TREATMENT IN THE RECOVERY FROM ALCOHOLISM

TREATMENT IN THE RECOVERY FROM ALCOHOLISM    

If you want to cure the problem of alcoholism, the initial step is to accept that you have a serious problem.  It is not at all an easy task.  To confront how alcohol is controlling your life.  However, it is an essential step that has to be taken to walk on the road to treatment, so that complete recovery becomes a reality.

A person is said to be dependent on alcohol when they no longer have the control over their consumption of alcohol; when you know you cannot stop drinking when you want to. Merely cutting back on the consumption is not adequate at all.  It may sound simple, but until a person accepts that alcohol is controlling their behavior, they have very little chance of stopping the drinking.  This is called, “coming out of denial.”

Most alcoholics do not want to face their problem, because they know they will have to stop drinking completely.  Alcoholics do not want to stop drinking.  They chase the ‘relief’ they feel consumption of alcohol gives them.  They have become habituated to seeking this relief through consumption, and do not have any other tools in dealing with life’s challenges.  When they drink, they do not deal, and they forget about life’s inevitable problems.  Often they depend upon other people around them to deal with those problems, such as family members, or coworkers.

Alcoholism causes severe grief and sadness within the family as an alcoholic has no control over his actions and responses after a period of time. It is a progressive problem, or disease.  Left untreated, it will lead to loss of home, family, sanity, or life itself.  The codependent is the person who enables the drinking to continue, through their covering up for the alcoholic.  The ultimate goal of an addict would be to give up alcohol completely and quit drinking forever.  Thereby taking care of their own life, and allowing others to have the freedom to take care of themselves.

Factors on which Alcohol Treatment is Dependent On

There is no shortcut cure for addiction to alcohol. Coming out of the addiction can be a real long process that needs a blend of various treatments and therapies and personal dedication. Often, the treatments for alcoholism depend on factors like:

  • Financial condition of the addict, access to treatment or detox
  • Circumstance in the life of such a person, like willingness of codependent to stop enabling behavior
  • The kind of support an addict gets from his friends and relatives
  • History of alcohol dependence in the past, including stage of the development of the disease of alcoholism
  • Personal commitment and efforts to become sober

If you have a feeling that it is time for you to face the problem of your addiction, you should immediately secure an appointment with a doctor who specializes in the treatment of alcoholism before there is a change in decision. It is important that the correct doctor is selected, since the treatment of alcoholism is a specialty, and not every physician is familiar with treatment.  A doctor might ask you a several questions or may even hand you a questionnaire that can help in determining your addiction level. Such questions and their answers can also help the doctor to decide what kind of treatment is suitable for your condition.

Detoxification Program

Your treatment plans may begin with a program for detoxification that will try to ensure that your body comes out from the addiction to alcohol. Such a treatment is often conducted in a hospital or an inpatient therapy treatment center.  Your health insurance will often cover the expense of this treatment.  The entire detoxification program could take from a week to a month to detox. As a part of this treatment program, your doctor may also prescribe medications for avoiding problems like convulsion, confusion, shaking and hallucinations.  Detox is just the very beginning of the physical process of recovery.  The emotional recovery is a long road, taking years.

Counseling Sessions

Counseling sessions may be particularly useful for patients as they undergo treatment for alcoholism. An effective counseling session can help you to establish a communication channel with both professionals and individuals who can motivate you and help you to access necessary resources for your complete recovery.

Working with a peer group, in detox, and afterward is the best predictor of success.  Recovery from alcoholism almost always involves the entire family.  This is because the family reinforces the behavior, and can work towards undermining recovery.  Peer groups, and ongoing counseling can work towards reinforcing new behaviors, and help with dealing with life’s problems in a new, sober way.

Helping the alcoholic with resentments towards life, and other people is often key towards continued sobriety.  It is said that resentments often lead to continued drinking, and can sabotage the alcoholic’s commitment to sobriety.

My practice specializes in the treatment of alcoholism, and codependency.  If you call me at (916) 320-1505, I would be happy to discuss the process of treatment with you.  I work with community resources to help with your initial, and ongoing, recovery.

The Many Faces of Post Traumatic Stress Disorder

The Many Faces of Post Traumatic Stress Disorder

PTSD or Post Traumatic Stress Disorder is not only expressed in war. It also torments people who have been in situations like rape, people who have survived a disaster, people living in warn torn countries, people who have experienced domestic violence, people who have been assault victims, people who have been sexually molested and/or assaulted. Basically, PTSD is our mind’s adaptation to any experience we have that is traumatizing, and is out side of the realm of every day experience.

