He explained that, during mixed mania, a person may experience all of the following over the course of a few minutes: Jonas explained to MNT: “People who experience mixed states describe feeling activated and ‘revved up,’ but also full of anguish and despair.” Some people may experience what is known as a “mixed state” when symptoms of a manic and depressive state are both present at the same time.ĭr. misuse of alcohol intake or other substances.inability to enjoy former interests, social withdrawal.inability to concentrate, leading to indecisiveness.excessive concern about failures and inadequacies.irritability, anger, worry, agitation, or anxiety.extreme sadness or unexplained crying spells.To be considered a major depressive episode, the symptoms must last about 2 weeks or more.ĭuring this time, five or more of the following symptoms are present: Rapid-cycling depressive episodeĪ major depressive episode can follow or precede a manic episode. There is a clear change in activity and attitude and visible behavior that is out of character. It is different from a person’s non-depressed mood. delusions and hallucinations, which may include a sense of self-importanceĪ hypomanic episode is similar to a manic episode but less severe and without the delusions or hallucinations that can occur in a manic episode).impulsiveness or poor judgment, which may lead to reckless behavior.increased positivity and self-confidence.high levels of physical and mental activity and energy.It will include at least three of these symptoms: Rapid-cycling manic episodeĪ manic episode is a period of elevated, enthusiastic, or irritable mood lasting at least 1 week. The following symptoms can occur when a person has rapid-cycling bipolar disorder. It’s a literal rollercoaster where the emotional ‘highs’ are very high, and the ‘lows’ are dangerously low.” “Makes a person literally live life at its extreme ranges of emotion and pushes their mental and physical endurance to the brink. Licensed therapist Harold Jonas explains that rapid-cycling bipolar disorder: These changes can be mentally and physically exhausting. Rapid cycling involves extreme changes in moods four or more times in a 12-month period. Without treatment, bipolar disorder and episodes of stress can result in rapid cycling. The person becomes increasingly sensitive to things that may trigger the cycles, and they become more likely to follow this pattern over time. This theory says that initial episodes happen when actual or expected life events cause stress. certain neurological conditions, such as multiple sclerosisĪnother possible cause of rapid cycling is known as kindling, or sensitization.Other possible triggers for rapid cycling in people who are susceptible to bipolar disorder might be: Ghaemi recommended avoiding any type of medication that can destabilize a person’s mood. In a study published in 2008, he suggested that the use of antidepressants may increase the risk in some cases.ĭr. Nassir Ghaemi, has written about his professional observations of rapid cycling bipolar disorder for The American Journal of Psychiatry. The scientists found changes in CRY2, a gene that plays a role in the core clock that produces circadian rhythms. This supports the findings of a study, published in 2010, of genetic features in people with rapid-cycling bipolar disorder. The investigator suggested that, in rapid-cycling, a part of the body’s “circadian pacemaker” may have become “uncoupled” from the day’s normal 24-hour rhythm. In 2018, one researcher found correlations between the sleep patterns of 18 men with rapid-cycling bipolar disorder and the moon’s tides, suggesting that this might have an influence. Some research has suggested that circadian rhythm regulation may have an impact, as sleep disturbances occur alongside mood changes. Doctors and scientists have proposed a number of reasons why this might happen. There is no clear trigger for rapid cycling, but bipolar changes occur due to changes in brain chemicals. Share on Pinterest Sergey Filimonov/Stocksy
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