Basic Methods of Bipolar Disorder Treatment

If in the presence of a typical manic, the diagnosis of bipolar disorder or manic-depressive psychosis is usually easily dealt with atypical forms.
Many patients are committing crime during manic episodes well before a diagnosis has been made.

The disease can occur at any age with 3 peak frequency: adolescence, 25 and 40 years old. Apart from crime, an abrupt change of mood (break with the previous state), a multiplicity of projects and excessive spending should be warning signs.
In the age group 16-22 years, peak frequency of appearance of bipolar disorder, behavior, patients may suffer "crisis of adolescence" and use excessive consumption of intoxicant in 60% of cases.

During the years between the onset of diagnosis net, these high-risk patients (overspending, emotional chaos, disorder conducted with professional difficulties, medico-legal problems, suicide attempts [50%] or suicide ( 1 in 5) are receiving inappropriate treatment.

• Depression: depressed unipolar change in 50% of cases to a TB. We must find moments of hypomania (perceived as a welfare), little mentioned by the depressed, be careful about too rapid a response to the introduction of antidepressant treatment (for a TB) and monitoring any oscillations thymic after symptomatic improvement of depression In particular, depression of the child looks different: little or no sadness, hypersomnia, weight gain, irritability, somatic complaints, anxiety, feeling of emptiness. Note that treatment with tricyclic antidepressant or IRS may cause an outbreak as a manic episode.
• The hypomania is a mitigated form mania. In the discrete forms in adults, may be accompanied by improved performance and creativity compatible with socio-professional patient.

• The hypomania of children and adolescents can express themselves through anger access, an "emotional storm" over-familiarity, hyperactivity, Attention Problems, a school indiscipline, a hypersexualité , A feeling of omnipotence, risk behaviors and / or antisocial.
• The addiction: 30% of adolescents and young adults with bipolar disorder make abuse of alcohol or drugs that modify the table and make diagnosis difficult (presence of psychotic symptoms not congruent with the mood)
• The behavioral disorders (impulsivity, irritability, aggressiveness, conduct disorders) should attract attention. Moreover, there is a significant comorbidity anxious with bipolar disorder (generalized anxiety disorder, social phobia) complicating care.