History UsefulNotes / BipolarDisorder

14th Jan '17 7:26:20 PM rjd1922
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When a Bipolar person does crash, the landing is often hard. The depressive state can be thought of as the natural result of the manic state's overclocking of the mind and body- [[HeroicRROD after running for so long at full tilt, it takes time to recover]] during which time they are BroughtDownToNormal. Given the contrast to high of the manic state, its little wonder the bipolar person is left feeling dejected, burnt out, and uninspired, and often [[MyGodWhatHaveIDone regretting impulsive decisions]] and [[TheAtoner damaged relationships]] of the manic phase. This leads many to self-medicate with stimulants and alcohol, to artificially extend or trigger the manic phase and blunt the misery of the depressive phase.

to:

When a Bipolar person does crash, the landing is often hard. The depressive state can be thought of as the natural result of the manic state's overclocking of the mind and body- [[HeroicRROD after running for so long at full tilt, it takes time to recover]] during which time they are BroughtDownToNormal. Given the contrast to high of the manic state, its it's little wonder the bipolar person is left feeling dejected, burnt out, and uninspired, and often [[MyGodWhatHaveIDone regretting impulsive decisions]] and [[TheAtoner damaged relationships]] of the manic phase. This leads many to self-medicate with stimulants and alcohol, to artificially extend or trigger the manic phase and blunt the misery of the depressive phase.
21st Jul '16 2:03:07 PM Hyrin
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!!Suicide
People diagnosed with Bipolar disorder are statistically more likely to attempt or commit suicide than those with most other disorders, including regular depression. This is not limited to just the depression, or "down" part of the cycle. Those experiencing a manic episode, or "up" are also at risk as they are more likely to be impulsive during these times and not think about consequences when in the heat of the moment.



An individual with bipolar disorder is wise to learn to recognize the signs of these states, and respond accordingly to minimize their impact (I.E. seeking out friends and positive situations when in a high mood with low energy, or avoiding high stress situations and focusing on a constructive project when feeling angsty and restless).

to:

An individual with bipolar disorder is wise to learn to recognize the signs of these states, and respond accordingly to minimize their impact (I.E. seeking out friends and positive situations when in a high mood with low energy, or avoiding high stress situations and focusing on a constructive project when feeling angsty and restless).
4th Jan '16 8:43:36 PM Angeldeb82
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Hypomania is essentially very similar to TheMadnessPlace trope- it is characterized by intense focus on tasks, HyperAwareness; high mood and energy; extreme levels of optimism, creativity, productivity, and inner motivation; [[TheDeterminator high mental endurance]], and reduced sleep cycles. This, to some, may sound desirable, or even pleasant. Indeed, it is true that many successful artists, inventors, and entrepreneurs have been formally diagnosed as bipolar, and one of the most common motivations for bipolar individuals who stop taking their medication is missing the "rush" of hypomania.

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Hypomania is essentially very similar to TheMadnessPlace trope- it is characterized by intense focus on tasks, HyperAwareness; high mood and energy; extreme levels of optimism, creativity, productivity, and inner motivation; [[TheDeterminator [[{{Determinator}} high mental endurance]], and reduced sleep cycles. This, to some, may sound desirable, or even pleasant. Indeed, it is true that many successful artists, inventors, and entrepreneurs have been formally diagnosed as bipolar, and one of the most common motivations for bipolar individuals who stop taking their medication is missing the "rush" of hypomania.



When a Bipolar person does crash, the landing is often hard. The depressive state can be thought of as the natural result of the manic state's overclocking of the mind and body- [[HeroicRROD after running for so long at full tilt, it takes time to recover]] during which time they are BroughtDownToNormal. Given the contrast to high of the manic state, its little wonder the bipolar person is left feeling dejected, burnt out, and uninspired, and often [[WhatHaveIDone regretting impulsive decisions]] and [[TheAtoner damaged relationships]] of the manic phase. This leads many to self-medicate with stimulants and alcohol, to artificially extend or trigger the manic phase and blunt the misery of the depressive phase.

to:

When a Bipolar person does crash, the landing is often hard. The depressive state can be thought of as the natural result of the manic state's overclocking of the mind and body- [[HeroicRROD after running for so long at full tilt, it takes time to recover]] during which time they are BroughtDownToNormal. Given the contrast to high of the manic state, its little wonder the bipolar person is left feeling dejected, burnt out, and uninspired, and often [[WhatHaveIDone [[MyGodWhatHaveIDone regretting impulsive decisions]] and [[TheAtoner damaged relationships]] of the manic phase. This leads many to self-medicate with stimulants and alcohol, to artificially extend or trigger the manic phase and blunt the misery of the depressive phase.
4th Jan '16 12:27:44 PM aye_amber
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->''"And when you're up you're up\\
and when you're down you're down\\
and when you're only halfway up\\

to:

