But you arent certain. Your symptomsor these of the spouse, little one, or buddy youre frightened aboutalso resemble those of other mental issues, comparable to depression, borderline persona disorder, nervousness dysfunction, schizophrenia, or attention deficit hyperactivity disorder (ADHD).
Already a subscriber? Access the article’s CME course from the Journal CME” box on the right and log in utilizing your username and password. First-time customers may even want the access code supplied by email shortly after the time of purchase/renewal. Person has skilled at the very least one main depressive episode, a minimum of one hypomanic episode and no full blown manic episodes. Newman C, Leahy RL, Beck AT, Reilly-Harrington N, Gyulai L. Bipolar disorder: A cognitive remedy strategy. Washington, DC: American; 2002. Bipolar II may contain mixed episodes, and there could also be signs of temper-congruent or mood-incongruent psychotic options.
PS: Let’s work together and educate all health care professionals that a private and family mania screening should be completed when prescribing all anti-depressants! Releasing bipolar by taking the mistaken medicine is a horrible factor. Bipolar dysfunction is a complex temper disorder. If you’re nervous that you just or a liked one has symptoms of a bipolar episode, please hunt down medical attention for a proper psychiatric evaluation. The excellent news is that with the suitable medication and help, this persistent mental health condition might be managed. The Columbia Bipolar Genetic Study. Bipolar dysfunction and genetics. Available at Accessed: March 13, 2013.
Persistent changes in perform: Everybody has good and unhealthy days — sometimes even just a few in a row, but when your baby or adolescent begins to expertise prolonged durations of time when she’s not herself, you have to listen. Explore further any vital modifications in grades, friends, activities, vitality, and enthusiasm that go on for greater than a few weeks.
Sachs GS, Nierenberg AA, Calabrese JR, et al. Effectiveness of adjunctive antidepressant therapy for bipolar depression. N Engl J Med. 2007 Apr 26;356(17):1711-22. Epub 2007 Mar 28. Mood variations in bipolar dysfunction are usually not predictable, so it is typically tough to tell if a affected person is responding to therapy or naturally emerging from a bipolar part. Essential oils for despair embody lavender, bergamot, ylang ylang and chamomile, which can be utilized Health Central in the shower, inhaled/used for aromatherapy, or utilized to the skin as a means of bringing on relaxation and lowering muscle pressure. During a manic episode, a person could engage in dangerous habits, resembling spending excessive quantities of money.
Unless you’ve gotten severe mania, the signs of bipolar disorder can be exhausting to spot. People who’ve hypomania may feel extra energized than normal, more assured and filled with ideas, and in a position to get by on less sleep. These are issues that hardly anyone complains about. The potential dangers of misdiagnosis are clear: prescribing the fallacious medications unnecessarily exposes a baby to powerful medications that carry uncomfortable side effects. And, if bipolar disorder is mistaken for unipolar despair or ADHD, antidepressants or stimulants could set off a manic episode.
In a report revealed in JAMA Psychiatry, researchers at Johns Hopkins University School of Medicine say they have recognized eighty four potential inherited gene mutations that they consider might contribute to essentially the most extreme forms of bipolar dysfunction. Bipolar dysfunction is characterised by alternating periods or episodes of severe despair and excessive mania that can be debilitating and result in severe issues in a person’s life.
Any exercise or interest that feels fun, reaffirming, creative and soothing is an efficient way to blow off steam and management depressive or manic symptoms in a skillful, optimistic method. Different things work for different individuals to assist relieve stress , together with preserving a journal or writing, doing artwork or listening to music, spending time outside, taking a relaxing bath, or spending extra Health Problems time with household and associates. It’s necessary to chop out time day by day to particularly do things that make you’re feeling connected to others, comfortable and relaxed, even if it is only for a brief time period (akin to one hour at evening earlier than mattress or very first thing within the morning).
On the surface, bipolar disorder could sound pretty simple. It’s a mental sickness characterized by abrupt and seemingly unprovoked changes in mood, from excessive highs to extreme lows. Therefore, an individual might assume that bipolar dysfunction is as straightforward to diagnose via behavioral observation as it is to define conceptually, however that’s not always the case.
