Bipolar Disorder


This is a severe condition in the Affective Disorder family, considered primarily due to aberrant psychophysiology and treated primarily with medication. It is easily missed or misdiagnosed due to range of variations observed in clinical practice; e.g., bipolar patients may be primarily depressed, primarily manic, or afflicted with some other combination or variation.

Patients in a manic state may talk excessively and urgently, need only minimal sleep, feel highly euphoric or irritable, have tremendous energy, and be prone to poor impulse control and poor judgment. When depressed, they may be prone to suicide attempts, hopelessness, insomnia or hypersomnia, anhedonia, dysphoria, and fatigue.

 


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Reactive depression occurs in reaction to an event or situation that would cause most people to be depressed. The reaction may or may not be exaggerated relative to a “normal” response and may or may not be an indication that therapy is needed. Obsessive-compulsive disorder is characterized by either obsessions or compulsions.


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COMMENTARY: Being bipolar in Pakistan
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