Maintain your old Siemens Hipath system

Major Depression and Manic Depression ? Any Difference?

Countless number of patients and their family members have asked me about manic?depression and major depression. "Is there any difference?" "Are they one and the same?" "Is the treatment the same?" And so on. Each time I encounter a chorus of questions like these, I am enthused to provide answers.

You know why? Because the difference between these two disorders is enormous. The difference does not lie on clinical presentation alone. The treatment of these two disorders is significantly distinct.

Let me begin by describing major depression (officially called major depressive disorder). Major depression is a primary psychiatric disorder characterized by the presence of either a depressed mood or lack of interest to do usual activities occurring on a daily basis for at least two weeks. Just like other disorders, this illness has associated features such as impairment in energy, appetite, sleep, concentration, and desire to have sex.

In addition, patients afflicted with this disorder also suffer from feelings of hopelessness and worthlessness. Tearfulness or crying episodes and irritability are not uncommon. If left untreated, patients get worse. They become socially withdrawn and can't go to work. Moreover, about 15% of depressed patients become suicidal and occasionally, homicidal. Other patients develop psychosis-hearing voices (hallucinations) or having false beliefs (delusions) that people are out to get them.

What about manic-depression or bipolar disorder?

Manic-depression is a type of primary psychiatric disorder characterized by the presence of major depression (as described above) and episodes of mania that last for at least a week. When mania is present, patients show signs opposite of clinical depression. During the episode, patients show significant euphoria or extreme irritability. In addition, patients become talkative and loud.

Moreover, this type of patients doesn't need a lot of sleep. At night, they are very busy making phone calls, cleaning the house, and starting new projects. Despite apparent lack of sleep, they are still very energetic in the morning - ready to establish new business endeavors. Because they believe that they have special powers, they involve in unreasonable business deals and unrealistic personal projects.

They also become hypersexual - wanting to have sex several times a day. One?night stands can happen resulting in marital conflict. Like depressed patients, manic patients develop delusions (false beliefs). I know a manic patient who thinks that he is the "Chosen One." Another patient claims that the President of USA and the Prime Minister of Canada ask for her advice.

So the big difference between the two is the presence of mania. This manic episode has treatment implications. In fact the treatment of these disorders is completely different. While major depression needs antidepressant, manic-depression requires a mood stabilizer such as lithium and valproic acid. Recently, new antipsychotics, for example risperidone, olanzapine, and quetiapine, have been shown to be effective for acute mania.

In general, giving an antidepressant to manic?depressed patients can make their condition worse because this medication can precipitate a switch to manic episode. Although there are some exceptions to the rule (extreme depression, lack of response to mood stabilizers, among others), it is preferable to avoid antidepressants among bipolar patients.

When considering the use of antidepressant in a depressed bipolar patient, clinicians should combine the medication with a mood stabilizer and should use an antidepressant (e.g. bupropion) that has a low tendency to cause a switch to mania.

About The Author

Copyright © 2004. All rights reserved. Dr. Michael G. Rayel ? author (First Aid to Mental Illness?Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.

mike@drrayel.com

In The News:

Change is coming: Greta Thunberg's warning to world leaders
Mon, 23 Sep 2019 15:40:00 +0100
Teenage climate activist Greta Thunberg has told world leaders: "You have stolen my dreams and my childhood with your empty words."

Johnson refuses to rule out military action against Iran
Mon, 23 Sep 2019 05:17:00 +0100
Britain has formally identified Iran as being behind drone and missile strikes on Saudi Arabian oil fields, raising the chance of the UK joining military efforts in the Middle East.

Trump 'may be impeached' if he pressured Ukrainian president
Sun, 22 Sep 2019 16:49:00 +0100
If Donald Trump pressured his Ukrainian counterpart to investigate former US vice president Joe Biden then impeachment would be the only option, the US House Intelligence Committee chairman has warned.

