Bipolar Disorder

Previously called manic depression, bipolar disorder is a mental health condition that causes severe mood changes and unusual shifts in energy, activity levels, behavior, and thinking. It is classified into four groups, namely bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar disorder induced by any other condition or medication. The mood of the person with this disorder varies from being extremely energized to being very sad or feeling hopeless.

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My husband takes Lithium 450 mg daily and a tablet of Sizodon LS at night for the disorder. He complains of sleepiness during the daytime. Why?

Query: Hi doctor, My husband is suffering from bipolar disorder. He takes Lithium 450 mg daily and tablet of Sizodon LS at night. Initially, he used to take half a tablet of Sizodon LS. But now, again, he is complaining of excessive sleep during the daytime. His mania symptoms have reduced but have not gon...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I understand your concern. Your husband has a manic episode. His symptoms reduce on medication. If he has excessive sedation in the daytime, you can now stop his Sizodon LS (Risperidone). It was given for acute manic episodes and to calm patients. Once the patient star...  Read Full »

Are confusion, agitation, hallucinations, aggression, and yelling in my 76-year-old mother due to bipolar disorder?

Query: Hello doctor, My 76-year-old high-functional mom was just diagnosed with bipolar. She has confusion, agitation, hallucinations, aggression, yelling, and some hours of clarity mixed with the above. For the past ten years, I have seen this behavior with her whenever she has an infection (usually UTI)....  Read Full »

Dr. Hitesh Sharma

Answer: Hello, Welcome to I have gone through the description of the problem your mother is facing. And I think you are completely right. I do not know how the hospital staff completely messed up your mother's case. What your mother is facing is delirium induced by a general medical condition...  Read Full »

How do I manage PTSD and bipolar disorder?

Query: Hello doctor, I have PTSD and bipolar disorder type II and it is getting harder for me to function daily. I have already seen my health care provider. For this, she gave me a prescription and I still have the manic episodes.  Read Full »

Dr. Ashok Kumar

Answer: Hello, Welcome to I read your query and understand your concerns. I would like to inform you that most of the psychiatric medications take too long to show effects on individuals. Since you were prescribed Risperidone just a week back, there is no need to wait for more time. Most pat...  Read Full »

I am a 19-year-old diagnosed with generalized anxiety disorder and have been taking Zoloft 50 mg. Please help.

Query: Hi doctor, I think I have been suffering from bipolar disorder. I am a 19-year-old diagnosed with generalized anxiety disorder and have been taking Zoloft 50 mg for about a year now. I feel down all of a sudden. It feels so intense, and I cannot calm myself down. Please help.   Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hi, Welcome to I understand your concern. You may have a major depressive disorder with mood swings due to menstruation, but you are less likely to have bipolar disorder. There is non-pharmacological management for it, and you should try to follow the below suggestions to deal with it. ...  Read Full »

My younger brother is behaving unusually and doing crazy things. Is he suffering from schizophrenia?

Query: Hello doctor, I have a younger brother who is doing crazy things. I am the only person taking care of him in my family. There is no one to take care of him and I need help to identify his problem. My brother believes that he is the only person who created heaven and earth. He also believes that he c...  Read Full »

Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to I went through your query and understood your concern. It seems your brother does not have schizophrenia but he may have bipolar type 1 mood disorder with mania. A person suffering from mania talks more than usual has anger outbursts and thinks that he has a special po...  Read Full »

Can you please tell me the findings after going through my PET CT scan images?

Query: Hello doctor, I was diagnosed with bipolar I and placed on the tablet Lithium. But that resulted in massive tablet polydipsia. So, it was replaced with the tablet Haloperidol. Next, it was replaced with tablet Sodium Valproate. Two years later a specialist in involuntary moments prescribed me Tablet...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I understand your concern. As per your description history, you have been on tablet Haloperidol for many years. But your history did not describe any symptoms to mimic parkinsonism (which you said to be pseudo-parkinsonism). I would like to know those symptoms in a tim...  Read Full »

Can Olanzapine and Dicorate be continued in pregnant woman with bipolar disorder?

Query: Hello doctor,My sister is suffering from bipolar disorder for the last 10 years and is presently in stable condition with Olanzapine 2.5 mg and Dicorate 250 mg one tablet each per day during night. However, recently she came to know about her pregnancy and her doctor asked her to check with a psychi...  Read Full »

Dr. Ashok Kumar

Answer: Hi, Welcome to First of all, I would like to inform you that Dicorate (Divalproex sodium) should be avoided as far as possible during pregnancy. This is because of neural tube defects caused in offspring during pregnancy. The above statement is very important during the first trimeste...  Read Full »

Can an abrupt stoppage of bipolar medication cause relapse very soon?

Query: Hello doctor, My bipolar girlfriend just broke up with me. She told me that her medicines were stolen at the beginning of a trip. 75 pills stolen. She started acting differently after about three days. After five days, she broke up with me saying she did not want to drag me down with her. Now she ha...  Read Full »

Dr. Vandana Patidar

Answer: Hello, Welcome to Bipolar illness is a severe mental illness. It needs constant treatment. Stopping or switching the medicines on your own can lead to relapse. Medicines are provided by a registered medical practitioner and cannot be sold OTC (over-the-counter). She has to be started on...  Read Full »

My dad has been suffering from bipolar disorder for the past 20 years and has also experienced heart attacks taking Olanzapine now for chicken pox. Please help.

Query: Hello doctor, My dad has been suffering from bipolar disorder for the past 20 years and has also experienced three to four heart attacks as the medicines were not provided for him on time. I think the last time he had an attack before ten years ago. We have been giving him Olanzapine. Unfortunately,...  Read Full »

Dr. Ramchandra Lamba

Answer: Hello, Welcome to Thank you for your query. I have gone through the problem and understand your concern. Yes, it is safe to give Olanzapine during chicken pox. However, simultaneously take care of pox and tell your treating doctor that your father is on Olanzapine so that he does not p...  Read Full »

Please diagnose the exact cause of my condition.

Query: Hi doctor, Is diagnosis important? I have been diagnosed by many therapists and each one has had a different diagnosis. One doctor says it might be BPD and other says it might be a bipolar disorder or Asperger syndrome or cyclothymia. Why is it so? I am starting to feel like I am wasting my time tr...  Read Full »

Dr. Nidhi Jain

Answer: Hi, Welcome to BPD and bipolar disorder have similar symptoms. Cyclothymia is its minor form. Persons with BPD are said to be on the borderline between neurosis and psychosis, persons with bipolar disorder experience episodes of extreme mood swings ranging from depression to mania. ...  Read Full »

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