Health Information Center – CedrikaProvencher

Lately a lot of suicides appear. Finally, there was a beautiful girl committed suicide in a prestigious mall in Jakarta. Why do people want to kill yourself? There are no right answers and clear. It’s just one of the trigger factor, could be a bipolar mental disorder. This disorder usually leads to death.

According to Dr. B SpKJ Jap Mustopo from Mayapada Hospital, Tangerang, feeling happy and sad come in and take erratic suddenly included in the category of mental illness bipolar disorder. Bipolar itself is a bipolar affective disorder. Mood or emotional state of internal is the main cause of this disorder.

Bipolar disorder, says Dr. Jap, has two poles, the manic and depressed. These disorders tend to be recurrent episodes, showing the atmosphere and the feeling or mood that affected the level of activity.

“Sometimes the person you have feelings or what we might call a rising mood, energy and physical and mental activity increases (or manic episodes hipomanik) and at other times a decrease in mood, energy and mental activity and decreases (episodes of depression),” he said .

Manic episodes usually begin suddenly and last between two weeks to five months. While depression tends to last longer. “Episode hipomanik have lesser degree than the beads,” he said.

Bipolar Causes

Those who experience bipolar disorder was shifted from feeling very excited and happy to feeling very sad or vice versa. Two poles high and low moods, each in turn. In between episodes of mood shift may be people who megalami normal mood. It could be said that the incidence of bipolar disorder is not high between 0,3-1,5 percent. But that number does not include a misdiagnosis. Risk of death continue to haunt people with bipolar disorder and it is more because they take a shortcut.

The cause of this disorder, is not known. Genetic factors, and psychosocial factors. The researchers also say that there is heterogeneity of disregulasi neurotransmitters or chemicals in the brain.

Genetic factors assessed through a complex mechanism of gene, while the events of life and environmental stress is a psychosocial factors that often precedes the first episode of bipolar disorder is.

The first episode can arise from a child’s eyes to the old. Most cases occur in young adults aged 20-30 years. The earlier someone suffering from bipolar disorder, the risk will be more severe illness, prolonged, and often relapse. While children develop the potential of this disturbance into a more severe form and often in conjunction with attention deficit hyperactivity disorder.

People are at risk for bipolar disorder are those who have family members suffering from bipolar disease. Manic symptoms are usually characterized by excessive excitement, such as a sudden change from feeling happy to be a sudden anger, anxiety, said the lack of rapid and concentration, increased energy and desire to sleep less, high sex drive, tend to make big plans and is difficult to achieve , tend to lack in providing an assessment of things, drug and alcohol abuse, and impulsivitas increased.

While symptoms of depression is usually indicated by pain, loss of energy, feelings of despair or insignificant, the loss of the joy of things that have not felt good, difficulty concentrating, crying uncontrollably, difficult decisions, irritability, insomnia, appetite changes, thinking and trying to commit suicide. Bipolar disorder can also occur in men and women. Women with bipolar disorder experience mood yangn transition more quickly.

Handling Bipolar

Before any treatment for bipolar disorder, usually first diagnosed done with careful attention to symptoms, the level of fear, the number of time, and frequency. And symptoms of the easiest to recognize is that the mood symptoms of high transition (from high to low) is not patterned.

Bipolar disorder is a disorder that requires long-term comprehensive. Those with four or more mood changes in a year is more difficult to handle. According to dr Jap, a patient who suffered bipolar disorder can be cured. In the four phases that a patient can perform therapy. But if it does not work or mebahayakan, required special handling in a special hospital or a mental rehabilitation. “Usually in the form of psychotherapy, cognitive behavioral therapy of choice,” he said.

It has been more than 50 years of lithium therapy is used as a bipolar disorder. Effectiveness has been proven in 60-80 percent of patients. This therapy can suppress the number of deaths due to suicide and maintenance fee.

Farmakoterapi is providing medicine type drug mood stabilizer plus antipsychotic drugs goals in accordance with the clinical picture shown by these patients. Antipsychotics are better than lithium in some people with bipolar disorder.

Extra attention should be done if you want to plan for long-term antipsychotic delivery especially the first generation or typical group because it may cause some side effects. When you have this bipolar disorder, control regularly, take medication regularly, and the ability to recognize the symptoms is the key to prevention.