What are the characteristics and manifestations of bipolar disorder? How to judge whether you have bipolar disorder
4hw.com.cn: with the increasing social pressure in recent years, more and more attention has been paid to mental health problems. Manic depression, as a very common mental disease, is not well known to the public. What are the characteristics and manifestations of manic depression? How to judge whether they have the characteristics of bipolar disorder? Let's take a look at it together with Sihai Xiaobian.
Mania
The unusual mood is happy, relaxed and happy, carefree, smiling, cheerful, no trouble (emotional upsurge), some people behave as a little thing or a little bit not at will to lose their temper (irritable), in the case of serious irritable, impulsive behavior may occur.
Thinking association is accelerated, speech is increased, sentence by sentence, eloquence, voluble, rich in content, humorous (thinking runs away), the patient feels that the brain has become very sensitive, intelligent and responsive. I feel good about myself, exaggerate my ability, financial resources and status, and think that I have the ability to do great things and earn a lot of money (exaggerate my delusion).
Patients are active, sociable, meddlesome, do great things, do many things, keep busy green (will behavior enhancement). Energetic, sleep needs to be reduced, tireless. It is easy to be distracted by what happens around you (changing with the situation), too optimistic about the outcome, careless and reckless. Easy to spend money, pursue pleasure and spend freely. It is easy to conflict with the surrounding areas and generate impulsive behaviors. Increased sexual desire and reckless sexual behavior.
In manic state, patients feel good about themselves. They usually have no ability to know their own disease, that is, they have no ability to know their own disease.
Emotional upsurge or irritability is the characteristic expression of manic state, accompanied by thinking escape and will behavior enhancement. It is shown as coordinated psychomotor excitement, that is, the coordination of emotions, inner experience and will behavior, and coordination with the surrounding environment. When it is serious, it can show uncoordinated symptoms, disordered speech, disordered behavior, hallucinations, delusions and other psychotic symptoms.
Depressive state
Core symptom
(1) being depressed, depressed, sad and unhappy, feeling no confidence, no hope, even pessimistic and despairing in the future, and having suicidal idea and behavior of self injury. ② lack of interest, patients have no interest in anything, and they have no interest in things they were interested in before. They are lazy all day, passive and isolated. ③ lack of pleasure, the patient does not feel relaxed and happy, and can not experience pleasure from life. Fatigue, weakness, energy decline.
Other accompanying psychological symptoms
① anxiety is a very common symptom of depression, showing excessive worry, timidity, fear, nervousness, indecision, restlessness, palpitation, chest tightness, suffocation and other physical discomfort. ② mental retardation shows slow thinking and behavior. ③ when excited, it shows that the brain is constantly thinking, extremely fidgety, fidgety and unable to control itself. ④ self accusation, self-evaluation is too low, I think I have many faults, I can't do anything, it's a useless person, it's the burden of my family. (5) when it is serious, such psychotic symptoms as pessimism and despair, self injury and suicide concept and behavior, hallucination and delusion, etc. ⑥ decreased attention and memory.
Somatic symptoms
Sleep disorder, severe insomnia (difficult to sleep, wake up early, sleep shallow, dreamy), appetite disorder, no appetite, lack of energy, fatigue, loss of sexual function, weight loss, a variety of physical discomfort, symptoms aggravating in the morning.
Mixed state
It refers to manic and depressive manifestations in the same period of time (at least for two weeks), such as increased speech and activity in depressed mood, restlessness and lack of energy in manic state, etc., sometimes manic and depressive changes rapidly in a day.