->''"And when you're up up, you're up\\
and when you're down down, you're down\\
and when you're only halfway up\\up,\\



-->-- '''The Grand Old Duke Of York''', ''Traditional Nursery Rhyme''

to:

-->-- '''The -->--'''The Grand Old Duke Of York''', of York,''' ''Traditional Nursery Rhyme''
Rhyme.''
15th Nov '15 2:23:25 AM eroock
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->And when you're up you're up\\

to:

->And ->''"And when you're up you're up\\



you're neither up nor down
-->--'''The Grand Old Duke Of York''', ''Traditional Nursery Rhyme''

to:

you're neither up nor down
-->--'''The
down."''
-->-- '''The
Grand Old Duke Of York''', ''Traditional Nursery Rhyme''
19th Oct '15 12:53:15 PM Tightwire
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to:

Also known as Manic Depression.
8th Jul '15 7:10:40 PM Scorpion451
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-->'''The Grand Old Duke Of York''', ''Traditional Nursery Rhyme''


Most of the time, when a character portrayed as having bipolar disorder, they are usually shown as being uncontrollable, {{hair trigger| temper}} {{Mood Swinger}}s - swinging from affable and pleasant to suicidal or raging in the space of minutes. Or, in constrast, a character will be called bipolar if they are moody, but are never shown actually suffering from their mood swings. Either way, as the disorder is only rarely portrayed in the media beyond these and other unrealistic, simplified forms, most people are unaware that in reality, bipolar disorder is a complex, multifaceted illness.

to:

-->'''The -->--'''The Grand Old Duke Of York''', ''Traditional Nursery Rhyme''


Most of the time, when a character is portrayed as having bipolar disorder, they are usually shown as being uncontrollable, {{hair trigger| temper}} {{Mood Swinger}}s - swinging from affable and pleasant to suicidal or raging in the space of minutes. Or, in constrast, a character will be called bipolar if they are moody, but are never shown actually suffering from their mood swings. Either way, as the disorder is only rarely portrayed in the media beyond these and other unrealistic, simplified forms, most people are unaware that in reality, bipolar disorder is a complex, multifaceted illness.
14th May '15 1:21:49 AM GastonRabbit
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Added DiffLines:

While bipolar II disorder normally does not have manic episodes, mania '''can''' be caused by antidepressants. Since bipolar II is often misdiagnosed as major depression, this naturally tends to lead to unexpected and unpleasant issues once the antidepressants take effect.
10th May '15 12:31:09 PM Scorpion451
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If hypomania is comparable to having had too much caffeine, a full manic state would be comparable to the effects of a high dose of amphetamines or cocaine- but with the effects lasting for days. The manic individual has a very short attention span for anything outside of whatever they are currently fixated on, including things like [[ForgetsToEat eating]] and [[TheInsomniac sleeping]]. They have little impulse control with regard to their fixations- many find themselves spending everything they have on a whim that they rapidly forget about; compulsively pursuing a task to completion with no regard to whether it is [[{{Workaholic}} productive]], [[JustOneMoreLevel unproductive]], or [[PolishTheTurd simply inane]]; or giving in completely to hedonistic behavior. The manic frequently experiences what is known as "Acromegaly"- the feeling that they are [[AGodAmI invincible and can accomplish any task]].

to:

If hypomania is comparable to having had too much caffeine, a full manic state would be comparable to the effects of a high dose of amphetamines or cocaine- but with the effects lasting for days. The manic individual has a very short attention span for anything outside of whatever they are currently fixated on, including things like [[ForgetsToEat eating]] and [[TheInsomniac sleeping]]. They have little impulse control with regard to their fixations- many find themselves spending everything they have on a whim that they rapidly forget about; compulsively pursuing a task to completion with no regard to whether it is [[{{Workaholic}} productive]], [[JustOneMoreLevel unproductive]], or [[PolishTheTurd simply inane]]; or giving in completely to hedonistic behavior. The manic frequently experiences what is known as "Acromegaly"- "Megalomania"- the feeling that they are [[AGodAmI invincible and can accomplish any task]].
12th Jan '15 8:06:00 PM LunarFluttershy
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A good metaphor for the inner life of a bipolar individual is a rollercoaster. At various points in the track, the rider can be moving fast or slow, and up and down, in various combinations. A bipolar person has no control over when their mood swings occur, but swings can be triggered by things like overstimulation, drug use, and positive or negative experiences. While a "normal" individual may experience such highs and lows, in the bipolar individual emotional shifts are far more [[MoodWhiplash sudden]] and [[UpToEleven extreme]], and are only tangentially related to the events experienced by the bipolar individual: The upsurge after a promotion at work may trigger an immediate crash into depression, the loss of a job may trigger a counter-surge of [[JustIgnoreIt devil-may-care optimism]]. For the most part the symptoms of bipolar disorder are governed by semi-regular cycles, and many who are aware they have the disorder take steps to preserve routine and keep this modicum of stability.

