Some symptoms are seen before the attack occurs, for example, sleep disorders begin; It is important for the family to be vigilant against such situations, to inform the patient’s doctor about the patient, and to intervene and treat the patient early.
AROUND US We see or hear that some people who are in the middle of nowhere spend much more than their income and are in debt. Psychological problems may underlie such excessive spending behavior. These people may not know that their excessive spending is the result of an inconvenience, or they may claim that their behavior is normal.
In the mania period of this disease, which is defined as “bipolar disorder”, patients may exhibit behaviors such as excessive spending, distributing their money, taking loans from the bank and spending it for the needs of others, and selling their real estate because they feel very happy, energetic, restless and in a restless mood. . As a result, this situation affects not only the person himself, but also the family and people around him. There are conflicts and disagreements in the family.
Spending behavior increases a lot during the mania period; Sometimes they make such debts that after the attack has passed, “What have I done? Did I make these expenses?” they regret.
What is bipolar disorder?
Bipolar disorder, also known as “manic depressive disorder”, is a psychological disorder that affects a person’s mood, energy, concentration, and ability to perform daily activities.
Bipolar disorder is briefly defined as “extreme changes in mood ranging from mania to depression”. There may be ups and downs in the mood of these people from time to time, as well as periods when these people are in a normal mood. In other words, we can call it “bipolar mood disorder”, that is, “bipolar mood swing”.
Bipolar disorder is a long and complex mood disorder. It can occur as manic, hypomanic and depressive episodes. There are no (sudden) fluctuations in the mood of people who are not sick. However, it can be observed that there are ups and downs in the mood of patients diagnosed with bipolar disorder, affecting their daily lives.
Why does bipolar disorder occur?
Although the exact cause is unknown, if there is a family member or first degree relative, the incidence is 25 percent. While genetics is important, it is not the only reason. If one of the identical twins has bipolar disorder, the probability of the other twin having the disease rises to 45 percent or even 60 percent. Studies suggest that this disease is the result of an imbalance in certain biochemical substances in the brain.
Bipolar disorder usually occurs between the ages of 15-24 and is usually lifelong. It can occur at any age (from 7 to 77), but it most often begins in the early 20s. There is no difference in incidence between men and women. If we take a look at the periods of this disease, one is the period of exuberance (mania) and the other is the periods of depression (depression). The disease has two opposite phases.
The mania or exuberance period is the period when the mood is very high and the patient is overly enthusiastic and happy. During this period, exaggerated thoughts are almost in competition in the patient’s mind. Examples of symptoms such as unstable projects, big ideas, feeling overly energetic, decreased need for sleep, being able to stay up with one or two hours of sleep, even saying that he does not need sleep, a tendency to make important decisions without thinking about the end, spending too much money, driving fast. we can give.
Manic symptoms of bipolar disorder are as follows: Feeling constantly excited, feeling extremely energetic, optimism, sleeping less, speed in thought change, speaking fast, increased sexual desire, distraction, appetite problem, alcohol and drug use…
The symptoms of the depression period of bipolar disorder are: Low energy, feeling of hopelessness, forgetfulness, appetite problems, not being able to enjoy anything, fatigue, being away from family and close environment, feeling worthless, introversion…
During the mania period, some patients may refuse to be treated by saying that they have great ideas and will do great things. Wrong decisions or inappropriate business deals they take because they act impulsively put the patient and their family in trouble. In the depression period, the opposite mood is observed in the mania period. During this period, problems such as sadness, crying, worthlessness, and guilt may arise. In addition, they may attempt suicide.
The family should also be informed about this disease. By learning how to treat the patient and how to take precautions against possible situations, they will both become self-conscious and approach consciously by accepting that the patient’s behavior is the result of an illness. If the family at home, the teacher at school, and the employer at work are not informed about this disease, the life of the patient becomes even more difficult. The patient cannot fulfill the expectations of the people who expect him, and thus the burden on his back becomes heavy and he is crushed under this burden. When he tells that his failures are due to his illness, his teacher or employer may not believe him. In this case, the patient sees himself as useless, incapable of doing anything, and withdraws into himself.
It is no one’s fault or fault to have or have this disease. Don’t blame yourself or anyone else! There is no problem that cannot be overcome as long as one accepts and acts consciously by saying, “There is such a disease and I have to get used to living with it”. Here, the patient’s family also has a responsibility. It is very important to try to understand him, to support him, to make him feel loved! Because these patients are very fragile, they say that the people around them do not understand them, they have expectations from them, for example, they have wishes and expectations such as “finish school and find a job as soon as possible, get a job and work regularly”. During the attack periods, these expectations push the person very hard.
Treatment methods in bipolar disorder
Bipolar disorder treatment is applied with a different treatment plan depending on the age and condition of the person. This plan should be made in the presence of a psychiatrist.
The most important thing in the treatment of this disease is preventive treatment. Because attacks are temporary, but there is always a risk of recurrence. Recognizing the symptoms before the attacks begin and contacting the doctor without losing time is essential in preventive treatment.
In the manic, severe depressive, suicidal and aggressive periods of bipolar disorder, the patient must be hospitalized and treated. This is important for the patient and his/her environment.
The main purpose of treatment is to stabilize the emotional state of the person and to balance the emotional state. In other words, it is to prevent attacks of mania and depression. Or, if an attack has occurred, it is to treat that attack.
The role of the family in the follow-up and treatment process is great. It is very important for the family to have information about the disease and to be able to provide the necessary social support to the patient. Some symptoms are seen before the attack occurs, for example, sleep disorders begin; It is important for the family to be vigilant against such situations, to inform the patient’s doctor about the patient, and to intervene and treat the patient early.
And love is the most powerful medicine!
I wish you healthy, happy and peaceful days…