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Bipolar Disorder: Multiple Mood Episodes, but where is the Solution?

Written by
Dr. Alok Vinod Kulkarni
and medically reviewed by iCliniq medical review team.

Published on May 04, 2015 and last reviewed on Sep 07, 2018   -  3 min read


Bipolar Disorder is characterized by bouts of depression and spells of intense happiness. This article focuses on the clinical features of this disorder and the available treatment options.

Bipolar Disorder: Multiple Mood Episodes, but where is the Solution?

Bipolar disorder was previously called Manic-Depressive Psychosis, or MDP. There has been a paradigm shift in the understanding of this complex brain disorder.

Inheritance and Perpetuation of Manic episodes

Those afflicted with this disorder are prone to a lot many mood changes, sometimes on a day to day basis. This disorder runs in families and research has identified many loci for its inheritance.

The various facets of this disorder include hypomania, mania and depression. Each of these phases can be debilitating. Majority of those suffering from bipolar disorder spend their time being depressed, rather than in mania or hypomania.

Diagnosis of Bipolar Disorder

Behavioral Disturbances

Mood episodes are intense and people are prone to have behavioral disturbances during such episodes. It is imperative to seek professional help from a psychiatrist.

If left untreated, there will be serious socioeconomic implications with resultant loss of functioning capacity, quality of life, pay and absence from work.

Symptoms of People with a Manic Episode

Symptoms of People Having a Depressive Spell

On the other hand, those having a depressive spell will experience symptoms that are poles apart from that of a manic episode.

How is Bipolar Disorder Treated?

A host of options exist for the treatment of bipolar disorder. The current philosophy of treating bipolar disorder lies in symptom control and prophylaxis.

Risk for recurrent episodes exists through out one's life, and one school of thought says that prophylaxis should be for a lifetime. Again, there are differing schools of thought, as there is no one-size-fits-all treatment.


These are referred to as mood stabilizers. Those with euphoric (intense sense of happiness) mania are treated with Lithium, and those with dysphoric or irritable mania are treated with Valproate.

Those who have a preponderance for repeated depressive spells in their course of this disorder, are treated with Olanzapine-Fluoxetine combination, Quetiapine or Lamotrigine. All atypical anti-psychotics serve as anti-manic agents.


''Talk'' therapy can help clients to change their behavior and manage their lives. Therapy should also include family members, and they should be educated about the illness, its natural course, prognosis and treatment options.

A specialized form of therapy, called Interpersonal and Social Rhythm Therapy (IPSRT), exists for clients with bipolar disorder. All psychiatrists undergo training to administer this form of therapy.

To bring a marked difference to the quality of life of the patients, it is vital to seek help from a psychiatrist online -->


Last reviewed at:
07 Sep 2018  -  3 min read




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