In the brand new examine, the researchers discovered that the key to the daytime mania-like behavior was a surge in dopamine levels within the ventral tegmental space (VTA), a significant node within the pleasure-in search of circuitry of the brain. VTA dopamine levels spiked because ranges of tyrosine hydroxylase—an enzyme that mediates dopamine production—rose sharply. People who have had one manic episode almost definitely could have others if they don’t search remedy. The illness tends to run in households. Unlike depression, in which girls are more ceaselessly diagnosed, bipolar disorder occurs practically equally in men and women. You can turn your life around and enhance your condition by following some simple, sensible steps.
Bipolar I disorder includes one or more manic episodes or mixed (manic and depressive) episodes and will embrace a serious depressive episode. The episodes aren’t on account of a medical situation or substance use. While not a direct trigger Health Law, seasonal components appear to play a role within the onset of bipolar disorder, with the prospect of onset rising in spring. Angst J. The emerging epidemiology of hypomania and bipolar II disorder. J Affect Disord 1998; 50: 143-fifty one.
Group counselling: Group classes contain sharing of feelings and the development of effective coping methods. The give-and-take advices are the most productive and effective strategy to change the way you concentrate on Bipolar Disorder. This additionally helps in improving and dealing with life’s challenges. Cyclothymia includes prolonged temper disturbances. Depressive and manic episodes are included in this disorder, however cyclothymia is thought to be the least severe of the bipolar sorts.
Unfortunately, typical antidepressants alone do not work effectively in patients who are bipolar. They can even make individuals cycle more incessantly, worsening their situation, or send someone into a break-with-reality episode. A larger-than-life temperament: People with baseline hyperthymic personalities are thought of a high bipolar threat. Hyperthymic is a medical time period for top energy — that means extraordinarily outgoing and active — usually highly confident, and generally seen as conceited or narcissistic. This material will not be published, broadcast, rewritten or redistributed in any kind without prior authorization.
BPD can’t be prevented. Once this mood dysfunction has declared itself, the affected person needs to be counseled relating to the persistent risk for relapse and recurrence; lifetime therapy is really useful. Periodic medical monitoring for issues Central Health is essential in preventing undesirable outcomes, such as the metabolic syndrome. This can result in an inaccurate diagnosis of major melancholy , and end in prescription of antidepressant medications which will worsen mood instability.
Ghaemi is director of the bipolar dysfunction research program at cambridge hospital in massachusetts and assistant professor of psychiatry at harvard medical faculty. Get assist in the event you need it. Information about bipolar dysfunction or manic bipolar dysfunction just isn’t Pregnancy Health a case of ‘the there are two sorts of bipolar disorder. Case, brady g martin b. Founded in 1918, the canadian mental well being affiliation. 300 well-known people & celebrities who’ve suffered with.
Genetics: Some analysis suggests that folks with certain genes usually tend to develop bipolar disorder than others. But genes are usually not the one danger factor for bipolar disorder. Studies of identical twins have shown that even if one twin develops bipolar disorder, the opposite twin does Health Systems not all the time develop the disorder, although an identical twins share the entire identical genes. Sleep Management. Good sleep hygiene is especially important for sufferers. Techniques used to enforce healthy sleep might help reduce temper cycling.
Elsevier is a global information analytics business that helps establishments and professionals advance healthcare, open science, and enhance performance for the advantage of humanity. Elsevier supplies digital options and tools in the areas of strategic analysis management, R&D performance, clinical decision assist, and skilled schooling; together with ScienceDirect , Scopus , SciVal , ClinicalKey and Sherpath Elsevier publishes over 2,500 digitized journals, together with The Lancet and Cell , more than 35,000 e-guide titles and many iconic reference works, together with Gray’s Anatomy Elsevier is part of RELX Group , a worldwide provider of information and analytics for professionals and business prospects throughout industries.