PTSD existed if symptoms, like fear, and flash backs, persist 6 months after the traumatizing event.  If symptoms are present before 6 months, a person is said to be suffering from Acute Stress Disorder.

What can we do about it?

We need to educate ourselves about it and the implications of PTSD if left untreated. The social stigma attached to it makes it harder for people to talk about but it is beginning to change. Many people are now expressing themselves online where acceptance is easier as compared to offline where expressing oneself can become a task for a patient with PTSD.

 

Three types of PTSD:

  •  Acute PTSD symptoms last less than three months, but six months after the ‘incident.’
  • Chronic PTSD symptoms last at least three months or longer
  • Delayed-Onset PTSD symptoms manifest post six months of actual trauma

 

Is everyone prone to PTSD?

Experiencing a trauma can either mean to witness it or to be actually part of it…it is said that people who go through assault based trauma are more likely to develop PTSD as compared to people who may have just witnessed it for example watching 9/11 on TV may not necessarily cause PTSD but having been in one of the towers and running around to save your life would amount to chances of getting PTSD.  But PTSD symptoms can develop from things like, missing a traumatizing event.  For example, a plane crashes, killing everyone, and the person just missed that flight.  Any sort of terror inflicted on people, whether witnessed first hand, or heard about, can effect people who are vulnerable.

What does PTSD do?

An ‘overactive adrenaline response’ is caused during traumatic events which creates a mesh of neural networks that stay relevant and make a person hyperaware to fearful situations. During stressful situations, high level of stress hormones are secreted which basically inhibit hypothalamic function – the part of the brain that advocates reasoning. PTSD changes brain’s neurochemistry.

How do we diagnose PTSD?

There is a standard tool called ‘Trauma Screening Questionnaire’ and ‘PTSD Symptom Scale’ to do a self assessment, basis its results one can head for a formal PTSD investigation. It is advisable that you should not medicate yourself basis self assessment.

How do we manage PTSD?

Many forms of psychological treatments are known to help patients with PTSD control their condition. Whether it is basic counseling, exposure therapy, CBT Cognitive Behavioral Therapy and its variants, and EMDR combined with a few medications, have shown improvement in the mental health of PTSD patients.

 

In my practice, I treat people with Acute Stress Disorder, or Post Traumatic Stress Disorder.  If you, or a loved one, is suffering from PTSD or ASD, please call (916) 320-1505

Codependency and how it hurts interpersonal relationships:

Codependency and how it hurts interpersonal relationships:

       Co-dependency is a word, often used, but commonly not understood.  A codependent person thinks that their happiness is dependent upon another person changing.  They literally think: “If this other person stops drinking, or changes in some other way, my own personal happiness will begin.”  In fact, the codependent is dependent upon another person’s behavior, over which they attempt to control.  They do this in order to satisfy their own personal needs, not for the benefit of the other person, although they tell themselves they ‘love’ this other person, often their love is filled with conditions, and judgement.  They can clearly describe another person’s shortcomings, and what that person needs to do in order to improve their lives, but they have no clear idea on how to make improvements in their own lives. Their lives will never move forward because they are waiting for the other person to ‘get their act together.’  It is a fundamental position of powerlessness, since the codependent has wait for someone else to do something in order for them to start enjoying life.

Codependency is most visible in relationships when one partner is suffering from some form of addiction and the other person worries obsessively about the well being of addicted person.  When people have an addicted partner, child or relative that they care about a lot then they tend to worry and obsess over their well being so much that they neglect their own needs. In the addict/codependent dyad, the addict is focused upon their drug, and the codependent is focused upon the addict.  Both people are focused on something outside themselves for their primary mental obsession.

Early signs of co-dependency in a relationship

Codependency exists in a relationship when one partner consistently neglects personal needs to arrange the other partner’s life and make it more comfortable. Even if one member of the family starts acting like a victim to get attention and get selfish needs met then that person is said to be engaging in codependency. This relationship and personality formation can occur in childhood, and is often the result of growing up in an addicted home, were parents are addicts.  The child learns to take care of their parent’s needs before their own.  They try and make the addicted parent comfortable hoping that the parent will take care of them as they are supposed to do.  This is a dysfunctional, and I call, upside down relationship.

