Bipolar One Vs. Bipolar Two

By: Yael Berger

Bipolar, also known as manic depression, is a mood disorder characterized by extreme highs and extreme lows. Extreme highs are called mania while the extreme lows are called depression. It is seen in both adults and children and tends to run in the family. If you have a close relative with Bipolar disorder, you have an increased chance of developing the disorder. According to the national institute of mental health, “an estimated 4.4% of U.S adults experience bipolar disorder at some time in their lives.” There are two different types of Bipolar that are often difficult to distinguish between.

Bipolar I patients commonly present with these symptoms:

  • An episode of extreme mania lasting at least one week and usually an episode of severe depression lasting at least two weeks
    • Mania is characterized by irritability, mood swings, and possibly excessive spending, drinking, excessive sexual behavior etc.
  • Less need for sleep
  • Increased self-esteem, speech, thoughts, distractibility
  • Rapid mood swings
  • Can have a break with reality
    • Hallucinations, delusional or paranoid thoughts
  • Usual onset: around 18 years old

Bipolar II patients commonly present with these symptoms:

  • An episode of hypomania lasting at least four days and always accompanied by an episode of extreme depression lasting at least two weeks
  • Hypomania is a milder form of mania but it is still noticeable to others
  • Typically are prescribed antidepressants with mood stabilizers
  • Usual onset: around mid-20s

There are a few key differences between bipolar I and bipolar II. The main difference is that Bipolar I often begins with mania while Bipolar II often begins as a depressive episode that is later diagnosed when an episode of hypomania occurs. Bipolar II is sometimes wrongly diagnosed as depression at first because it often starts as a depressive episode. Bipolar I is usually obvious and severely disrupts a patient’s life while Bipolar II can be less noticeable. However, once a hypomanic episode in Bipolar II patient causes severe impairment it would then be categorized as Bipolar I. Bipolar I can lead to hospitalization more often than Bipolar II because of the extreme mania that occurs. A combination of medication and therapy can help both Bipolar I and II.

If you or someone you know has any type of Bipolar Disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://www.counselingpsychotherapynjny.com/

Sources:

https://www.healthline.com/health/bipolar-disorder/bipolar-1-vs-bipolar-2#symptoms

https://www.nimh.nih.gov/health/statistics/bipolar-disorder.shtml

https://www.psychologytoday.com/us/blog/two-takes-depression/201901/10-things-know-about-bipolar-disorder

Image:

https://www.medicalnewstoday.com/articles/319280.php

Sleep Disorder: Narcolepsy

Sleep Disorder: Narcolepsy

By Crystal Tsui

Narcolepsy is a chronic sleep disorder that affects daytime activities. It is characterized by overwhelming drowsiness and sudden attacks of sleep. Narcolepsy affects both men and women equally in roughly 1 in 2,000 people and can be passed down genetically, but the risk of a parent passing this disorder to a child is very low. Symptoms usually start to develop between the ages of 10- 30 years old and worsen for the first few years. The symptoms of narcolepsy will remain constant throughout life.

Some symptoms of narcolepsy include:

  • Excessive sleepiness
  • Sleep paralysis
  • Hallucinations
  • Episodes of cataplexy (partial or total loss of muscle control that is often triggered by strong emotions such as laughter and joy)

Other symptoms include:

  • Transition to REM sleep is quick, usually 15 minutes
  • Insomnia
  • Restless leg syndrome
  • Sleep apnea
  • Automatic behavior (falling asleep while doing an automatic task, like driving, and continue performing task after falling asleep. When waking up and not remembering what they did)

Narcolepsy is a sleep disorder that seriously disrupts everyday life. Most common being:

  • Stigma of the condition- others might view individuals with this disorder as lazy or lethargic
  • Physical harm- increased risk of being in a car accident if a sleep attack occurs when driving
  • Low metabolism- individuals may be more likely to be overweight

Unfortunately, the exact cause is still unknown and there is no cure for narcolepsy. However, medications (stimulants), lifestyle changes, and support from others can help manage symptoms. 

If you or someone you know is suffering from narcolepsy and need help adjusting, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/ .

Sources:

https://www.sleepfoundation.org/articles/narcolepsy

https://www.mayoclinic.org/diseases-conditions/narcolepsy/symptoms-causes/syc-20375497

https://www.o2pulmonary.com/wp-content/uploads/2016/02/narcolepsy-300×194.jpg