Notes: Based on studies with giant samples (minimal of around 10 000 cases and 10 000 controls) and SNP markers showing associations at genome-broad degree of statistical significance (P < 5 × 10−8). reprinted from sullivan et al 70 , copyright (2012), with permission from macmillan publishers ltd. make sure your diet during being pregnant is optimal. do what it takes for you not to get depressed and to stay in an optimum way of thinking. if you develop a postpartum despair, treat it shortly, as a result of we know that when new moms get depressed, their infants endure now and are much more likely to develop mental sickness as they age. 5="" ×="" 10−8).="" reprinted="" from="" sullivan="" et="" al="" 70="" ,="" copyright="" (2012),="" with="" permission="" from="" macmillan="" publishers="" ltd.="" make="" sure="" your="" diet="" during="" being="" pregnant="" is="" optimal.="" do="" what="" it="" takes="" for="" you="" not="" to="" get="" depressed="" and="" to="" stay="" in="" an="" optimum="" way="" of="" thinking.="" if="" you="" develop="" a="" postpartum="" despair,="" treat="" it="" shortly,="" as="" a="" result="" of="" we="" know="" that="" when="" new="" moms="" get="" depressed,="" their="" infants="" endure="" now="" and="" are="" much="" more="" likely="" to="" develop="" mental="" sickness="" as="" they="">
The chemical substances chargeable for controlling the brain’s functions Health Center are referred to as neurotransmitters and embody noradrenaline, serotonin and dopamine.
Bipolar disorder tends to worsen if it isn’t handled. Over time, a person might suffer more frequent and more extreme episodes than when the sickness first appeared. Also, delays in getting the right analysis and remedy make an individual Health Information extra more likely to expertise personal, social, and work-associated problems. If you discover these symptoms in your self or someone close to you, it’s essential to hunt skilled assist and treatment.
Antidepressants. Your doctor could add an antidepressant to assist handle depression. Because an antidepressant can typically set off a manic episode, it’s normally prescribed along with a temper stabilizer or antipsychotic. Unipolar hypomania with out accompanying despair has been famous within the medical literature. 93 There is concept as as to whether this condition could happen with larger frequency in the common, untreated population; profitable social operate of those doubtlessly high-reaching individuals might lead to being labeled as regular, relatively than as people with substantial dysregulation. Chapter eight – psychotic problems – twin diagnosis. 2015 08 writing a analysis paper on bipolar disorder.
A life event might set off a mood episode in a person with a genetic disposition for bipolar dysfunction. The quicker folks with bipolar disorder — or borderline character dysfunction, or different psychological illnesses — could be identified appropriately, the quicker efficient treatment may be administered. Misdiagnosed patients have a better risk of worsened symptoms, problems from the dysfunction or mistreatment, or suicide.
Although the cause of the illness has not yet been identified, the identified triggers for episodes are amenable to intervention and prevention. The major triggers are lack of sleep and excessive levels of stress. Trauma has also been recognized to trigger bipolar episodes. A mixed episode in bipolar disorder can be frustrating and dangerous. Try to observe and assess what stressors could cause a dangerous conduct and help the person keep away from such things. For example, irregular consuming or sleeping routine, or easy accessibility to money.
Most people really feel anxious at times and have their ups and downs. It is pure for a mood to vary or anxiety stage Health Rehab to rise when a demanding or difficult event happens.
Hypomania is a milder form of mania that has the same signs however less extreme, and has much less unfavorable impact on a person’s every day activities. Symptoms should final for no less than 4 consecutive days. During a hypomanic episode, the individual may have an elevated mood and be extra productive, but the temper is uncharacteristic of the particular Priority Health person’s baseline personality. Because these episodes usually really feel good, the hunt for hypomania might even cause some folks with bipolar disorder to stop taking their medications. However, a hypomanic episode doesn’t normally final for lengthy and gradually shifts into both mania or melancholy. Therefore, it is necessary for hypomania to be handled.
Essay author world evaluations. Are narrative essays written in first person low-cost research paper. Help on-line chat melancholy case study bipolar disorder example scholarship customized essay writing greatest resume writing companies dc 10. Order acknowledgement letter. Professional copywriting services write my identify chinese language calligraphy top custom writing corporations trigonometry homework assist ought to i do my homework quiz. End border in essay thesis statement for consuming disorder analysis greatest skilled resume writing companies 2012 personal statement for media production. Dissociative dysfunction analysis paper hiring course of powerpoint presentation buy proposal template free essays written by william faulkner.
What happened to manic-depressive”? As our understanding of bipolar dysfunction has grown, the naming system has changed as properly. Recently the idea of a mixed state” of bipolar dysfunction, in which manic signs and depressive signs are found at the same time, was added. Obviously this adjustments the understanding of manic-depressive illness from one through which the 2 mood states alternate, to one by which they can co-occur! Things are getting extra sophisticated.
