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doctor360india · 2 years

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Depression -bipolar depression vs. unipolar depression

Depression can affect anyone. Depression comes in many forms, such as situational, unipolar, and bipolar. Situational depression is the most general one and happens when a person is affected by an occurrence in life and is generally remedied with a therapy appropriate for the event. Unipolar and bipolar depression, on the other hand, are considered medical conditions. They frequently develop without a life event trigger and usually necessitate a medical rather than a therapy-based treatment method.

Whenever you hear people talk about being diagnosed with or remedied for depressive disorder, they are usually referring to unipolar depression. Although unipolar depression and bipolar disorder are two genetic mood disorders yet there are crucial variations between the two – differences in how the ailment makes people feel and act, as well as differences in how they are backed through therapy.

People having bipolar disorder similarly have high moods referred to as mania when they may experience increased energy, euphoria, insomnia, or also impulsive behaviors like shopping sprees or promiscuous sexual activity with low moods or depression. The boosts in energy occurring with bipolar depression are not experienced in unipolar depression. Listed below is a more detailed glance at the symptoms of both depression and mania. If you or someone you know is going through these symptoms, it’s crucial to pay a visit to your counseling center or a mental medical expert to obtain the right medical diagnosis and therapy.

Symptoms of Depression:

We all get gloomy every once in a while, but if you, or perhaps someone you know, are going through changes in behaviors like the ones down the page, it’s important to reach out for assistance before things become worse.

Excessive gloominess or despondent mood

Not enough interest in activities that were once enjoyable

Apathy and low stamina

Trouble focusing

Solitude or withdrawing from relatives and buddies

Feelings of confusion and remorse

Not being able to sleep or sleeping continuously

Thoughts of suicide and feelings

Symptoms of Mania:

When people are in a manic state, they often times seem very happy, confident, full of energy, and prolific. If you or someone you know is all of a sudden feeling or doing some of the things down the page, it’s crucial not to overlook those symptoms. It’s usual for those who are manic to refute anything wrong.

Exceedingly “high,” euphoric mood

Extreme frustration

Dropped need for sleep without feeling fatigued

Racing thoughts or speedy speech

Trouble focusing or concentrating

Agitation

Impulsive behaviors just like spending sprees

Elevated energy, activity, and nervousness

Higher sexual drive

Abuse of drugs, especially cocaine, alcohol, and sleeping pills

Provocative, intrusive, or perhaps aggressive behavior

Bipolar disorder can be difficult to detect since it looks so much like a depressive disorder when someone is at a low level. Also, a person can have depressive bouts for years without exhibiting mania or hypomania. That’s the reason why it’s especially crucial to inform your counselor about all the signs or symptoms you’ve been going through, even though they seem to make you feel good, so they can make the appropriate medical diagnosis and give you the most beneficial therapy.

If you suspect you or a loved one are having symptoms of unipolar or bipolar depression, you can try a Self-Evaluator or visit a counselor or get medical assistance.

{Read More: Warm Bath- How it Might Help Beat Depression?}

#Depression -bipolar depression vs. unipolar depression #Symptoms of Depression #Symptoms of Mania

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mianserininfo · 2 years

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Die Version 3.0 der Nationalen VersorgungsLeitlinie (NVL) Unipolare Depression steht ab sofort bis zum 19. Mai 2022 zur öffentlichen Konsultation bereit. Fachkreise und Interessierte sind eingeladen, die Leitlinie kritisch zu begutachten und zu kommentieren.

Depressionen zählen weltweit zu den wichtigsten Volkskrankheiten. In Deutschland tritt bei etwa jedem achten Erwachsenen im Laufe des Lebens eine depressive Episode auf. Bundesweit sind innerhalb eines Jahres rund 6 Millionen Menschen betroffen. Die Krankheit ist für viele Betroffenen mit großem Leidensdruck verbunden, da sie sich auf Wohlbefinden, Selbstwertgefühl und Lebensqualität auswirkt. Zudem haben Depressionen auch negative Effekte auf das Entstehen und das Fortschreiten körperlicher Erkrankungen.