How this habit destroys relationships

  1. Lack of personal boundaries – In co-dependent relationships there is complete lack of personal relationship as there is no honesty between them and others, as they tend to hide this co-dependency from others. One partner tends to become overprotective about the other while the weaker one is completely controlled in every possible manner.
  2. Manipulation of feelings and emotions – Sometimes one partner becomes emotionally over-reactive and acts as if they are unable to deal with life alone. He/she needs constant assistance physical and emotional support. This sense of helplessness then becomes a form of manipulative tactic to keep the other partner forever indebted.

When two partners are unequal in a relationship and one partner has to constantly sacrifice his/her needs and desires to satisfy those of the other person it can be referred to as co-dependency. This kind or unequal partnership does not work for a long time as the caretaker ends up feeling drained, angry and resentful. The codependent feels like a martyr and often gains person power from presenting themselves as the victim of the other person who is the ‘dysfunctional addict.’

Codependency is a complicated personality type.  It responds very well to psychotherapy. In therapy with me, you will learn how to focus on your own needs, and take care of them, as opposed to focusing on another person’s problems, and how to make them conform to what you need.   You will learn how to care for yourself first, and let the other people in your life take care of their own problems.  We will work together to help you form appropriate boundaries with others, and work towards your own personal happiness, rather than thinking your happiness is dependent upon your partner/child getting fixed.

How to Help your Friend with Bipolar Illness

How to Help your Friend with Bipolar Illness

If a friend or close relative has been diagnosed of bipolar disorder it can be devastating news for the patient but you can help them cope with understanding, care and love. Caring for daily needs of a person with bipolar can be both physically and mentally exhausting for one person so build a support group that can help the patient deal with issues when you take a break. If your friend is married and has children you can notice the stress and strain in their family. You cannot blame them nor lose patience with your friend for his/her mood swings but have to be understanding and sympathetic about the situation.

Tips to help your loved one cope with bipolar disorder

Understand the disease and its signs

First try to understand about bipolar disorder and mood swings that are a part of this illness which will help you to work with a support group and cope with the loved one. Once you read as much as possible about the illness you will be able to recognize signs of manic anger outbursts and depression episodes and deal with the situation with firmness and sympathy.

Listen with patience and accept their condition

People with bipolar disorder are unable to control their emotions whether they are at a high or low so yelling at them to snap out or calm down will not help at all. Instead of acting like a superior person that understands their situation wait for them to calm down and engage in easy conversation with them to find out how they would like you to help them under tough times.

Encourage your friend to maintain prescribed treatment

If your friend has been diagnosed with bipolar disorder he/she will be on medication which they will tend to disregard when they are feeling normal or they feel drowsy all the time which can lead to relapse. Encourage them to maintain their medication or visit another good physician if they are unhappy with present doctor’s medication.

Plan all activities beforehand and stay close to support group

People with bipolar disorder are unpredictable and you should be prepared for the worst. Draw up a plan for action in case of emergencies with details like doctor’s number and numbers of other people in the support group. Gently draw the person out to join a group of like minded people in regular activities he/she enjoys like walking, trekking or just watching television.

Never ignore your needs when you are taking care of a person with bipolar disorder as it can lead to burnout and you will not be help that person in any capacity.

Post Traumatic Stress Disorder [PTSD]

Post Traumatic Stress Disorder

PTSD occurs after a patient undergoes a life altering incident or trauma. As the name suggests, it is a disorder that doesn’t show up until three months of the actual incident. PTSD symptoms often severely hamper the patient’s social and personal life.  The symptoms have been categorized in four types.

Intrusive Memories

A patient with intrusive memories symptoms will experience recurrent and unwanted memories of trauma. He or she can also experience flashbacks, reliving the incident again and again in his or her mind, see upsetting dreams and display severe emotional and physical reactions to anything that reminds the patient of the incident.

Avoidance

A PTSD patient will generally avoid talking about the incident pretending nothing is wrong and will disassociate himself or herself with people, places and activities that remind her or him about the incident.

Mood and Thought Pattern Changes

A patient with PTSD experiences a lot of negative emotions that impact his or her thought patterns too. These changes may include feeling negatively about yourself and others around you, not able to experience joy or happiness, emotional numbness, hopeless about future, difficulty in cultivating intimate relationships, unable to recall exactly why the incident was traumatic, and lack of interests in once enjoyable activities.