Brain scientist Husseini K. Manji M.D. of the NIMH states that at their most simple stage, the bipolar disorders involve problems in brain construction and performance. He said that these structural changes respond very effectively to therapy with lithium and valproate in a University of California, Los Angeles Neuropsychiatric Institute (NPI) Grand Rounds Talk given in 2003 (requires Real Player and a high-velocity internet connection).
Even one of the best diagnosticians find that arriving at the diagnosis is a tough endeavor. We’re not but at a point where we have easily obtainable biologically primarily based exams that end in a definitive analysis. Similarly, we’re removed from having the ability to predict the dysfunction based mostly upon genetic testing.
Doctors monitor the extent of lithium within the blood with regular blood checks as a result of if ranges are too excessive, negative effects are extra probably. Long-term use of lithium could cause low levels of thyroid hormone ( hypothyroidism ) and barely can impair kidney operate. Therefore, thyroid and kidney function should be monitored with common blood assessments. Bipolar II is more durable for folks to see in themselves, and it’s typically as much as buddies or loved ones to encourage someone with this kind to get assist.
Learn all you may about bipolar dysfunction or despair, together with the warning signs of depression, hypomania, or mania. If 5 or extra of the symptoms above are present for a interval of two weeks or extra, it is most likely a depressive episode and it’s best to talk to a medical skilled. A small quantity of electrical energy is sent to the brain, inflicting a generalized seizure that lasts for about forty seconds.
Kupfer DJ, Frank E, Grochocinski VJ, Cluss PA, Houck PR, Stapf DA. Demographic and clinical characteristics of individuals in a bipolar dysfunction case registry. J Clin Psychiatry 2002; 63: one hundred twenty-5. Bipolar II is a much less extreme form of bipolar I the place individuals expertise pervasive episodes of melancholy Government Health, but have additionally experienced not less than one hypomanic episode. Hypomania is a milder type of mania and the presence of such is what distinguishes a prognosis of bipolar II from a diagnosis of despair.
If you may have bipolar II dysfunction, you might have episodes of depression, in addition to a less extreme form of mania called hypomania. Be wary of anyone who suggests they will cure your situation (when one thing sounds too good to be true, it usually is). One possibility is that some people with a genetic predisposition for bipolar dysfunction might not have noticeable symptoms till an environmental issue triggers a severe mood swing.
The commonest cause to get a relapse is just not taking your drugs. You might need been feeling properly, and determined you did not need the drugs any more. Or you might be fed up with negative effects. But in the event you cease abruptly Health Safety, you’re more likely to have a relapse. It’s best to discuss altering your medication along with your doctor first. Your doctor might be able to prescribe a lower dose, or switch you to a different drugs with fewer unintended effects.
The fact that bipolar is a multi-gene dysfunction further complicates analysis, says Dr. Leibenluft of the NIMH. Because of the excessive prevalence of suicide amongst individuals who’ve bipolar dysfunction, the illness results in 9.2-yr discount in expected lifespan. Bipolar 1 dysfunction- the classic manic-depressive form case research; i discovered this stephen was identified with bipolar dysfunction.
People with bipolar disorder who’ve a robust neurotic tendency in their personalities are more likely to have extreme illness, especially among males. However, we only partially perceive the inheritance and genetics of bipolar disorder, and scientists and lay folk alike nonetheless have loads to be taught. Create a therapy contract as a primary step. In this contract, the patient and household conform to particular steps for sustaining emotional stability, including compliance with treatment. If such measures fail, all parties agree on additional actions to be taken throughout an acute episode, including hospitalization.
Angela Inglis is a genetic counselor and a scientific assistant professor in the department of psychiatry at the University of British Columbia. Angela labored in psychiatric research for a number of years, coordinating and overseeing the day to day operations for a analysis program which involved research in postpartum depression, stigma amongst relations of people with psychiatric problems, and a genetic counseling examine for individuals with psychiatric issues (schizophrenia, bipolar disorder and schizoaffective dysfunction). In Feb 2012, she started a new role providing medical genetic counseling services solely to those with psychiatric disorders and their families within the context of the first and only clinic of its variety on the earth.
Natural well being useful resource – the world’s make sentences for me most generally referenced, open entry, pure drugs database, with 30,000+ research abstracts and. Interestingly, lithium, the most popular treatment for bipolar disorders, also seems to have some antiviral effects. There hasn’t been enough analysis performed on this angle but, however for at least some patients, immune-system problems might be a cause or a aspect effect of manic-depressive illness. Bipolar disorder is understood as a genetically decided dysfunction of the brain that ends in an alteration in one’s ideas, emotions and behaviors that aren’t readily managed by a person’s will or need to control them.
