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DBSA Sacramento is the Sacramento Chapter for the National Depression and Bipolar Support Alliance (DBSA)
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What Are Mood Disorders? 

 

According to the Depression and Bipolar Support Alliance (DBSA),  Depression and bipolar disorder (also known as manic depression) are both highly treatable medical illnesses. Unfortunately many people do not get the help they need because misunderstanding the issues surrounding the illnesses or the fear associated with stigma.

What are Mood Disorders?

Depression

  Symptoms

Bipolar Disorder

  Symptoms

On-Line Confidential Self-Assessment

Recommended Reading & Resources

  Downloadable Brochures

How Family & Friends can Help

Major depression is also known as major depressive illness, clinical depression, major affective disorder, or unipolar disorder. 

What is dysthmia? 

Dysthmia is a milder form of affective disorder.  Persons experience chronic unhappiness. (NAMI)

 

You cannot diagnose yourself and you cannot be diagnosed by a friend or family member. Only a properly trained health professional can determine if you have depression.

Try the Confidential On-Line Self-Assessment Offered by DBSA:

This can help you communicate your symptoms to your health care professional.

For more information on Bipolar Disorder check out this excellent Pamphlet presented by the National Alliance for the Mentally Ill (NAMI),Titled, "Understanding Bipolar Disorder"

What is Hypomania?

Hypomania is a less severe mania

What is Rapid Cycling?

Regularly alternating between mania and depression in the course of a day.

 

 

How can I tell if I am just sad or if I am depressed?

  • Depression is more intense than a simple bad mood.

  • A bad mood is usually gone in a few days, but depression lasts for two weeks or longer.

  • A bad mood does not keep you from going to work or school or spending time with friends.  Depression can keep you from doing these things and may even make it difficult to get out of bed.

  • Clinical depression is a treatable illness marked by changes in mood, thought and behavior. That's why it's called a mood disorder. (DBSA)

What is Depression? 

According to the Depression and Bipolar Support Alliance (DBSA), Depression is a treatable illness involving an imbalance of brain chemicals called neurotransmitters. It is not a character flaw or a sign of personal weakness. You can’t make yourself well by trying to "snap out of it." Although it can run in families, you can’t catch it from someone else. The direct causes of the illness are unclear, however it is known that body chemistry can bring on a depressive disorder, due to experiencing a traumatic event, hormonal changes, altered health habits, the presence of another illness or substance abuse.

Can depression affect anyone? 

People of all ages, races, ethnic groups, and social classes have depression. Although it can occur at any age, the illness often develops between the ages of 25 and 44. The lifetime prevalence of depression is 24 percent for women; for men, it's 15 percent. 

What are the Symptoms of Depression?

  • Prolonged sadness or unexplained crying spells

  • Significant changes in appetite and sleep patterns

  • Irritability, anger, worry, agitation, anxiety

  • Pessimism, indifference

  • Loss of energy, persistent lethargy

  • Feelings of guilt, worthlessness

  • Low self-esteem

  • Inability to concentrate, indecisiveness

  • Inability to take pleasure in former interests, social withdrawal

  • Unexplained aches and pains

  • Recurring thoughts of death or suicide

If you experience five or more of these symptoms for more than two weeks or if any of these symptoms interfere with work or family activities, consult with your doctor for a thorough evaluation. This should include a complete physical exam (some other illnesses can cause these symptoms) open and honest about how you are feeling and and a review of your family’s history.

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What is the Difference between Bipolar I and Bipolar II?

Bipolar I is characterized by one or more manic episodes or mixed episodes (symptoms of both a mania and a depression occurring nearly every day for at least 1 week) and one or more major depressive episodes. Bipolar I disorder is the most severe form of the illness marked by extreme manic episodes.

Bipolar II is characterized by one or more depressive episodes accompanied by at least one hypomanic episode. Hypomanic episodes have symptoms similar to manic episodes but are less severe, but must be clearly different from a person’s non-depressed mood.

 

Take a confidential screening for bipolar disorder Provided by DBSA.

What is Bipolar Disorder? 

Bipolar disorder (also known as manic depression) is a treatable illness marked by extreme changes in mood, thought, energy and behavior. It is known as bipolar disorder because a person's mood can alternate between the "poles" of mania (high, elevated mood) and depression (low, depressed mood). This change in the mood or "mood swing" can last for hours, days, weeks or even months. These "highs" and "lows" are frequently seasonal. Many people who have bipolar disorder report feeling symptoms of depression more often in the winter and symptoms of mania more often in the spring.

What are the symptoms of Bipolar Disorder? 