to:

A good metaphor for the inner life of a bipolar individual is a rollercoaster.roller coaster. At various points in the track, the rider can be moving fast or slow, and up and down, in various combinations. A bipolar person has no control over when their mood swings occur, but swings can be triggered by things like overstimulation, drug use, and positive or negative experiences. While a "normal" individual may experience such highs and lows, in the bipolar individual emotional shifts are far more [[MoodWhiplash sudden]] and [[UpToEleven extreme]], and are only tangentially related to the events experienced by the bipolar individual: The upsurge after a promotion at work may trigger an immediate crash into depression, the loss of a job may trigger a counter-surge of [[JustIgnoreIt devil-may-care optimism]]. For the most part the symptoms of bipolar disorder are governed by semi-regular cycles, and many who are aware they have the disorder take steps to preserve routine and keep this modicum of stability.



While becoming less of an issue as public awareness and professional understanding of the disorder rises, there are many challanges to diagnosing bipolar disorder. By its fluid, intermittent nature it is easy for the disorder to be mistaken for other issues, or missed entirely until an extreme manic phase reveals the true nature of the problem.

There are several gender specific issues in the diagnosis of Bipolar disorder, not least that the HystericalWoman trope frequently leads to dismissal of even blatant symptomns in women. Even in a professional context, extreme bipolar disorder is difficult to differentiate from borderline personality disorder, clinical depression, or even abnormally extreme PMS. [[note]]Yes, this can be a thing. The fact that hormonal shifts are yet another of the many triggers for a phase shift doesn't help matters any.[[/note]]

to:

While becoming less of an issue as public awareness and professional understanding of the disorder rises, there are many challanges challenges to diagnosing bipolar disorder. By its fluid, intermittent nature it is easy for the disorder to be mistaken for other issues, or missed entirely until an extreme manic phase reveals the true nature of the problem.

There are several gender specific issues in the diagnosis of Bipolar disorder, not least that the HystericalWoman trope frequently leads to dismissal of even blatant symptomns symptoms in women. Even in a professional context, extreme bipolar disorder is difficult to differentiate from borderline personality disorder, clinical depression, or even abnormally extreme PMS. [[note]]Yes, this can be a thing. The fact that hormonal shifts are yet another of the many triggers for a phase shift doesn't help matters any.[[/note]]



Finally, in both genders, there is a tendancy to either [[TheUnfettered give in completely to ones own chaotic emotions and impulses]], often on the misguided advice to BeYourself [[note]]the problem being that a bipolar person has shades of "me", and not all of them are [[EnemyWithin healthy to indulge]][[/note]] or decide that their fluctuating emotions cannot be trusted and attempt to [[EmotionSuppression suppress them entirely]]. Both of these can further mask the disorder as impulse control issues, or antisocial behaviors.

to:

Finally, in both genders, there is a tendancy tendency to either [[TheUnfettered give in completely to ones own chaotic emotions and impulses]], often on the misguided advice to BeYourself [[note]]the problem being that a bipolar person has shades of "me", and not all of them are [[EnemyWithin healthy to indulge]][[/note]] or decide that their fluctuating emotions cannot be trusted and attempt to [[EmotionSuppression suppress them entirely]]. Both of these can further mask the disorder as impulse control issues, or antisocial behaviors.



The best comparison of hypomania for those who are not bipolar is an adrenaline rush or extreme stimulant use. If you have ever had any sort of "mountain top experience", had way, way too much caffinene, or chain-smoked cigarettes, you have had an experience similar to a brief bout of hypomania-except that hypomania typically lasts anywhere from [[HourOfPower several hours to several days]].

to:

The best comparison of hypomania for those who are not bipolar is an adrenaline rush or extreme stimulant use. If you have ever had any sort of "mountain top experience", had way, way too much caffinene, caffeine, or chain-smoked cigarettes, you have had an experience similar to a brief bout of hypomania-except that hypomania typically lasts anywhere from [[HourOfPower several hours to several days]].