Emotional Reactions

In PTSD terms, it is also called arousal state and a patient with it experiences symptoms like angry outbursts, aggressive behavior and general irritability, a sense of being in danger all the time, trouble sleeping, trouble concentrating, reckless and self destructive behavior like too much drinking or driving too fast and being easily startled.

PTSD and Suicidal Thoughts

It is important to address these thoughts; if left untreated it can be disastrous. If a patient is thinking about death or suicide, he will need to open up about it to his healthcare provider. Sometimes speaking to a spouse or a loved one can be of immense help. A patient needs to get in touch with a doctor if he or she is not able to lead a normal life past the traumatic incident.

Counseling has proven to be an effective technique in combating PTSD. Cognitive Behavioral Therapy or CBT is another approach that therapists and doctors are using to deal with symptoms of PTSD. PTSD is manageable, this is something patients need to know and not give up on a life that can be promising in so many ways.

All You Need to Know About Bipolar Disorder

All You Need to Know About Bipolar Disorder

Bipolar disorder also known as manic depressive disorder is a mental illness that causes extreme mood swings in its patients. It is a risky condition and if left untreated it can turn out to be fatal for the patient. It is currently being treated with medication and therapy. Women tend to suffer from it more as compared to men. It is also found in young adults and rarely seen in children.

Medical doctors have not been able to identify the reasons of bipolar disorder. It is usually found in successive generations of a family, strongly suggesting a hereditary or genetic factor to it. It affects people irrespective of their age, gender, race or socioeconomic status. It cannot be completely prevented but if caught early on, it can be regulated.

Symptoms of Bipolar Disorder

Extreme mood swings, unpredictable behavior, excessive feeling of happiness, anxiety, restlessness, irritability, difficulty sleeping or increased need for sleep, risky sexual behavior, loss of energy, melancholia, rapid appetite changes, thoughts of dying and committing suicide.

Types of Bipolar Disorder

There are five types of bipolar disorder and they are:

Bipolar I: people who have bipolar I will have at least a single episode of manic depression with abnormal changes in their normal life. An episode lasts as long as the mood lasts.

Bipolar II: is similar to bipolar I except the “up” moods don’t attain completion.

Rapid Cycling: people with rapid cycling face four or more episodes in a year. They could be both mania and depression.

Mixed Bipolar: usually elevated moods and depressive moods occur at regular intervals in the bipolar disorder. However in mixed bipolar an individual experiences mania and depression simultaneously or sequentially.

Cyclothymia: patients with cyclothymia have milder symptoms and not extreme symptoms.

Diagnosis of Bipolar Disorder

Unfortunately it cannot be detected by scanning and imaging or a blood test. A doctor needs to make notes of symptoms by slotting their severity, span and regularity. A questionnaire is used to take down family history and understand if any links can be found.

Treatment

A combination of behavioral therapy along with drugs to deal with mania and depression seem to work best for patients with bipolar disorder. Some medications have to be taken by the patient during their entire life. Some patients are also on mood stabilizing medicines to maintain a steady mood. Patients often complain of brain fog and haze after consuming these medicines.

Buddhist Psychology – What is it?

What you need to Know about Buddhist Psychology

Buddhist Psychology – What is it?

Buddhist Psychology is expanding in our country, along with ‘mindfullness’ psychology.  That the western world has embraced Buddhism whole heartedly for more than a century is no coincidence. Buddhism’s appeal has been embellished by the large number of religious converts who have followed its liturgies, mediations and practices. However, the more far-reaching and unique impact of Buddhist psychology has occurred among clinical researchers and academia. The clinical benefits of meditation have been expounded up by functional magnetic resonance imaging or FMRI.  In these FMRI’s there is a demonstrable difference in the brains of those who meditate, vs. those who do not. They have observed that the Buddhist philosophy of mind, motivation, behavior, personality and consciousness resemble closely the perspectives of western psychology.

Buddhist Psychology primarily concerns self-knowledge, which is exploring within and knowing more about your own self and understanding your thoughts, actions, decisions and feelings. Getting a proper understanding of the self is the essence of genuine happiness.  The focus is on seeing life in a way that reduces the sense of ‘self’ as the center of things, and recognizes the intra-connectedness of all things.  Buddhist thought emphasis is on the present moment, and encourages letting go of the illusion of control.

Buddhist psychology challenges the worldview and is radical in this sense. It challenges the basis of our psychological existence, our sense of self and relationships with people and the outside world.

