ADHD
Adults with ADHD may find it difficult to focus and prioritize, leading to missed deadlines and forgotten meetings or social plans. The inability to control impulses can range from impatience waiting in line or driving in traffic to mood swings and outbursts of anger.
Tips for Managing Adult ADHD:
The ADDitude website is quite informative, please spend some time looking at it. Medication alone is not always enough; you will probably need to incorporate some behavioral changes, and this is the place to learn about them. Please have a look at these resources:
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https://www.additudemag.com/dealing-with-adhd-80-coping-strategies/
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https://www.helpguide.org/articles/add-adhd/managing-adult-adhd-attention-deficit-disorder.htm
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https://advancedpsychiatryassociates.com/resources/blog/strategies-for-adults-living-with-adhd/
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https://www.healthline.com/health/adhd/adult-adhd-home-tips#recognizing-adult-adhd
ADHD Books:
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https://www.amazon.com/Driven-Distraction-Revised-Recognizing-Attention/dp/0307743152/
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https://www.amazon.com/ADHD-Awesome-Guide-Mostly-Thriving/dp/1400338611/
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https://www.amazon.com/Your-Brains-Not-Broken-Strategies/dp/0800739426/
ADHD Videos:
If you like one of the videos, check out the poster's channel for other videos they have created.
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ADHD_Chatter_podcast https://www.youtube.com/@ADHD_Chatter_Podcast/shorts
On ADHD overwhelm: https://www.youtube.com/shorts/Hu_dj8ai0k0
On ADHD positives: https://www.youtube.com/shorts/5dtLJ7itebI
On ADHD concept of time: https://www.youtube.com/shorts/q184XLotfwY
On ADHD sensory processing model: https://www.youtube.com/shorts/aE5uN-dtEmY
2. Neuroscience of ADHD & ADHD explained:
https://www.youtube.com/watch?v=w8JnDhp83gA
https://www.youtube.com/watch?v=eq2qtpU1Ox4
https://www.youtube.com/watch?v=ouZrZa5pLXk
https://www.youtube.com/watch?v=oCVCPk1SghE
3. Dr. Ned Halliwell, ADHD expert:
"A Ferrari in your Brain" https://www.youtube.com/watch?v=i5D56Cg7y4I
On "mastering" ADHD: https://www.youtube.com/watch?v=LZacXMQmSG8
ADHD and Adults Part 1 https://www.youtube.com/watch?v=fmMBEflu5AU
ADHD and Adult high achievers: Part 2: https://www.youtube.com/watch?v=bbpuH96_PU0
"Negative" & "Positive" traits of ADHD: https://www.youtube.com/watch?v=1Ip3pd0fmoo
4. ADHD and Rejection Sensitive Dysphoria (RSD)
https://www.youtube.com/watch?v=WxNIPfddmuM
https://www.youtube.com/watch?v=jM3azhiOy5E
https://www.youtube.com/shorts/n4QORIq46is
5. It's All in Your Head Podcast: Symptoms of Adult ADHD
Adult Signs & Symptoms: https://www.youtube.com/watch?v=-8J4wl9eUe4
Inattentive type: https://www.youtube.com/watch?v=ToN-y8CNl-Q
Hyperactive/Impulsive: https://www.youtube.com/watch?v=WeRD22AaiWg
Living with ADHD: https://www.youtube.com/watch?v=aSsxMht3g8c
How Untreated ADHD affects adult lives: https://www.youtube.com/watch?v=B6-mQAUcniQ
6. Validation, skills, & Hacks
10 Signs You Do not have ADHD https://www.youtube.com/watch?v=ukyZdPQ7kHk
How to get stuff done: https://www.youtube.com/watch?v=YLkOZhROvA4
Top 5 Strategies: https://www.youtube.com/watch?v=51pOP8-wURk
Organization: https://www.youtube.com/watch?v=0CQk7XDi8D4
Productivity: https://www.youtube.com/watch?v=Nmv6dqZREKY
Task Initiation: https://www.youtube.com/watch?v=WQuYHPg3Tjo
ADHD Task Paralysis and Switching
When you can't switch from one task to another or feel “stuck,” it's known as task paralysis in ADHD. Task paralysis is associated with a state of overwhelm. It can happen for a variety of reasons but often has to do with too many requirements, stimulation, or expectations all at once. People with ADHD often have difficulty switching tasks due to executive function challenges in the brain:
• Disengaging from current task: It can be hard to stop what you're doing and move on to something else.
• Mental shifting: It can be difficult to mentally transition to a new task.
• Cognitive and behavioral adjustments: It can be hard to initiate the necessary adjustments to start a new task.
• Hyperfocus: It can be hard to disconnect from an intense level of concentration on a task.
