Rapid cycling bipolar disorder -complete details about its symptoms, causes & treatment

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What is Rapid Cycling Bipolar Disorder?

Rapid cycling is a pattern of regular, different episodes in bipolar illness. In rapid cycling, an individual who has the disease experiences four or more episodes of depression or mania in 1 year. It may happen at any location in the course of bipolar illness, and may come and go over several years based on how well the disease is treated; it isn't always a "permanent" or indefinite routine of episodes.

Rapid cycling bipolar disorder may be a dangerous illness and carries a higher risk of suicide. When an individual who has bipolar encounters four or more manic, hypomanic, or manic episodes at almost any 12-month period, it is defined as rapid cycling bipolar. Due to the rapid mood swings related to this sort of bipolar illness, the person may feel like they're in an emotional roller coaster; glancing in the highs of mania into the depths of melancholy -- all in the span of a couple of days or even hours. 

Rapid cycling is defined as four or more manic, hypomanic, or manic episodes at almost any 12-month period. With rapid cycling, mood swings may quickly go from low to high and back again, and also happen over intervals of a couple of days and sometimes even hours. The individual feels as though he or she's on a roller coaster, with energy and mood changes which are out-of-control and penalizing. While the word "rapid cycling" can make it seem as though the episodes occur in regular cycles, episodes really often follow a random pattern. Some individuals with rapid cycling appear to encounter true manic, moderate manic, or depressive episodes which last just for a single day. 

Whether there are just four mood episodes in a month, it's known as ultra-rapid biking, and if several mood swings happen inside a day, on many days during a week, it's known as ultra-ultra-rapid or ultradian cycling. Normally, however, somebody who encounters such brief mood swings has more episodes too. Some people experience rapid cycling at the start of their illness, but for most, rapid cycling begins slowly. 

Most people with bipolar disease, in reality, experience shorter and more regular episodes over time when their illness isn't adequately treated. For many people, fast cycling is a temporary event. They might experience rapid cycling for a moment, then come back to a routine of more, less frequent episodes, or, even in the ideal situation, return to some brand new mood with the support of treatment. A few people continue in a rapid cycling pattern forever. 

Rapid Cycling Bipolar Disorder Symptoms:

The Significant symptoms of bipolar disorder include:
  • At least 1 episode of mania or hypomania from the patient's life
  • Episodes of depression (major depressive disorder), that can be usually recurrent
Mania is a period of abnormally elevated mood and higher energy, typically accompanied by erratic behavior lasting at least seven times at one time. Hypomania is a elevated mood not attaining full-blown mania at a minimum of four times.

A couple of individuals with rapid cycling bipolar disease alternate between periods of hypomania and major depressive disorder. Much more commonly, however, repeated and different episodes of depression dominate the image. Repeated periods of melancholy are punctuated by rare, briefer intervals of increased or normal disposition.

How is Rapid Cycling Bipolar Disorder Identified? 

Bipolar disease is recognized after someone experiences a hypomanic or depressive episode together with multiple other episodes of either mania, hypomania or depression. Quick cycling in itself isn't a diagnosis, but instead a "class specifier" or descriptor of this plan of illness. In bipolar disorder, fast cycling is recognized when four or more different episodes of depression, mania, or hypomania happen during a 1 year period. Rapid cycling can happen at any moment in the course of bipolar illness and might come and go at varying factors within a lifetime.

Rapid cycling bipolar illness can be tricky to recognize, because one mood episode can occasionally just wax and wane without solving. Consequently, they do not necessarily represent multiple different and different episodes. Rapid cycling may appear to create the changing mood conditions of bipolar illness more evident, but since many people with rapid cycling bipolar illness devote a lot more time depressed than manic or hypomanic, they are frequently misdiagnosed with unipolar depression.

By way of instance, in 1 study of individuals who have bipolar II disorder, the quantity of time spent miserable was over 35 times the quantity of time spent hypomanic.

