PSYCHOSIS :
in any case whether depression or mania, a person may lose touch with reality and psychotic symptoms . this may include experiencing unusual sensations called hallucination such as hearing voices when no one is around or seeing things that no one else can see . the individual may develop abnormal belief about themselves or their worlds termed delusion . the content of delusion is usually influenced by the individual mood state . in mania people frequently believe that they are special and have the power to change the world (e.g . they are special and have power to change the world , they have special skills and they should fly to NewYork to negotiate world peace )in depression people have a very negative outlook , often holding the conviction that they are evil and are responsible for many of the injustices in society .psychotic symptoms usually subside as the individual moods returns to normal . although relatively rare , these symptoms can cause great concern, especially if the person is unable to recognize accept that their abnormal beliefs are a product of their mental state and not a reflection of reality. in such extreme situations, treatment in an impatient setting is frequently recommended .Treatment
physical treatment : it means to use medication , although it also include techniques such as electro convulsive technique . acute treatment aims to reduce the intensity of current symptoms , and the longer term phase , when the aim is to prevent recurrent episodes of mood swings
medication for depression are almost same but in case of hypo mania respond to lower doses .
Admission to hospital
if a person experiences an episodes of mania that is totally out of control and unresponsive to treatment , or a severe depression accompanied by psychotic symptoms or intense suicidal ideas they are almost need to be admitted to hospital
Electro-convulsive therapy
a small proportion of those individual admitted to hospital may be so unwell that they also need treatment with ECT .A longer term treatment is prescribed with mood stabilizer to reduce the severity or frequency of mood swings . the commonly used mood stabilizer are lithium,valporate .
No treatment option :
if you do not want to go through any kind of medication then here is a solution to no treatment , it is important to take the decision in coll mind rather than in depressive mood the first and most important is to view the treatment - free period as an experiment . this has many advantages , not least that it keeps the door open for a return to treatment without such decision being viewed by you or anyone else as a ersonal failure . also try to know how and when will you know whether it is a no treatment experiment has been successful or not .self assessment is necessary
Important
-review your decision by making a list of the advantages and disadvantages of this choice
- carefully consider if there is anything that someone might do that would change your mind , if so , go to talk to them
- talk to people who know you , and ask for their views on the advantages or disadvantages of hat you propose
- if you cannot talk to someone you know well . seek advice or support from a self-help organization for individual with manic depression
-try to identify someone you trust with whom you would be prepared to speak regularly to review your mood state ad how you are copying
-try to regularize your day to day pattern activity and keep a record of your mood and any other symptoms you experience so that you can assess your progress
- avoid non- prescription drugs , excess consumption of alcohol , caffeine or other stimulants
-read about manic depression and try to assess how like you are experience a long symptoms free period and what will protect you against relapse
- agree on a plan with the person about what you will do if the experiment is unsuccessful things are going badly , or you experience a recurrence of symptoms best of all write down the plan in details and both keep a copy .
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