• Working memory: It can be hard to hold multiple pieces of information in your mind while switching tasks.
• Distractibility: People with ADHD are more likely to be pulled away by external stimuli.
• Emotional regulation: It can be hard to transition emotionally to a new task or situation.
Here are some strategies that may help with task switching:
• Use timers: Set a timer to remind you to stop your current task and move on to the next.
• Establish routines: Set up small activities to help you transition between tasks, like making a cup of coffee or putting away papers.
• Block off time: Schedule time for transitioning on your calendar.
• Update your to-do list: Keep a to-do list and update it each time you switch tasks.
• Celebrate successes: Reward yourself for finishing tasks.
• Discuss priorities: Discuss your work priorities with your supervisor so you can respond to interruptions.
• Schedule communications: Schedule communications, phone calls, and work conversations instead of waiting for people to contact you
Read More Here:
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https://www.healthline.com/health/adhd/task-switching-adhd#adhd-and-task-switching
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https://www.addept.org/living-with-adult-add-adhd/task-switching
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https://lifeskillsadvocate.com/blog/how-to-deal-with-task-switching-when-you-have-adhd/
BUILDING A ROUTINE
It is important for your mental health to set and adhere to a routine. This means getting up and going to be at the same time every day, managing your diet and personal hygiene, and planning ahead to accommodate both fun or relaxing activities and adult responsibilities such as grocery shopping and bill paying.
Benefits of Routine
Daily routines are helpful, but you may also need a weekly routine for things that you do less often, such as grocery shopping or exercise. Set one or more routines, and you can reap these benefits:
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Your stress level will fall. If you have a plan, you'll feel more in control. You will have made many decisions in advance, and you can focus on making good choices for the ones that remain.
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You'll sleep better. Keeping a consistent sleep schedule is the first step toward being better rested. Good sleep can give you a psychological boost. If you have trouble falling asleep, a bedtime routine can help.
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You'll enjoy better health. Meal planning makes it easier to stick to a healthy diet, but that means setting aside time for shopping and meal prep. Similarly, you can use a routine to boost your physical activity or to take your medication on time. A healthier body means a healthier mind.
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You'll be happier. If you have a schedule, you can build in time for play. Yes, adults need playtime, too. Whether it's reading, playing a video game, or watching birds at a feeder, downtime is good for your mental health. Without a plan, you may come to the end of the day without having spent time on pleasure.
Tips for Creating and Sticking to a Routine
If you already have a daily routine, start by modifying it. But don't make too many changes at once. Write down your new routine. It can be in the form of a schedule, or it can be a list with items to check off. Your chances of success will be higher if you do most things at the same time each day. Try setting alarms on your phone to trigger you to the new routine, such as setting an alarm for bedtime the same way you set an alarm for waking up.
Track your progress with a calendar or other visual aid. Reward yourself when you stick to your routine, but be sure the reward supports your goals.
Routines need new habits, which can take time. In one study, people took an average of 66 days to create a new habit. Technology such as fitness trackers can be helpful in setting healthy habits. Many also track sleep, a vital part of any healthy schedule. What features does your smartphone have that might help you? Are there any free apps you might use?
People who are trying to establish new routines and habits are told to be flexible, which can seem like a contradiction. In fact, failing to follow your routine for one day doesn’t mean you’re off-track. If you let yourself take a day off, it can be easier to return to your routine than if you think of any break in your routine as a failure.
For help with building a routine:
Autism
Autism spectrum disorder (ASD) is a neurological and developmental disorder that affects how people interact with others, communicate, learn, and behave. Although autism can be diagnosed at any age, it is described as a “developmental disorder” because symptoms generally appear by age 2.
“If you have met one person with Autism, you've met ONE person with Autism”
Resources for learning more about Autism:
https://www.healisautism.com/post/when-you-meet-one-person-with-autism
https://www.easterseals.com/support-and-education/living-with-autism/autism-signs-and-symptoms.html
What is autism? https://www.autism.org.uk/advice-and-guidance/what-is-autism
Click Here to Download the Guide for Autism Self-Identification from UW
The Autism Wheel: Click Here and Here and Here for descriptions
What does “Nothing about us without us” mean?
