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Bipolar mental disorder.


Bipolar psyche is a mental disorder that finds its reflection in the form of affective states, manic, depressive or mixed conditions in which the patient has a rapid change in symptoms of mania and depression or a combination of symptoms of mania and depression at the same time.


Approaches to the classification of types of mental disorders

From a prognostic, clinical position, depending on the prevalence, dominance of the pole of manic depressive symptoms, the following variants of the course of the disease are distinguished:


📍unipolar, which are characterized by the predominance of one of the poles symptoms: manic or depressive;

📍bipolar, with the dominance of one of the poles of symptoms;

📍clearly pronounced bipolar with the same intensity of the predominance of the two


Approaches to the classification of flow options disorders

In turn, in the structure of unipolar variants of the course of a mental disorder, the following types of disease are distinguished:


📍periodic mania - the alternation of only manic phases;

📍intermittent depression - alternating only depressive episodes


Mixed states are represented by the following types:


📍correct-intermittent type of flow - manic phases are replaced by depressive ones at intervals of mental health;

📍incorrectly intermittent course - manic, depressive episodes alternate with periods of mental health without a strict sequence (the manic phase can be replaced by a manic, etc.);

📍double form - direct alternation of two radically opposite poles, accompanied by a period of mental health;

📍circular form of the course - the absence of a period of mental health with alternating manic and depressive symptoms.

It should be noted that the most common is the periodic type of flow.


Risk factors

The increased risk of developing the disease is due to personal characteristics, which include the statothymic, melancholic type of personality, focused on constancy, responsibility, orderliness, pedantry, increased conscientiousness and psychiatric features.


One of the risk factors is also emotional instability, instability, which is reflected in excessive affective reactions to external irritants, spontaneous mood swings, frequent changes in tone.


Thus, the bipolar psyche is a complex, complex mental disorder, the treatment of which at the present stage requires a synthesis of the efforts of medical and psychological approaches

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