Für Menschen mit Depressionen gibt es wirksame Behandlungen und eine Vielzahl an Unterstützungsmöglichkeiten. Eine Herausforderung stellt jedoch die Koordination der hausärztlichen, psychiatrischen und psychotherapeutischen Versorgung mit psychosozialen und anderen unterstützenden Maßnahmen sowie mit Leistungen zur Rehabilitation und Teilhabe dar. Auch die Kommunikation beim Übergang zwischen ambulanter und stationärer Versorgung ist häufig nicht optimal, so dass es zu Versorgungslücken kommt. Die sozialrechtliche Segmentierung führt außerdem dazu, dass Betroffenen und Versorgenden die zur Verfügung stehenden Leistungen und Angebote teilweise nicht bekannt und die Zugangswege sowie Kostenträger unklar sind. Daher legt die Version 3.0 der NVL Unipolare Depression einen Schwerpunkt auf die Darstellung des Versorgungssystems und auf Empfehlungen zur besseren Koordination aller Leistungen bei der Versorgung von Menschen mit Depressionen.

Neben dem Schnittstellenmanagement wurden auch die Inhalte zur Diagnostik und Therapie depressiver Störungen geprüft und aktualisiert. Die Struktur der Leitlinie wurde grundlegend überarbeitet und orientiert sich nun an den Behandlungs- bzw. Erkrankungsphasen sowie dem Schweregrad der Depression. Neu hinzugekommen sind unter anderem Inhalte zu Internet- und mobilbasierten Empfehlungen sowie zu komplexen Versorgungsformen wie z. B. Disease-Management-Programmen. Erstellt nach den methodischen Vorgaben der evidenzbasierten Medizin, beruhen die Empfehlungen auf systematischen recherchierten und qualitativ geprüften Studien, kombiniert mit der klinischen Expertise des multidisziplinären Expertengremiums sowie der Sicht von Betroffenen, die durch Patientenvertreter eingebracht wurde.

#Depression #unipolare Depression #Behandlungsleitlinie

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sheburnedlikeabride · 6 days

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to taylor’s credit refusing to go to therapy when you clearly have at least one personality disorder bc you “feel very sane” makes me trust you w the asylum imagery a million times more than your bog standard overtherapized anxiety and unipolar depression haver

#like you know what we’ve all been thwre

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weedplantar · 1 year

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Everyone with depression who's ever told me that bipolar sounds more "fun" or they wish they had it instead, owes me $500

#i WISH i just had the depression and could experience that like someone w unipolar depression tbh #you do NOT want the mania or rapid cycling or the unpredictablity #trust me #mental health #mental health awareness

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psychoticallytrans · 1 year

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Sometimes, when you're working on recovery, you'll uncover new symptoms that you didn't have before because you didn't have the resources for your body to experience them.

For about five years, it was thought that I had unipolar depression with a side serving of a minor tendency to psychosis when under serious stress. I didn't show any manic tendencies at all, but bipolar medications were the only thing that worked on the depression.

Then, I managed to move out of my childhood home, and almost immediately started having manic episodes accompanied by much more serious psychosis. This was fortunately pretty easy to moderate with an increase in my meds, but it was pretty alarming.

It turned out that being an extrovert raised by a parent who hated driving, lived a half hour walk from all other people, had no nearby family, and refused to have people that weren't family in the house, does a number on your ability to be a functional human. I went from only being able to see people other than my parent and siblings at school and on grocery trips to living in a city. This took me from only having enough people around for less than a fifth of the time, and most of that spent on survival and education, to being able to just go outside and talk to people.

This massive spike in energy was a great thing, but included some concerning downsides. I went from having dulled senses most of the time to having senses that were much sharper, but sometimes fed me misinformation. I went from struggling to walk three quarters of a mile in half an hour to being able to easily walk two miles in twenty minutes, but at the cost of a new need to get up and move even when I need to be getting something else done. I went from struggling to feed myself because I was never hungry to being hungry all the time. It was so much better than things had been before.

I learned how to cope with these new symptoms through research and trial and error. I found ways to check my senses. I started making time to exhaust myself so that I could sit still and work. I learned how to feed myself all over again. Recovery is not linear, and developing more severe psychosis was definitely a bump in the road.

And overall? I would not go back to living like I did as a child and teen if I was paid triple my current income to do so. I'd rather be thriving and psychotic.

#symptomatic #trauma

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blowflyfag · 3 months

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ECW Magazine: February 2000

FLIGHT OF RAVEN

Raven returns to ECW roost and brood about life

By S. Connor

RAVEN RETURNED TO EXTREME CHAMPIONSHIP WRESTLING on Aug. 26 and shook the foundation of the promotion. At the first TNN taping at Elks Lodge in Queens, N.Y., he paired with longtime nemesis Tommy Dreamer and beat The Dudley Boyz to claim the ECW world tag team title.