Mania (high, elevated mood)

Depression (Low, depressed mood)

  • Increased physical and mental activity and energy

  • Heightened mood, exaggerated optimism and self-confidence

  • Excessive irritability, aggressive behavior

  • Decreased need for sleep without experiencing fatigue

  • Grandiose delusions, inflated sense of self-importance

  • Increased sexual interest or activity

  • Racing speech, (talking fast) racing thoughts, flight of ideas

  • Impulsiveness, poor judgment, distractibility

  • Reckless and unpredictable behavior (spending sprees, aggressive and dangerous driving, drug and alcohol abuse, etc.)

  • Oblivious to negative consequences of extreme actions.

  • In the most severe cases, delusions and hallucinations

  • Prolonged sadness or unexplained crying spells

  • Significant changes in appetite and sleep patterns

  • Irritability, anger, worry, agitation, anxiety

  • Pessimism, indifference

  • Loss of energy, persistent lethargy

  • Feelings of guilt, worthlessness

  • Inability to concentrate, indecisiveness

  • Less talking; slowed speech

  • Inability to take pleasure in former interests, social withdrawal

  • Unexplained aches and pains

  • Feelings of guilt; worthlessness

  • Pessimistic outlook

  • Inability to sleep or stay asleep

  • Recurring thoughts of death or suicide

Rarely do those experiencing manic episodes seek treatment because they do not recognize that anything is wrong.

It is often necessary for a friend, family member or loved one to take assertive action and intervention, as those with depression often feel that the situation is hopeless. 

If you or someone you know has thoughts of death or suicide, tell a parent, a family member, a teacher, a medical professional, clergy member, loved one, friend or hospital emergency room or call 9-1-1 immediately!

It is extremely important to recognize these symptoms and seek treatment.  Left untreated, Bipolar Disorder can lead to loss of employment, damage to relationships, divorce, failure in school, and suicide.  

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Living Without Depression and Manic Depression: A Workbook for Maintaining Mood Stability, Mary Ellen Copeland. Self-help tips to supplement treatment programs, provides encouragement for self-advocacy and recommendations for support and self-help therapy.  How You Can Survive When They're Depressed. Anne Sheffield. Describes "depression fallout" as the emotional toil on the depressed person's family and close friends.

Now you can view the Award Winning DBSA Video 
Dark Glasses and KaleidoscopesJust click on this link!  

Dark Glasses and Kaleidoscopes: Living with Manic Depression  
(This link will direct you to the DBSA website store) Award winning video featuring people who have bipolar disorder (manic depression) and doctors outlining symptoms and coping strategies. Narrated by Tony Dow. 33-minute videotape, 1997, DBSA. 

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New Hope for People with Bipolar Disorder, Jan Fawcett, M.D., Bernard Golden, Ph.D., and    Nancy Rosenfeld.  Discusses psychotherapy and the role of optimism, hope and transcendence in the treatment of bipolar disorder. Explains the biological nature of the illness and the most up-to-date medical treatments. Offers self-care strategies and personal stories.  

Breaking the Patterns of Depression
Micael D. Yapko, Ph.D. Explores ways to recognize triggers for depression, explains how to develop skills to fight depression. Includes case studies, "pause and reflect" points and "learn by doing" exercises. 360 pages, paperback, 1997. ISBN 0385-48370-8

Cognitive-Behavioral Therapy for Bipolar Disorder
Monica Ramirez Basco, Ph.D. and A. John Rush, M.D. Details cognitive-behavioral techniques for managing bipolar disorder.
Call Me Anna: The Autobiography of Patty Duke
Patty Duke and Kenneth Turan. Autobiography of the young Patty Duke and her struggle with bipolar disorder.

Depression Workbook, The: A Guide for Living with Depression and Manic Depression 2nd Edition
Mary Ellen Copeland, M.S., Workbook for step-by-step guidance to taking responsibility for one's own wellness.
How I Stayed Alive When My Brain Was Trying to Kill Me
Susan Rose Blauner. One Person's Guide to Suicide Prevention. Forward by Bernie S. Siegel, M.D. Resources, stories of hope, exercises and "tricks" to help people "outthink suicide."o Kill Me

Helping Someone with Mental Illness
Rosalynn Carter with Susan K. Golant. Step-by-step information on what to do after the diagnosis: seeking the best treatment; evaluating health-care providers; managing workplace, financial, and legal matters. Also addresses the emotional and psychological issues in caregiving for people with mental illness and offers suggestions for how to help fight stigma.
I Don't Want To Talk about It.
Terrence Real. Overcoming the Secret Legacy of Male Depression. This books explores the silent epidemic of depression in men and the stigma of depression's "unmanliness." Real discusses problems such as difficulty with intimacy, workaholism, alcoholism, abusive behavior and rage as attempts to escape depression.

