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Showing posts with label lithium bipolar. Show all posts
Showing posts with label lithium bipolar. Show all posts

Friday, October 7, 2022

Classic Bipolar vs Atypical Bipolar - How To Tell The Difference

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Bipolar disorder can present in two very distinct ways. There are two types of bipolar disorder: a textbook or classic presentation and a non-classic, or atypical one. These are not the official subtypes for bipolar disorder you will find in your diagnostic manual. This is a description of how bipolar disorder might present.

This is because bipolar disorder in its classic form responds better to lithium, while the atypical forms respond better to anticonvulsant mood stabilisers like Depakote or Lamotrigine, and atypical antipsychotic medications such as Seroquel and Abilify.

In this video, I define and use a lot of terms. Knowing the terms of clinical terminology is important so that you can understand what someone else is saying. Sometimes, your doctor may use these terms in conversation without you realizing it. This is because it takes extra effort to translate non-clinical terminology in your head.

These are the terms that I used in this video: Atypical bipolar disorder, Classic bipolar Disorder, Atypical Bipolar Disorder, Atypical/second-generation antipsychotics, Subsyndromal, Morbidity, Psychological construct, Hyperthymic Temperament, Heritable, First Degree and Neuroprotective

References
Perugi G., Hantouche E., Vannucchi G. Cyclothymia Diagnosis & Treatment: The “Primacy” of Temperament. Curr Neuropharmacol. 2017;15(3): 372-379.

Marneros A, Goodwin F. Bipolar Disorders – Mixed States, Rapid Cycling, and Atypical Forms. 2005. Cambridge University Press, Cambridge (UK).

You want to learn more about mental health, self-improvement and other topics? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. Click here to subscribe if you don’t wish to miss a video.

Disclaimer: The information contained on this channel is intended for education purposes only and does not constitute specific or personal medical advice. The videos and the answers to questions/comments do not create a doctor-patient relationship. These videos may be helpful for you if you are a patient of your own doctor.


http://medbusiness.net/classic-bipolar-vs-atypical-bipolar-how-to-tell-the-difference/

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DISCLAIMER: This content is strictly the opinion of Dr. LeGrand and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. LeGrand nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.

Wednesday, August 17, 2022

Classic Bipolar vs Atypical Bipolar - How To Tell The Difference

featured image

Bipolar disorder can present in two very distinct ways. There are two types of bipolar disorder: a textbook or classic presentation and a non-classic, or atypical one. These are not the official subtypes for bipolar disorder you will find in your diagnostic manual. This is a description of how bipolar disorder might present.

This is because bipolar disorder in its classic form responds better to lithium, while the atypical forms respond better to anticonvulsant mood stabilisers like Depakote or Lamotrigine, and atypical antipsychotic medications such as Seroquel and Abilify.

In this video, I define and use a lot of terms. Knowing the terms of clinical terminology is important so that you can understand what someone else is saying. Sometimes, your doctor may use these terms in conversation without you realizing it. This is because it is more difficult to translate non-clinical terminology in your head.

These are the terms that I used in the video: Classic bipolar disorder, atypical bipolar disorder, Atypical/second-generation antipsychotics. Subsyndromal, psychological construct, hyperthymic temperament. Heritable, first-degree and neuroprotective.

References
Perugi G., Hantouche E., Vannucchi G. Cyclothymia Diagnosis & Treatment: The “Primacy” of Temperament. Curr Neuropharmacol. 2017;15(3): 372-379.

Marneros A, Goodwin F. Bipolar Disorders – Mixed States, Rapid Cycling, and Atypical Forms. 2005. Cambridge University Press, Cambridge (UK).

You want to learn more about mental health, self-improvement and other topics? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. Click here to subscribe if you don’t wish to miss a video.

Disclaimer: The information contained on this channel is intended for education purposes only and does not constitute specific/personal medical advice. The videos and the answers to questions/comments do not create a doctor-patient relationship. These videos may be helpful for you if you are a patient of your own doctor.


https://adhdadulttreatment.com/classic-bipolar-vs-atypical-bipolar-how-to-tell-the-difference/

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After 3+ years on Concerta/Methylphenidate, I finally threw in the towel and switched to Elvanse Adult (UK Vyvanse). This is my story about why I switched and how it compares to Methylphenidate.


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Thursday, July 21, 2022

Bipolar Disorder - When we use Lithium

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Lithium is the first recommended treatment for bipolar disorder, but only when you have classic bipolar disorder. Classic bipolar disorder refers to a clear separation of depressive episodes from manic episodes. In several videos, I have defined depression and manic episodes. These videos are included in my playlist for bipolar disorder.

Clean separation means that after one episode, you go back to your baseline until the next. There is no need to have anxiety or lingering depression.

If you are experiencing both mania and depression symptoms at the same moment, lithium is not a good option. This is called bipolar disorder with mixed symptoms. You may experience hyperarousal of mania, where your actions are fastened up. Additionally, you might be impulsive and use poor judgment. This is how I explain mixed mania in detail.

If you have mixed features, an antipsychotic medication such as quetiapine is the best choice. As mood stabilizers for bipolar disorder, we use antipsychotic medication of the second generation.

The one thing lithium does better than any other medication is that it decreases suicidal thoughts. Ketamine is the only medication that can address this issue at the same level. It is used for unipolar depression treatment resistance.

Side effects of lithium
Like other mood stabilizers, lithium can lead to weight gain, tiredness and fuzzy thinking. Long-term Lithium use can lead to side effects. Your thyroid can become dysfunctional and produce insufficient amounts of thyroid hormone.

Your kidneys are the second long-term side effect. As we age, everyone experiences some loss of kidney function. Long-term lithium usage can speed up this process. Diabetes insipidus is another condition that can be caused by lithium use. This is not the same as diabetes mellitus, which causes high blood sugar levels. Insipidus causes your kidney to lose its ability concentrate urine. Insipidus can cause frequent urination, excessive thirst, and even a loss of kidney function.

Even after taking lithium for a few weeks or months, diabetes insipidus may occur. It usually goes away on its own but can sometimes persist in around 25% people. This can sometimes be solved by taking your lithium at bedtime. If the problem persists, it is best to switch to another mood stabilizer. It’s usually reversible if caught early.

If lithium is too concentrated in your blood, it can also cause kidney damage. You can get it to toxic levels, which can cause kidney damage. It is important to check your lithium levels on a regular basis. You also need to ensure that you are hydrated. Watch out for signs of lithium poisoning if you lose a lot of fluid due to excessive sweating, diarrhea, or vomiting.
Lithium toxicity can be detected early on by tremors, weakening of speech and feeling tired. The toxicity can also cause vomiting and diarrhea. You should seek immediate care if you feel this way.

Make sure your doctor knows that you’re taking lithium. This will allow them to check for drug interactions with other medications. You should also be careful with non-steroidal anti-inflammatory medication like Aleve and Advil if you suffer from pain. This type of medication can raise lithium levels.

What about lithium orotate, though?
This is an over-the-counter version of lithium. This is a lower dosage of lithium than prescription lithium. Prescription versions of lithium citrate and lithium carbonate are available. You are still at risk if you take prescription lithium.

Links to
videosBipolar Playlist />Mixed mania g

You want to learn more about mental health, self-improvement and other topics? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. Click here to subscribe if you don’t wish to miss a video.

Disclaimer: The information contained on this channel is intended for education purposes only and does not constitute specific/personal medical advice. The videos and the answers to questions/comments do not create a doctor-patient relationship. These videos may be helpful for you if you are a patient of your own doctor.


https://adhdadulttreatment.com/bipolar-disorder-when-we-use-lithium/

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