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.
Manic state
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 symptoms
① Depressed, depressed, sad, unhappy, feel no confidence, no hope, even pessimism and despair in the future, and have the concept and behavior of self injury and suicide. 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, patients do not feel relaxed and happy, can not experience pleasure from life. Fatigue, weakness, energy decline.
Other accompanying psychological symptoms
① Anxiety is a very common symptom of depression, which shows 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 keeps thinking, extremely fidgety, fidgety and unable to control itself. ④ Self accusation, self-evaluation is too low. I think I have many faults and can't do anything. I'm a useless person and a burden to my family. ⑤ When serious, they are pessimistic and despairing, self injuring and suicidal ideas and behaviors, hallucinations and delusions and other psychotic symptoms. ⑥ Attention and memory decline.
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.