Lithium and Manic-Depression: A Guide
John Bohn, M.D. and James W. Jefferson, M.D. Experts cover essential facts about lithium treatment for bipolar disorder in question-and-answer format.
Overcoming Depression
Demitri Papolos, M.D. and Janice Papolos. The Definitive Resource for Patients and Families Who Live with Depression and Manic-Depression. Third Edition, completely revised and updated. Up-to-date medical information and solid advice to help empower patients and families to take active roles in diagnosis and treatment of mood disorders.
The Bipolar Disorder Survival Guide
Helps patients and family members recognize early warning signs of manic or depressive episodes, cope with triggers of mood swings, resolve medication problems, and learn to collaborate effectively with doctors and therapists.
Recovering from Depression: A Workbook for Teens
Mary Ellen Copeland and Stuart Copans. Revised Edition. This workbook helps teens to recognize why they're depressed, learn what they can do to feel better, and how to build a plan to stay well. Ideal for teens as well as their parents, friends, and healthcare providers.
When Words Are Not Enough: The Women's Prescription for Depression and Anxiety
Valerie Davis Raskin, M.D. Offers case studies, practical advice, and the facts about women and depression.
Touched with Fire
Kay Redfield Jamison. Manic-Depressive Illness and The Artistic Temperament. A study of the relation between bipolar disorder and the creative impulse. Combines scientific information with stories about respected artists and writers of the past to help us understand connections between art and illness.

Undercurrents
Martha Manning, Ph.D., The tale of a woman's descent into depression. Offers a vision of action instead of victimhood, hope instead of despair.
Unquiet Mind, An : A Memoir of Moods and Madness
Kay Redfield Jamison, Ph.D. Autobiographical account of well-known psychologist. Vivid story of her fight with manic depression and determination to overcome the illness.
When Someone You Love is Depressed: How to Help Your Loved One Without Losing Yourself
Laura Epstein Rosen, Ph.D. and Xavier Francisco Amador, Ph.D. Through compelling real-life stories and step-by-step advice, the authors offer methods of protecting relationships from depression's destructive impact.

Night Falls Fast
Kay Redfield Jamison. A Psychological and scientific exploration of suicide with many personal stories. The book explores the reasons underlying suicide and helps us to understand the suicidal mind, to better recognize a person at risk and to comprehend the loss of a loved one.
Out of the Darkened Room
William R. Beardlee, M.D. When A Parent is Depressed: Protecting Children and Strengthening the Family. Offers advice about what parents and caretakers can do to lessen the impact of depression on children's lives.

Divalproex and Manic Depression: A Guide
J.W. Jefferson, M.D. and John Griest, M.D. Essential facts about the anticonvulsant valproate and valproic acid (Depakote, Depakene) and their use in treating manic depression. From the Madison Institute of Medicine.

"Help Me, I'm Sad"
David G. Fassler, M.D., and Lynne S. Dumas. Recognizing, Treating and Preventing Childhood and Adolescent Depression. This books offers help for parent on recognizing risk factors and symptoms, preventing suicide, finding the right treatment, and prevention.

Antidepressant Sourcebook, The
Dr. Andrew Morrison's book includes topics such as what to talk about with your doctor, how to start and stop taking medications, and what to expect in the course of treatment.

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TIPS FOR FAMILY AND FRIENDS

  • Educate yourself.  Learn as much about the illness as possible.

  • Because it is often difficult for them to recognize the symptoms, help them get the right therapist or physician; even offer to go with them.

  • Encourage them to continue with treatment. Keep reassuring the person that, with time and help, he or she will feel better.

  • Offer emotional support; be patient and understanding; listen. 

  • Don't "put down" their feelings; you can point out realities but offer hope as well. 

  • Develop a plan in case of severe manic or depressive symptoms; these plans can include having their doctor's name and number readily available; taking control of credit cards and car keys or increasing contact with the person until the severe episode has passed; telling other friends and loved ones about these plans are also beneficial.

  • Resist the urge to function as a therapist or try to come up with answers to the person’s concerns.

  • Do not ignore remarks about suicide. Report them to the person's therapist. Never promise confidentiality if you believe someone is close to suicide. If you think immediate self-harm is possible, contact their doctor or dial 911 immediately. Make sure the person discusses these feelings with his or her doctor.

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