In the following interview, Raven talks about his days in World Championship Wrestling, his childhood and his motivation for returning to ECW.

A CHILLING CHILDHOOD

Q. WHAT KIND OF CHILDHOOD DID YOU HAVE?

A. A miserable one. No one liked me. I was very unpopular and I was staved for attention because my dad never told me he loved me. I was extremely outgoing, loud and obnoxious just to get any kind of attention.

[Raven pulls Rhino off Tommy Dreamer]

Q. DO YOU HAVE ANY BROTHERS OR SISTERS?

A. I have an older sister but she had mental problems of her own. In fact she has emotional problems that are bad enough that she gets disability from the government. She also has very poor health problems, but she’s a great person.

Q. WAS THERE ANYTHING YOU COULD HAVE DONE TO MAKE YOUR CHILDHOOD BETTER?

A. I probably could have stopped picking on her and abusing her. I was embarrassed by her problems and I took it our on her. It wasn’t her fault she was that way, which left me with even more guilt for being cruel to her because I thought she was embarrassing me. It just snowballed.

Q. DO YOU BLAME THESE PROBLEMS ON YOUR PARENTS’ LACK OF ATTENTION?

A. Yes, complete lack of attention. I also have a fragile brain chemistry to begin with. My sister is actually unipolar. She’s just depressed. I’m bipolar, I’m manic/depressive. I needed more attention than your basic kid to begin with but i got less than your average person so it was a double whammy. My parents were so wrapped up in my sister’s problems they didn’t give me any attention. I had problems just as bad as her but apparently I hid behind an armor that was thick enough and it was such a good act that nobody saw though it. But they should have seen through it. They are my parents. My I.Q. was 143 and they should have realized how special i was. If not special, then I should have been treated like any normal person. I often envied kids that at least got beat by their parents. If they got beat, at least they knew that their parents cared. Mine were indifferent. Indifference is the greatest cruelty of all.

[Unlikely tag team: Tommy Dreamer and Raven]

ABOUT RINGMANSHIP

Q. HOW IMPORTANT ARE MICROPHONE SKILLS IN WRESTLING?

A. The greatest interviews in the history of the business were Mankind’s interviews as Cactus Jack in ECW. I don’t think anyone will ever cut promos better. Like a Seinfield episode, he went all over the place, but at the end the whole story came together in a neat little bundle. Cactus was always teaching you something. Austin is tremendous. In World Championship Wrestling, as far as charisma, I’m a big fan of Kannan. He is one of the most charismatic guys ever. Rey Mysterio Jr. is one of the greatest pure athletes I’ve ever seen in my life. In ECW, Axl Rotten is absolutely remarkable. Rotten can actuallt wrestle scientifically as smoothly and as well as anybody. If he dropped 30 pounds and Paul Heyman [owner of ECW] have him a chance to really prove himself, all of a sudden you’d have a new major star.

WCW STRIKES OUT

Q. WHAT HAPPENED TO YOUR CAREER IN WCW?

A. I was never allowed in the “big 10” of WCW. I wasn’t popular enough and I didn’t get my shot. Anybody who truly has seen my work with an unjaded and uncynical eye would probably include me in the top 10. I haven’t drawn money in the major territories because I’ve never been in the position.

Q. SOME OF YOUR GIMMICKS: SCOTTY THE BODY, JOHNNY POLO, SCOTTY FLAMINGO. WERE THEY REALLY YOU?

A. Yes they were. I’m a manic depressive! Scotty the Body was a character I created. The World Wrestling Federation gave me Johnny Polo and Dusty Rhodes gave me Scotty Flamingo - offshoots of Scotty the Body, one of my original names. I wanted to be the most flamboyant, obnoxious, abrasive, loudmouth chickens—heel I could be because I knew it would give me the attention I craved. If i didn’t get the attention at home, I wanted the adulation of strangers. I found along the way it’s no substitute, but it does to an extent alleviate some of the anguish and pain. If you talk t the boys in the WCW locker room. Konnan, Saturn or Disco Inferno would say either I am the most moody pick on the planet to the most wise ass goofy bastard you ever met.

[‘My parents were so wrapped up in my sister’s problems they never have me any attention.’]

RAVEN-DREAMER SAGA LIVES ON

SINCE RAVEN RETURNED TO EXTREME CHAMPIONSHIP WRESTLING ON AUG. 26, HIS LEGENDARY FEUD WITH TOMMY DREAMER HAS BEEN REVIVED.

