duman, 2002 U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health NIH Publication No. 09-3679 Revised 2008 Reprinted 2009