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Manic Depression: A Mood Disorder

Manic depression, also known as bi-polar mood disorder is a primary psychiatric disorder characterized by two distinctive states: Major depression and episodes of mania that last at least a week. What makes manic depression such a distinctive illness is the juxtaposition of these two states. They are complete opposites of each other. People with this disorder can exhibit several common symptoms which affects their personality and behavior.

When in a manic state the manic depressive will show signs of euphoria to the point that they may become irritable. They don't need a lot of sleep and can solve complex problems from different perspectives. They will become busy and spend a lot of time cleaning, starting new projects and making phone calls. And despite their lack of sleep they never feel fatigued. Manic depressives can also suffer from delusions and hallucinations causing them to exhibit hostile and destructive behavior.

After being in a manic state for a week or more the manic depressive will usually revert to a stage of prolonged depression. While in this state a person will have feelings of hopelessness, loss of interest in all social endeavors and work, extreme anxiety, pessimism. They can also experience physical pain as well and will complain of headaches, stomach aches, which can lead to weight loss, and normally suffer from extreme fatigue. When in a depressed state they may also turn to alcohol and/or drugs which further exacerbates the condition.

One of the implications of treating manic depression is the juxtaposition of the two sides of the disease. Treating the depression requires and antidepressant while the manic side needs a mood stabilizer such as lithium or valproic acid. The problem lies in the antidepressant, because prescribing one can bring about a switch to a manic episode. If an antidepressant is to be prescribed it should be combined with a mood stabilizer to help combat the episodes of mania. And as with all types of psychological disease, medication should be used in concert with psychological counseling.

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