AS KIDS, THE TWO WERE BEST FRIENDS UNTIL A GIRL NAMED BEULAH CAME BETWEEN THEM. DREAMER STOLE BEULAH FROM RAVEN, EVEN THOUGH HE DIDN”T REALLY WANT HER. WHEN SHE CAME BACK INTO THEIR LIVES IN ECW, OLD HATRED BETWEEN RAVEN AND DREAMER ROSE UP AND DROVE THE TWO TO FIGHT THEIR BATTLES IN THE RING.

DESPITE THEIR HATRED, THE TWO BECAME ECW WORLD TAG TEAM CHAMPIONS WHEN RAVEN RETURNED TO THE FEDERATION ON AUG. 26. THROUGHOUT SEPTEMBER AND OCTOBER OF 1999, DREAMER WAS BARELY ABLE TO DEFEND THE TITLE BECAUSE OF AN INJURED BACK. RAVEN ONLY INVOLVED HIMSELF IN THE MATCHES AT THE END TO ENSURE THE TWO UNLIKELY PARTNERS KEP TTHE TITLE. HOW LONG DREAMER AND RAVEN CAN CONTINUE IN THIS DYSFUNCTIONAL MANNER IS ANY FAN’S GUESS.

SUCKING UP?

Q. WHAT WERE YOUR DAYS LIKE BEHIND THE SCENES FOR WWF?

A. When i was working for Vince McMahon [owner of the WWF] as associate producer of RAW, Vince made me put on a suit and tie. It was killing me. As soon as I was done producing, the sh-t would come off and I would put on a pair of ripped up jeans, a pair of boots, a T-shirt and leather jacket. That’s who I am. Me and Shane McMahon became really good friends. I was an original member of the Mean Street Posse, because me, Shane, Rodney and Pete Gas used to hang out all the time. I think it’s kind of amusing that Raven’s actually a Mean Street Posse member and they all dress in their ivy league clothes. Me and Shane are really close friends. I can’t say anything bad about him. We used to hang out constantly. It was funny because all of the boys would say, “You’re just sucking up to Shane so you can get over with Vince,” and it’s just the exact opposite. What would happen is I’d get total heat with Vince because I’d have Shane out all the time, back when I used to drink. I quit drinking two tyears ago. I had Shane out every night of the week partying and Vince thought I was a horrendous influence on his son.

[I’ve been to a couple psychologists.’]

BACK ON THE COUCH

Q. DID YOU EVER SEEK OUT HELP FOR YOUR PROBLEMS?

A. I’ve been to a couple psychologists. I found one phenomenal one who really helped me through my baggage. My father’s passing away recently - he was very ill so it was the best thing for him - took a lot of that baggage away. I don’t by any means glorify his death, but it enabled me to turn my life around.

Q. DESCRIBE RAVEN NOW COMPARED TO THE ONE WHO APPERED JAN. 8, 1995.

A. I came out in January 1995 as dark and as bleak and as miserable as one could possibly be. A lot of people say I left the character consume me, but what they don’t understand is it was already consuming me to begin with. I just found the forum to play it out. It was cathartic, it gave me release. By the same token, a lot of the negatives that accentuated it had a detrimental effect on me. It took a long while to work through all of that as well. What you see now is probably the most stable and happy I've ever been. Raven now is cruel, hateful and malicious, but bot as brooding and not as sullen. Fans will see a more sarcastic edge. Raven is 75 precent of the brooding bastard and 25 perfect of the glib, wise ass prick that Scotty the Body was.

FROM ECW TO WCW AND BACK AGAIN

Q. HOW DID YOU COME TO THE DECISION TO LEAVE ECW THE FIRST TIME?

A. I didn’t want to leave and to be honest, I begged Paul. I said, “Please, I don’t want to leave.” Eric Bischoff [then vice president of WCW] offered me a lot of money to go to WCW. Of course ECW’s pay scale has jumped since then, but at this time it was a very hefty contract. I begged Paul to give me half of what Bischoff offered, but he couldn’t he just didn’t have the money. I had to leave and it broke my heart. All the boys said, “You got to go.” Now that ECW is on national TV with the TNN deal, I’m like: “well, I cant let them go on national TV without me. I got to be there for it.”