Buddhist Psychology – A Science of Consciousness

We strive to attain a good quality of life in terms of material benefits and career achievements, and our education system is geared towards that. But, there is seldom any thought given to the mind or consciousness. It is precisely this consciousness that is at the heart of Buddhist psychology.

Buddhist psychology centers attention on the consciousness, experience, mind, subjectivity and awareness of oneself. The Buddha has advocated wisdom to be a meditative approach consisting of many interdependent function, process and events or dharmas [aka teachings.]

The core principle of Buddhist psychology is that you can explore the mysteries of the human condition if the present moment is viewed subjectively. In other words, you come to know yourself better through introspection and contemplation of the mind.

Aim of Buddhist Psychology

Buddhist psychology primarily deals with the mitigation of distress, unhappiness and human suffering. Essentially all suffering comes from holding on to life, and trying to bend it to our will, as opposed to recognizing that life needs to be seen clearly.  We cannot control life, and need to realize the finality of all our lives.  The Buddhist concept of suffering encompasses the entire gamut of human emotional distress and anguish not just limited to clinical disorders as characterized by psychiatry. Buddhist start with the four noble truths.

  1. The Truth that the world contains suffering.
  2. That the origin of suffering is that craving for and clinging to what is pleasurable and aversion to what is not pleasurable, result in dissatisfaction.
  3. The Truth that putting an end to craving, and clinging will result in the end of dissatisfaction.
  4. The Truth of the Path Of Liberation from suffering is that by following the Noble Eightfold Path—namely, behaving decently, cultivating discipline, and practicing mindfulness and meditation—an end can be put to craving, to clinging, to dissatisfaction.

The study of the mind and its underlying processes was the Buddha’s foremost goal. The Buddha’s approach to the study of the mind is scientific and empirical, there is no faith. The Eightfold Path of spiritual enlightenment is the cornerstone of Buddha’s philosophy.

Insights Provided by Buddhist Psychology

Manifestation of human experience – The mind is deemed a sense organ alongside the five other senses. Cognitive events are considered sense objects. The entire human experience is a result of the interaction between these six sensory organs.

Centrality of subjectivity/consciousness – the human mind is at the center of all consciousness and human activity and can be explored through meditation.

Experience is never constant – Each sensation, cognition, perception, memory and feeling is unique and cannot be experienced again identically.

Some great Buddhist psychologists that I follow are:

Jack Kornfield, PhD “The Wise Heart: A Guide to the Universal Teachings of Buddhist Psychology” and “The Art of Forgiveness, Lovingkindness, and Peace”

Rick Hanson, PhD author of “Buddah’s Brain” news@rickhanson.net

Doug Kraft, “Buddah’s Map”

 

 

 

 

 

 

 

 

 

 

Psychotherapy for Mental Illness

Psychotherapy for Mental Illness

A patient with mental illness usually undergoes psychotherapy or therapy as a part of the treatment. Trained psychotherapists conduct therapy for patient to help them understand the triggers of their illness and how to control them. Another component of treatment can include working with a doctor, known as a psychiatrist, to prescribe medication.  The therapist, and the doctor work together to help the mentally ill person have an improved, and productive life.

How does psychotherapy help?

It involves enabling patients to understand their emotions, moods and identify their thought patterns that may be contributing to their mental illness. It also includes teaching patients to use counter techniques to deal with negative emotions. Psychotherapy if done successful can help patient feel that he or she is regaining control of his or her life.

Types of Psychotherapy

Therapy is of four types and the four types are:

Individual: when the therapy takes place one on one between the therapist and the patient.

Group: when two or more patients are involved in the therapy at the same time. This allows patients to share their stories and experiences with others and it allows them to open up to others and accept their situation.

Couples: it is also called marital therapy as it is directed towards educating spouses and partners about the mental illness and how it can affect a loving relationship. Therapy discusses changes in behavior and communication patterns and coping mechanisms to deal with the change.

Family: is similar to couples therapy except the whole family goes through the process of understanding mental illness and how it changes their loved one. Therapy is aimed at educating the family about mental illness and makes them understand how they can help their loved one deal with it.

 

Different approaches of therapy

Psychodynamic therapy is conducted for patients who are believed to have repressed emotional issues mostly stemming out of their childhood. Therapists encourage patients to be open about their feelings and help them cope with the release. This therapy can last from a few months to a few years.

