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The seven phenoclasses, as the U-M team has dubbed them, include standard measures doctors already use to diagnose and track the progress of bipolar disorder. Although bipolar disorder tends to run in families, the long-term study revealed no one gene explains it, says McInnis, who is the Woodworth Professor of Bipolar Disorder and Depression in the U-M Medical Schools Department of Psychiatry.
If there was a gene with a strong effect like what we see in breast cancer, for instance, we would have found it, he explains. We hope this new framework will provide a new approach to understand this disorder, and other complex diseases, by developing models that can guide a management strategy for clinicians and patients and give researchers consistent variables to measure and assess.
Answer: Bipolar disorder can start really at any time in your life. It can start in children, in adolescence, in adults and in older adults. And depending on when the illness starts, the symptoms could be different. In children, in the young children, the illness starts slowly.
And, sometimes it involves changes in mood and irritability, and aggression, and changes in attention and difficult behavior. Mood swings can happen several times during the day. In adolescences and in adults, the illness can start either with a manic episode, or with depressed episode.
The most common age of onset of the illness, is young adulthood in the late teens and early 20s. Sometimes the illness can start even very late in life, when people are 50 or Bipolar disorder affects about 2. Around 83 percent of those people were severely impaired by the disorder while they rest only experienced moderate impairments.
Men and women experience bipolar disorder at similar rates. It also seems to affect all races and socioeconomic classes at similar rates as well. The disorder can begin at any age, but its most common among young adults. According to the National Comorbidity Survey , to year-olds represent the largest group of people that had bipolar disorder in the past year, with to year-olds being the next highest range.
However, the survey only included people 18 years old or older, so adolescents could have high instances of the disorder. Bipolar disorder can occur in children as young as age 6, although its rare, and its a controversial diagnosis in children. If your child is diagnosed, its wise to continually follow up with your medical professionals and get a second opinion. Its more commonly seen in teens and young adults, and the most common age of onset is 25 years old.
Bipolar disorder also has a strong genetic component. If someone in your family has it, then the risk of you having it go up considerably.
You are especially at risk if an immediate family member has it, such as your parents, siblings, or children. However, even if they have it, it doesnt guarantee youll get it. Other risk factors include:. Katie, who has bipolar disorder, describes her experience of hearing voices when she is manic or depressed. Not everyone realises that some sufferers of Bipolar disorder also have psychotic symptoms.
These could include delusions, auditory and visual hallucinations. For me, I hear voices. Bipolar disorder can look very different in different people. The symptoms vary widely in their pattern, severity, and frequency. Some people are more prone to either mania or depression, while others alternate equally between the two types of episodes. Some have frequent mood disruptions, while others experience only a few over a lifetime.
There are four types of mood episodes in bipolar disorder: mania, hypomania, depression, and mixed episodes. Each type of bipolar disorder mood episode has a unique set of symptoms. In order for an event to be considered a manic episode, it must:. Bipolar II is considered more common than bipolar I.
It also involves depressive symptoms, but its manic symptoms are much less severe and are called hypomanic symptoms.
Hypomania often becomes worse without treatment, and the person can become severely manic or depressed. There are two other types of the disorder that are less common than bipolar I and II. Cyclothymic disorder involves changes in mood and shifts similar to bipolar I and II, but the shifts are often less dramatic in nature. A person with cyclothymic disorder can often function normally without medication, though it may be hard.
Bipolar disorder not otherwise specified is a general category for a person who only has some symptoms of bipolar disorder. These symptoms are not enough to make a diagnosis of one of the other three types. Unless you have severe mania, the symptoms of bipolar disorder can be hard to spot. People who have hypomania may feel more energized than usual, more confident and full of ideas, and able to get by on less sleep. These are things that hardly anyone complains about.
Learn how bipolar disorder is diagnosed. Once you have a diagnosis, your doctor will decide on a treatment program that works best for you. People with bipolar disorder usually get diagnosed with something else firstdepression and ADHD are some of the most common. Depression is a part of bipolar disorder , and most people are more familiar with what depression looks like than mania.
ADHD can also look very similar to bipolar disorder, especially in children. Once a person discovers they have bipolar disorder, that might replace any previous diagnosisor they might have multiple mental health conditions at once. If you know someone who is being treated for a mental illness, but they still struggle with symptoms of bipolar disorder, its worth considering that there may be more going on.
Substance abuse often complicates the diagnosis and treatment of bipolar disorder. Untreated substance abuse can make it virtually impossible to manage the mood symptoms of bipolar disorder if both disorders are present.
It can also be hard to make a confident diagnosis of bipolar disorder when someone is actively abusing substances that cause mood swings. Substances such as alcohol and cocaine can also cloud the picture in bipolar disorder. Some people with bipolar disorder use drugs and alcohol as a part of the impulsivity and recklessness of mania.
Others may have an independent substance use disorder, which requires its own treatment. Substance abuse may make bipolar episodes more frequent or severe, and medicines used to treat bipolar disorder are usually less effective when someone is using alcohol or illicit drugs. The seven phenoclasses, as the U-M team has dubbed them, include standard measures doctors already use to diagnose and track the progress of bipolar disorder.
Although bipolar disorder tends to run in families, the long-term study revealed no one gene explains it, says McInnis, who is the Woodworth Professor of Bipolar Disorder and Depression in the U-M Medical Schools Department of Psychiatry. If there was a gene with a strong effect like what we see in breast cancer, for instance, we would have found it, he explains. We hope this new framework will provide a new approach to understand this disorder, and other complex diseases, by developing models that can guide a management strategy for clinicians and patients and give researchers consistent variables to measure and assess.
Answer: Bipolar disorder can start really at any time in your life. It can start in children, in adolescence, in adults and in older adults. And depending on when the illness starts, the symptoms could be different. In children, in the young children, the illness starts slowly. And, sometimes it involves changes in mood and irritability, and aggression, and changes in attention and difficult behavior.
Mood swings can happen several times during the day. In adolescences and in adults, the illness can start either with a manic episode, or with depressed episode. The most common age of onset of the illness, is young adulthood in the late teens and early 20s. Sometimes the illness can start even very late in life, when people are 50 or Bipolar disorder affects about 2.
Around 83 percent of those people were severely impaired by the disorder while they rest only experienced moderate impairments. Men and women experience bipolar disorder at similar rates. It also seems to affect all races and socioeconomic classes at similar rates as well.
The disorder can begin at any age, but its most common among young adults. According to the National Comorbidity Survey , to year-olds represent the largest group of people that had bipolar disorder in the past year, with to year-olds being the next highest range. However, the survey only included people 18 years old or older, so adolescents could have high instances of the disorder.
Bipolar disorder can occur in children as young as age 6, although its rare, and its a controversial diagnosis in children.
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