Q. BUT DIDN’T BISCHOFF ASK YOU TO LEAVE WCW ON AUG. 23?

A. I didn't really have a choice. Bischoff called a meeting and said, “Raven, start working through our attorney outside. You’re not happy with the company so you can leave right now.” I said, “bye” and walked out the door. Later Eric said, “I think you should think this over, I think you should stay. What are you going to do, go work for Paul E.?” I said, ”No, I’m going to Vince.” He said, “You are not going to Vince.” I said, “You said I got a release. I would think that implies I could go wherever I want.” Eris said, “I’ll let you go to ECW but you can’t go to Vince.”

Q. HOW DO YOU GET ALONG WITH BISCHOFF NOW?

A. I like Eric a lot, I think he’s a great guy. I know there’s a lot of horror stories of how badly he treats all the wrestlers, but he’s always treated me with a lot of respect. He always made time for me.

#raven #Raven ecw #ecw #extreme championship wrestling #magazine scan #magazine transcript #this guy is so fucking gay

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brostateexam · 11 months

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When I was a teenager, I had a therapist who was convinced that I was bipolar. She thought I had a (rare?) variant where my affect is unipolar regardless of if I'm manic, hypomanic, neutral/mixed, depressed, or deeply depressed, but that I did nonetheless experience all the symptoms that are consistent with bipolar disorder.

98% of the time, I think this is trash. I didn't respond to atypical antipsychotics. They just straight up did nothing. I was later diagnosed with PTSD, and did respond to treatment for that. My symptoms of depression and anxiety improved a lot, and improved a lot more post weight loss surgery because I no longer felt like everyone hated me for how I looked (which -- regardless of if that was true, it was how I felt and it felt awful)

2% of the time, though, I wonder if she had a point.

I can't sleep more than a few hours at a stretch. I'm writing a novel and practicing Chinese. I'm irritable and focused on accomplishing goals to the exclusion of little else. I'm feeling outgoing and kinda like I want to take some risks.

This will pass in four to twelve weeks. It always does. Then this diagnosis will go back to not making sense.

Today, though. I wonder.

#*mental health #*body image

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pagingdrkaraii · 8 months

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the importance of a good diagnosis

so i was pretty sure a highly impulsive, aggressively destructive and self-aggrandizing patient was yet again psychotic secondary to substance use with an unhealthy combo of comorbid narcissism personality disorder-- he'd had 2 previous inpatient hospitalizations due to apparently psychosis secondary to cannabis consumption, and a history of entitlement, disregard for other's feelings, and an inability to handle criticism from his teenage years onward-- but my R4 was like 'hmm. no. i'm pretty sure he's bipolar.'

and my instinct was like, whaaat? he was talking clearly at the interview! at a normal pace, with moments of extreme calm that could last a couple of minutes, and yeah followed by explosive bouts of rage and anger if he disagreed with questioning, but surely that was in response to that baseline personality disorder. all that self-aggrandizing talk was true anyway, he is a pretty successful fellow in his field and did finish more levels of schooling than an average person.

but my R4 smiled at me and said, nope. this patient is experiencing a manic episode with psychotic symptoms. the previous 2 hospitalizations were surely exacerbations of the same, combined with substance use. observe!

and with the magic of magnesium valproate at 30mg/kg, the guys' manic episode started to subside within a week. his previous 2 hospitalizations he'd only had antipsychotics and a mood stabilizer at suboptimal levels, obstensively to vaguely handle his impulse control, and they'd lasted over a month each.

"not every manic episode presents as feeling excellent and fantastic and ready to take on the world, with pressured speech. sometimes the expansive affect is overshadowed by the irritability and destructive-aggressive behaviour, and the disordered speech merely manifests as circunstancial thinking and constantly interrupting the interviewer."

this isn't the first time an inpatient diagnosis starts as one thing and ends up surprise bipolar disorder all along, which is what i find so fascinating. how many folks have dealt with these genuinely life-destroying episodes where they wreck their whole life and never know why? assume it's just their personality, or their drug addition, or what have you, and they never get proper medication for their actual illness. most notorious is the intense depressions that are misdiagnosed as unipolar when they're actually bipolar, like that young lady who'd been misdiagnosed for years, assumed to simply have recurrent bouts of depression with psychotic symptoms, until my R4 was like hey, you ever had a [describes hypomanic episode], got them on a mood stabilizer, and relieved years upon years worth of residual symptoms in a couple weeks?

every day i learn new stuff. i really admire my r4. it sounds like a joke, but i wanna be like him when i grow up. i'll do my best to keep developing my clinical chops!!!

#real life adventures #keep on fighting the good fight

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