 Interpersonal therapy is for patients whose illness is triggered by social isolation or mourning or any other life event. The therapist helps the patient in improving his or her communication channels with his or her family.

Cognitive Behavioral therapy is for patients who often have misconceptions about themselves and of the people around them. It is for patients whose behavior pushes them into a perpetual cycle of illness. It is used for people with acute depression and anxiety disorders and patients who have difficulty ingesting the medication.

Treating Post Traumatic Syndrome

Treating Post Traumatic Syndrome

Post Traumatic Syndrome or Post Traumatic Stress Disorder or PTSD is a mental health issue triggered by extreme events either after experiencing it or having to witness it. Most common symptoms of PTSD are flashbacks about the episode, nightmares and tremendous level of anxiety.  Mostly found in people who have either been in a war zone or have witnessed one. Growing up in a hostile situation can also make a person prone to PTSD.

Many treatment options are available for PTSD but every patient is unique and only after a thorough checkup one can determine which treatment will work best for them. Common treatment for Post-Traumatic Stress Disorder includes counseling. It is difficult for a patient suffering with PTSD to open about his or her experience. Counseling aims to eliminate this problem. There are many types of counseling sessions a patient can undergo. They are as follows:

CBT (Cognitive Behavioral Therapy) – One of the strange aspects of PTSD is that patients often blame themselves for things they may not have been able to change. This leads to a lot of inbuilt guilt along with stress caused by replaying the same events over and over in their mind. A therapist practicing CBT will help a patient understand the situation from an objective perspective at the same allow them to communicate their feelings and not bottle them up. A patient learns about their stress triggers and how it impacts their well-being. Coping mechanisms to deal with feelings like anger and guilt can be taught by me.

Exposure Therapy –             Wants to make patients feel powerful by allowing them to stop fearing their past and emotions related to it. The therapist will organize repetitive sessions in which the patient will talk about same traumatic events. The idea is to have the patient speak about trauma and confront it. The more a patient talks about it, the more his or her mind is able to normalize feelings surrounding those events.

EMDR (Eye Movement Desensitization and Reprocessing) – It aims at reprogramming the patients memories of trauma. It is a new technique in treating PTSD. The focus is on eye movement, hand movements and sounds. The technique teaches patients to incorporate eye movements, hand gestures and sounds to deal with overwhelming feelings while they talk about a difficult incident from the past. EMDR may not be available at all hospitals.

Initial Signs of Having Bipolar Disorder

Initial Signs of Having Bipolar Disorder

One of the reasons why Bipolar Disorder is so difficult to diagnose is because its symptoms are not extraordinary. They can mimic your stressed out behavior or other mental illnesses. Bipolar disorder is characterized by the extreme mood swings in a person. These mood swings are called mania – elevated episodes of happiness and depression – a level of hopelessness accompanied by urge to cry uncontrollably and suicidal thoughts.

Following are the initial signs of Bipolar disorder:

  • A tall list of incomplete tasks – It is because during the mania phase a patient loses his or her grip on reality. He or she embark on grand tasks but never complete them because when mania wears off, he or she is no longer interested. It is a classic sign of bipolar if you have tons of such incomplete tasks with no explanation whatsoever about abandoning them.
  • Depression – Almost every second person has been in a depressive mood at least once in their lifetime. It is brought on by extreme grief. Bipolar disorder depression is the same except people don’t understand why they are depressed. They have same symptoms as regular depression but if you try treating them with regular depression medicine that can make them spiral out of control.
  • Irritability – Anyone can feel at any time but in a bipolar patient it is almost the second nature…their irritability isn’t toward anyone because they are fighting the symptoms of mania and depression at the same time and that exhaustion makes them irritable.
  • Change in Speech – Pressure speech is a sign of depression because it makes them embark on a monologue and it is unlike their normal self. They may even talk over you, this happens during mania stage.
  • Interpersonal problems – Mania and depression can either make them go over the top or completely withdraw from everyone else. Such behavior usually leaves them isolated and they experience problems in relationships both at work and at home.
  • Drugs – 50% of bipolar patients use drugs to control their mania or depression.
  • Erratic behavior – High mania may lead to promiscuous behavior and overspending because life is extraordinarily good during the mania phase, everything is possible! These two should be telltale signs because bipolar patients don’t behave this way otherwise.
  • Sleep issues – Mania doesn’t let the patients to sleep and depression makes them lethargic and sleepy. This happens during a few hours of sleep each night.

 

 

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