Trigeminal neuralgia/migraines? Is this a diagnosed situation? Symptoms and effects could also be linked to bipolar or medication. Our examine provides a possible clarification for how bipolar disorder might have been chosen by way of generations,” said Daniel Smith of the University of Glasgow , who led the examine. One proposal suggests that several neurotransmitters acting in unison however with dynamic steadiness act as modulators of mood states. In particular, serotonin, dopamine, and norepinephrine appear to switch mood, cognition, and sense of delight or displeasure.
The signs of bipolar dysfunction differ from individual to individual. There are also different signs for manic and depressive episodes. Those who also undergo from addiction normally have heightened bipolar symptoms Health Inspection. Bipolar disorder is understood to run in families, and previous analysis appears to level to a genetic part. Batshaw Youth and Family Centres Foundation. Call Youth Protection Services at (514) 935-6196 or go to /en/want-help/report.
Among the psychological points, nerve-racking life occasions (eg. a demise, delivery, lack of job) and the way in which an individual copes with these stresses are thought to be the main elements that result in the onset of symptoms in bipolar dysfunction. Once the dysfunction is triggered, it progresses and develops a lifetime Health Risk of its own. Mixed episodes involve simultaneous symptoms of mania and despair, including irritability, depressed temper, extreme vitality, ideas of suicide, and modifications in sleep and appetite. If you might be studying this on any weblog apart from Paradigm Malibu or by way of my RSS Feed, it is stolen content material with out credit.
Bipolar disorder, formerly generally known as manic melancholy, is a condition that affects your moods, which may swing from one extreme to another.
They do not usually work straightaway. It takes 2-4 weeks earlier than their impact builds up totally. A common drawback is that some folks cease the drugs after a week or so as they really feel that it is doing no good. So, do persevere if you are prescribed an antidepressant medication. Johnson SL, Fingerhut R. Negative cognitions predict the course of bipolar melancholy, not mania. Journal of Cognitive Psychotherapy. 2004;18:149-162. Dr. Potash and his team designed a two-pronged method to their study. First, they used a case-control method.
Another principle suggests that mania and melancholy are a form of mechanism of inside self-regulation, self-protection of an individual, which is plagued by worry or nice internal contradictions. Deep melancholy Medicare Mental protects and isolates a person from the world, drowning out even the feeling of despair with apathy, and mania allows forking out latent aggression and dealing with worry. Hallmayer, J. (1999) Chromosomes 1, 2 and seven workshop. American Journal of Medical Genetics, 88, 219 -223.
Have a story about melancholy or bipolar dysfunction that you’d like to share? Email [email protected] , or give us a name at (860) 348-3376, and you’ll file your story in your personal phrases. Please be sure to embrace your title and phone number. These behaviors, which will be quite upsetting, usually prompt a member of the family to take discover and attempt to get the particular person help. Although there’s an inside experience of mood that’s presumably the final word arbiter of Am I Bipolar?”, focusing to some extent on potential bipolar habits is inevitable as a result of that is what is measurable and observable to different individuals – and what will create serious and destructive actual world penalties if not addressed.
You should all the time seek advice from a psychiatrist before altering or stopping medications, and all the time stop progressively. Your health professional may additionally make it easier to develop a care plan (including contact numbers and help people) that you International Health simply and your loved ones can refer to as wanted. Bright gentle is sometimes used to assist treat the signs of seasonal affective dysfunction, or SAD Researchers are actually testing mild therapy to see if it also can assist treat depression that is part of bipolar disorder.
This page may be out of date. Save your draft before refreshing this page.Submit any pending adjustments earlier than refreshing this web page.
If you have had a current manic episode or have a rapid-cycling dysfunction, an antidepressant might push you right into a manic swing. It could also About Health be safer to extend the dose of the mood stabiliser, without an antidepressant. Crowe, R. R. & Vieland, V. (1999) Report of the chromosome 5 workshop of the Sixth World Congress on Psychiatric Genetics. American Journal of Medical Genetics, 88, 229 -232.
Everything you ever needed to learn about bipolar. Client is able to relaxation on the second day for body dysmorphic disorder case study brief intervals and engage in quiet actions for brief durations (5 case study_bipolar disorder. Learn in regards to the categories of bipolar disorder families with no less than one bipolar member face financial healthcare professionals just in case they have any.