If hypomania is comperable to having had too much caffiene, a full manic state would be comparable to the effects of a high dose of amphetamines or cocaine- but with the effects lasting for days. The manic individual has a very short attention span for anything outside of whatever they are currently fixated on, including things like [[ForgetsToEat eating]] and [[TheInsomniac sleeping]]. They have little impulse control with regard to their fixations- many find themselves spending everything they have on a whim that they rapidly forget about; compulsively pursuing a task to completion with no regard to whether it is [[{{Workaholic}} productive]], [[JustOneMoreLevel unproductive]], or [[PolishTheTurd simply inane]]; or giving in completely to hedonistic behavior. The manic frequently experiences what is known as "Acromegaly"- the feeling that they are [[AGodAmI invincible and can accomplish any task]].

Much of the HollywoodPsych behavior [[TheSchizophreniaConspiracy attributed to Paranoid Schizophrenics]] is actually result of a person with both paranoid schizophrenia (or just simple paranoia) ''and'' bipolar disorder [[note]]the two conditions are known to share certain genetic markers[[/note]] a week of living with racing thoughts and [[TheInsomniac no sleep]] gives plenty of time to build a RoomFullOfCrazy, and would make it hard for ''anyone'' to tell reality from their own delusions or [[WordSaladPhilosophy construct coherent sentences]]. Its no wonder they have to [[StringTheory plot everything out with string]] to keep track of it all. To make matters stranger, even an diagnosed individual aware of their condition [[ThroughTheEyesOfMadness may not be aware]] that they've transitioned from a hypomanic phase into a full manic phase: the same tunnel vision that gives them focus prevents them from noticing or caring about things like that they haven't slept in three days, so its easy for those with more extreme bipolar disorder to begin with a perfectly reasonable task in mind and end deep in the madness place.

to:

If hypomania is comperable comparable to having had too much caffiene, caffeine, a full manic state would be comparable to the effects of a high dose of amphetamines or cocaine- but with the effects lasting for days. The manic individual has a very short attention span for anything outside of whatever they are currently fixated on, including things like [[ForgetsToEat eating]] and [[TheInsomniac sleeping]]. They have little impulse control with regard to their fixations- many find themselves spending everything they have on a whim that they rapidly forget about; compulsively pursuing a task to completion with no regard to whether it is [[{{Workaholic}} productive]], [[JustOneMoreLevel unproductive]], or [[PolishTheTurd simply inane]]; or giving in completely to hedonistic behavior. The manic frequently experiences what is known as "Acromegaly"- the feeling that they are [[AGodAmI invincible and can accomplish any task]].

Much of the HollywoodPsych behavior [[TheSchizophreniaConspiracy attributed to Paranoid Schizophrenics]] is actually result of a person with both paranoid schizophrenia (or just simple paranoia) ''and'' bipolar disorder [[note]]the two conditions are known to share certain genetic markers[[/note]] a week of living with racing thoughts and [[TheInsomniac no sleep]] gives plenty of time to build a RoomFullOfCrazy, and would make it hard for ''anyone'' to tell reality from their own delusions or [[WordSaladPhilosophy construct coherent sentences]]. Its no wonder they have to [[StringTheory plot everything out with string]] to keep track of it all. To make matters stranger, even an a diagnosed individual aware of their condition [[ThroughTheEyesOfMadness may not be aware]] that they've transitioned from a hypomanic phase into a full manic phase: the same tunnel vision that gives them focus prevents them from noticing or caring about things like that they haven't slept in three days, so its it's easy for those with more extreme bipolar disorder to begin with a perfectly reasonable task in mind and end deep in the madness place.



Most with Bipolar Disorder actually spend most of their time in something vaguely resembling a neutral, relatively normal, state. Its only when the metaphorical rollercoaster hits an extreme extreme hill or drop that a series of manic and depressive phases occur. In many cases, the name "bipolar disorder" is a [[NonIndicativeName misnomer]], because the experiences are not a simple matter of pure off and on.

to:

Most with Bipolar Disorder actually spend most of their time in something vaguely resembling a neutral, relatively normal, state. Its only when the metaphorical rollercoaster roller coaster hits an extreme extreme hill or drop that a series of manic and depressive phases occur. In many cases, the name "bipolar disorder" is a [[NonIndicativeName misnomer]], because the experiences are not a simple matter of pure off and on.



An individual with bipolar disorder is wise to learn to recognize the signs of these states, and respond accordingly to minimize their impact (ie seeking out friends and positive situations when in a high mood with low energy, or avoiding high stress situations and focusing on a constructive project when feeling angsty and restless.

to:

An individual with bipolar disorder is wise to learn to recognize the signs of these states, and respond accordingly to minimize their impact (ie (I.E. seeking out friends and positive situations when in a high mood with low energy, or avoiding high stress situations and focusing on a constructive project when feeling angsty and restless.restless).
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