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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.
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What
are Mood Disorders?
Depression
Symptoms
Bipolar
Disorder
Symptoms
On-Line
Confidential Self-Assessment
Recommended
Reading & Resources
Downloadable
Brochures
How
Family & Friends can Help
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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)
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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.
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How can I tell if I am just sad or
if I am depressed?
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Depression is more intense than a
simple bad mood.
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A bad mood is usually gone in a few
days, but depression lasts for two weeks or longer.
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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.
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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. |
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What
are the Symptoms
of Depression? |
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Prolonged
sadness or unexplained crying spells
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Significant
changes in appetite and sleep patterns
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Irritability,
anger, worry, agitation, anxiety
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Pessimism,
indifference
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Loss
of energy, persistent lethargy
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Feelings
of guilt, worthlessness
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Low
self-esteem
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Inability
to concentrate, indecisiveness
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Inability
to take pleasure in former interests, social withdrawal
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Unexplained
aches and pains
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Recurring
thoughts of death or suicide
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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.
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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. |
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What are the symptoms of Bipolar
Disorder? |
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Mania (high,
elevated mood) |
Depression (Low,
depressed mood) |
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Increased
physical and mental activity and energy
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Heightened mood,
exaggerated optimism and self-confidence
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Excessive
irritability, aggressive behavior
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Decreased
need for sleep without experiencing fatigue
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Grandiose
delusions, inflated sense of self-importance
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Increased
sexual interest or activity
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Racing
speech, (talking fast) racing thoughts, flight of ideas
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Impulsiveness,
poor judgment, distractibility
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Reckless
and unpredictable behavior (spending sprees, aggressive
and dangerous driving, drug and alcohol abuse, etc.)
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Oblivious
to negative consequences of extreme actions.
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In
the most severe cases, delusions and hallucinations
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Prolonged
sadness or unexplained crying spells
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Significant
changes in appetite and sleep patterns
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Irritability,
anger, worry, agitation, anxiety
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Pessimism,
indifference
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Loss of energy,
persistent lethargy
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Feelings of
guilt, worthlessness
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Inability to
concentrate, indecisiveness
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Less talking;
slowed speech
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Inability to
take pleasure in former interests, social withdrawal
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Unexplained
aches and pains
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Feelings of
guilt; worthlessness
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Pessimistic
outlook
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Inability to
sleep or stay asleep
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Recurring
thoughts of death or suicide
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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.
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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!
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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. |
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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.
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Now
you can view the Award Winning DBSA Video
Dark
Glasses and Kaleidoscopes!
Just 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.
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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 |
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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. |
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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. |
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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. |
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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 |
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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. |
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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. |
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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. |
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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. |
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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.
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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. |
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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. |
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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. |
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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. |
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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. |
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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. |

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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. |
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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. |

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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. |
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"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. |

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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 |
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Educate
yourself. Learn as much about the illness as possible.
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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.
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Encourage
them to continue with treatment.
Keep reassuring the person that, with time and help, he or she
will feel better.
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Offer
emotional support; be patient and understanding; listen.
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Don't
"put down" their feelings; you can point out realities
but offer hope as well.
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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.
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Resist the urge to function as a
therapist or try to come up with answers to the person’s
concerns.
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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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