Unlike with mania and hypomania, there isn’t any brief-time period depressive episode that can be diagnosed. There is a associated condition generally known as Persistent Depressive Disorder, or Dysthymia,, which describes a long-lasting delicate depression. Dysthymia can’t be recognized concurrently bipolar disorder. This is as a result of in an effort to qualify for a analysis of Dysthymia, it’s a must to present proof of persistently delicate depressive symptoms occurring more days than not over a interval of at the least two years. The presence of manic or hypomanic episodes through the two-yr period would disqualify an individual from being recognized with Dysthymia.
While the presence of any type of bipolar dysfunction could cause immense upheaval within the lives of these affected, they are also issues that can be efficiently handled and whose signs may be successfully managed. Try to avoid Health Behavior things that interfere with sleeping patterns, for instance – shift work, staying out all evening or staying up late to study. American Psychiatric Association (2002). Practice guideline for the therapy of sufferers with bipolar dysfunction (revision). American Journal of Psychiatry, 159(four, Suppl):1-50.
Bipolar dysfunction involves cyclical episodes of melancholy and mania, and it’s thought-about to be a lifelong affliction. The kind of dysfunction diagnosed will depend on the severity of mood swings and the way they current. Suppes T, Dennehy EB, Hirschfeld RM, et al: The Texas implementation of treatment algorithms: Update to the algorithms for therapy of bipolar I dysfunction. J Clin Psychiatry. 2005, sixty six: 870-886.
A few medical conditions have been intently associated with bipolar dysfunction. People who have these conditions are much more likely to be identified with bipolar disorder. For instance, bipolar seems to precede or occur simultaneously with a number of sclerosis in a major proportion of people with MS. Another disorder that seems to be preceded by bipolar dysfunction is Cushing’s syndrome. Cushing’s is a metabolic disorder that also features high blood pressure and obesity.
Symptoms of bipolar disorder will be extreme and disabling, and ceaselessly contribute to worsening signs of dependancy or consuming problems in sufferers with co-occurring problems. Bipolar episodes are different from the traditional swings in emotions or moods that everyone goes via every now and then.
Tardive dyskinesia (TD) is a critical and sometimes everlasting side effect reported with LATUDA and similar medicines. Tell your doctor about any actions you can’t control in your face, tongue, or other body parts, as they could be indicators of TD. TD might not go away, even if you stop taking LATUDA. TD may also begin after you stop taking LATUDA. Bipolar dysfunction is a cyclic condition that entails episodes of mania with or with out melancholy (bipolar 1) or hypomania plus despair (bipolar 2).
RBC Children’s Mental Health Project is RBC’s cornerstone well being and wellness” pillar; RBC Children’s Mental Heath Project is a multi-12 months philanthropic dedication to support group-based mostly and hospital programs that cut back stigma, present early intervention and enhance Private Health public awareness about kids’s psychological well being issues. Tell your health care provider in case you are pregnant or if you are planning to get pregnant. Avoid breastfeeding while taking LATUDA.
It is vital that companions, members of the family, or both be concerned in therapy. Therapy might help them discover ways to settle for and deal with the condition. Well, nobody did. You did not trigger your bipolar disorder and neither did any other one thing. Mental sickness is complicated and nobody knows where their marbles all come from. The causes do not need to be genetic, and the causes certainly do not have to be known, for a disease to be real. Bipolar disorder can start throughout being pregnant or after the beginning of a baby. This is perhaps a first episode, or a continuation or relapse of the situation.
The goal of this research. What are some examples of case research. Mood stabilizer examine for bipolar a child and adolescent psychiatrist specializing in bipolar and different temper issues at case studies published in. Ssri antidepressants – makes use of, varieties, negative Health Medical effects, lawsuits. The applications additionally cowl temper and character problems, stimulation on the thoughts explores notion, the research of case of clive sporting, part.
If you might have bipolar II dysfunction, you have got episodes of melancholy, as well as a much less extreme form of mania called hypomania. Be cautious of anybody who suggests they’ll cure your situation (when something sounds too good to be true, it usually is). One possibility is that some people with a genetic predisposition for bipolar disorder could not have noticeable signs until an environmental issue triggers a extreme temper swing.