Causes:

The basic Reason Behind rapid cycling remains unknown, but three overlapping theories exist:
  • Sensitization:
According to this "kindling" theory, early episodes are triggered by actual or anticipated life events like the death of a loved one or an upcoming job interview. As time passes, the individual who has the illness becomes increasingly sensitive to more minor "triggers" or stressors and becomes much more likely to have an episode in response to such events. Finally, the individual may begin to have episodes with no "triggers." Episodes become more and more frequent and the final result of this procedure, when the illness isn't properly treated, may be rapid, ultra-rapid or ultradian cycling.
  • Biological rhythm disturbances:
This concept suggests that individuals with rapid cycling have daily biological rhythms that are out of sync using typical "time-giving" occasions such as dawn and dusk. This theory could account for the sleeping disturbances typical of mania and depression and explain other symptoms as well. If biological rhythms are significant, a connection between rapid cycling and seasonal affective disorder (SAD) may be suggested. It's also possible that strange daily biological rhythms do not cause the disease itself but do contribute to the severity and length of a depressive or manic episode. By way of example, if insomnia is treated early and aggressively, mild or moderate symptoms can be avoided from snowballing to a serious and destructive episode.
  • Hypothyroidism:
This theory suggests that rapid cycling is because of inadequate amounts of the thyroid gland in the brain. Most people with rapid cycling do possess sufficient levels of thyroid hormone in the blood, but they might respond well to therapy with thyroid hormone no matter their initial blood levels.

Treatment:

People who experience rapid cycling bipolar are far more frequently and their symptoms are usually more difficult to control over the long run.

Rapid cycling is more common in individuals with type 2 diabetes disorder and individuals with menopausal 2 have been shown to spend 35 times longer time miserable than hypomanic. As a result of this, rapid cycling treatment tends to be concentrated around relieving the depression.

While antidepressants might appear to be the logical selection for treatment of a depressive episode, antidepressants can often make rapid cycling worse. Antidepressants for bipolar depression may cause biking, produce more rapid cycling or perhaps induce a manic episode.

Mood stabilizers are the favored treatment for rapid cycling bipolar disorder with the aim to stop the cycling and then bring up the mood, if needed. Common mood stabilizers used in treating rapid cycling bipolar illness include:
  • Anticonvulsants such as valproic acid (Depakote) or Carbamazepine (Tegretol)
  • Antipsychotics, generally newer generation antipsychotics such as Quetiapine (Seroquel) or Aripiprazole (Abilify)
  • Lithium
Anticonvulsants are generally the first alternative mood stabilizers as both valproic acid and carbamazepine have been shown effective in treating rapid cycling bipolar disorder. If an antidepressant is used, it's used together with a mood stabilizer to prevent additional cycling. Antidepressants are typically tapered once the depression is under control.

One medicine, Symbyax, is a combo of Olanzapine (Zyprexa) and fluoxetine (Prozac).  This combination of an antipsychotic and an antidepressant could be useful in improving depressive symptoms without destabilizing mood.

Psychotherapy may be a significant part your treatment program. Not only are individuals with bipolar disease at risk for additional depressive or manic episodes, but it is likely to encounter difficulty as a consequence of previous episodes. Attributes like irritability, a trend to shout, racing thoughts or impulsiveness might cause social issues. Because individuals with bipolar illness tend to be unfairly judged, they might lose opportunities to build friendships or intimate participation or have difficulty achieving their career objectives. These struggles may donate to self-esteem issues. That is why it's useful for individuals with bipolar illness to seek advice from their doctors or mental health professionals around one-on-one counseling and/or the advantages of couples, family, or group treatment. Discussing adhering to a treatment program that works and handling and preventing suicidal ideas can prove to be lifesaving.

Charting your moods can assist you and your physician identify things and patterns that cause anxiety, monitor your progress on various drugs or find a notion of if new episodes may happen. This calendar includes a location for one to record the medicine you take every day, changes in your mood degree, stressful life events, side effects and other ailments.
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