UK-flagged tanker seized by Iran is 'free to leave'
Mon, 23 Sep 2019 12:01:00 +0100
The British-flagged tanker Stena Impero detained by Iran more than two months ago, is "free to leave".

Sports fan asks for beer money and ends up raising $1m for hospital
Mon, 23 Sep 2019 15:42:00 +0100
When American football fan Carson King cheekily held up a sign on TV asking for people to send him money to buy beer, he didn't expect to receive a cent.



tikatoshop.it

Erfahrungen mit Pallhuber Wein
Agen Bola SBOBET Terpercaya

Travel in comfort and at your leisure with CT Airlink Limousine & Car Service for top quality private transportation and exceptional customer service. We operate Sedans, SUVs & Vans for CT Car Services to covering all Connecticut airports including Car Service from CT to Newark Airport , Mohegan Casino Uncasville CT, Foxwoods Casino Mashantucket CT, Manhattan Cruise Terminal NYC, Brooklyn Cruise Terminal NYC and Bayonne Cruise Terminal NJ. CT Airlink hire licensed and friendly chauffeurs who have in-depth knowledge of the Areas.

Depression Keeps 19 Million Adults From Being Productive

Approximately 19 million American adult workers allow depression to limit... Read More

How Do You Know if You Have Manic-Depression

Nancy was doing very well until about two years ago... Read More

Manic Depressive Episodes And Scientology

Scientologists believe that chemical imbalances do not exist. In their... Read More

Mental Health Stigma ? What Can We Do About It?

What is Stigma? Stigma is the use of stereotypes and... Read More

To Long Term Care Professionals: How to Dramatically Improve your Residents Psychiatric Care

Long term care facilities and residents' doctors should consider combining... Read More

Disability is NOT a Life Sentence

On September 30th 1998 I was crossing the street in... Read More

Depression: Bringing Yourself Down

Sometimes it's hard to see the forest from the trees.... Read More

Anxiety and Depression Treatment - 5 Tips for Beating Depression

Everyone has days when they are down, worn out and... Read More

How to Put an End to Depression

Depression can have many, many faces. If you are not... Read More

Depression - Causes and Treatments

Depression has long been considered a character flaw indicative of... Read More

Quick Steps To Improve Your Mood

Looking to improve your mood?Edward W. Smith, motivational speaker, author... Read More

So You?ve Been Diagnosed with Bipolar Disorder?

If you've been diagnosed with bipolar disorder (also known as... Read More

Depressed? Wise Woman Ways Offer a Helping Hand

Winter time is depression time for many women. Perhaps it... Read More

Depression: Based on a True Story

"Ring, ring." The crisis operator answers the phone to a... Read More

St Johns Wort and Depression

The bright yellow flower of the St Johns Wort (hypericum... Read More

Depression and Procrastination: Twins in the Job Search

My definition of procrastination is that a person delays and... Read More

Chronic Depression: Disease or Charcter Flaw?

A major survey on depression symptoms from the National Mental... Read More

Depression Treatment: Depression Would Be Second Largest Illness by 2010!

World Health Organisation states one out of four worldwide suffer... Read More

Reclaiming Your Life From Anxiety Symptoms

Only somebody who has lived with anxiety ? as either... Read More

Antidepressants 101- What You Absolutely Need to Know

IntroductionChange in social and economical states throughout the world although... Read More

Depression is the Number One Cause of Disability in the United States

According to the World Health Organization, 4 of the 10... Read More

Are the Benefits Worth the Costs?

Schizophrenia suffers around the world have benefitted greatly with the... Read More

Insurance Reimbursement for Vagus Nerve Stimulation and Depression

I attended the Vagus Nerve Stimulation Therapy Conference at the... Read More

Hurricane Recovery: Steps to Start Putting Your Life Back in Order

It seems unreal, another major storm hitting Florida after experiencing... Read More

Depression in Long Term Care Heart Patients Often Goes Untreated

Cardiologists, other doctors and long term care staff might be... Read More