https://www.ucpress.edu/books/nothing-about-us-without-us/paper
https://www.nytimes.com/2020/07/22/us/ada-disabilities-act-history.html
https://disabilityrightswa.org/nothing-about-us-without-us/
Resources for Families and People with Autism
https://autisticadvocacy.org/book/welcome-to-the-autistic-community/
https://medicalhome.org/quick-key-resources/shaylas-list-family-support/
https://depts.washington.edu/uwautism/resources/adult-resources/
https://informingfamilies.org/
https://www.seattlechildrens.org/clinics/autism-center/patient-family-resources/
https://www.seattlechildrens.org/clinics/washington-mental-health-referral-service/
https://health.ucdavis.edu/mind-institute/centers/cedd/adept
https://www.meetup.com/Squarepegs/
Resources for how you can be an ally:
https://psyche.co/guides/how-to-be-a-good-friend-to-an-autistic-person
https://www.wondermind.com/article/how-to-help-someone-with-autism/
https://www.milestones.org/get-started/for-community-at-large/interacting-with-autistic-people
https://www.autismspeaks.org/blog/5-dos-and-donts-supporting-friends-kids-autism
https://www.autismbc.ca/blog/supporting-autistic-friend/
https://www.projecthopesc.org/
https://overcomewithus.com/autism/ways
https://www.dralicenicholls.com/how-to-help-someone-in-autistic-burnout/
https://www.chla.org/blog/advice-experts/how-help-your-child-make-friends-child-who-has-autism
Resources for Healthcare Providers
https://www.hca.wa.gov/assets/billers-and-providers/index-coe-applied-behavioral-analysis.pdf
https://app.leg.wa.gov/WAC/default.aspx?cite=182-531A-0500
https://depts.washington.edu/uwautism/training/uwactraining/
https://www.autismspeaks.org/applied-behavior-analysis
https://link.springer.com/article/10.1007/s10803-015-2407-8
https://www.seattlechildrens.org/clinics/autism-center/services/therapies-for-challenging-behaviors/
https://medicalhome.org/COEquickstart_tools.pdf
https://www.seattlechildrens.org/healthcare-professionals/community-providers/fast/
More Resources & Helpful Websites
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Signs of Autism in adults https://autisticmama.com/signs-of-autism-in-adults/
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Mild Autism in Adults: https://myacare.com/blog/signs-of-mild-autism-in-adults
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Diagnosis of Autism in Adults: What Next? https://www.simplypsychology.org/diagnosis-of-autism-in-adults.html
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Women in Autism https://autism.org/women-in-autism/
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Why Autistic Girls are Overlooked https://childmind.org/article/autistic-girls-overlooked-undiagnosed-autism/
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Autism in Women https://adultautismcenter.org/blog/autism-and-women-heres-what-you-need-to-know/
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How is Autism Different in Women? https://adult-autism.health.harvard.edu/resources/how-is-autism-different-in-females/
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How Do I Know if I am Autistic in Adulthood? https://neurodivergentinsights.com/blog/autism-in-adulthood
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Signs of Undiagnosed Autism in Adults: https://www.autismparentingmagazine.com/undiagnosed-autism-in-adults/
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Neurodiversity in the Workforce https://www.hfsresearch.com/research/superpower-of-neurodiversity/
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Autism in the Workplace https://i-am-autism.org.uk/autism-in-the-workplace/
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UW Resources for Adults with Autism https://depts.washington.edu/uwautism/resources/adult-resources/
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UW Autism Center https://depts.washington.edu/uwautism/resources/
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Autistic Self-Advocacy Network Resource Center https://autisticadvocacy.org/resources/
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UW Neurodiversity resources https://depts.washington.edu/uwautism/resources/neurodiversity/
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Neurodiversity Affirming Workshop https://depts.washington.edu/uwautism/wp-content/uploads/2023/05/Neurodiversity-Affirming-Workshop.pdf
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Beautiful Autism: https://www.beautifulautism.com/
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The Center for Psychological Research: https://centerpsychhealth.com/clinical-services/diagnosis/
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UW Autism Center:https://depts.washington.edu/uwautism/resources/adult-resources/
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Adult Autism Evaluation Providers: https://depts.washington.edu/uwautism/wp-content/uploads/2024/02/UWAC-Adult-Autism-Diagnostic-Resource-List-06.29.23docx.pdf
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Medication strategies for helping people with ASD: https://www.joshuafedermd.com/blog/medication-strategies-for-helping-people-with-autism-spectrum-disorders
Eating difficulties in people with autism:
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https://www.autism.org.uk/advice-and-guidance/topics/behaviour/eating
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https://www.corticacare.com/care-notes/autism-and-eating-disorders
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https://www.autismspeaks.org/expert-opinion/autism-food-refusal-mealtime-tips
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https://sparkforautism.org/discover_article/picky-eating-autism/
Emotional dysregulation in people with autism:
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https://sparkforautism.org/discover_article/managing-emotions/
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https://sonderly.io/resources/blogs/dysregulation-and-autism-spectrum-disorder
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https://www.autismspeaks.org/blog/autism-emotional-regulation
Sensory challenges for people with autism:
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https://www.empowerbh.com/blog/link-between-sensory-processing-disorder-and-autism/
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https://www.medicalnewstoday.com/articles/sensory-processing-disorder-vs-autism#spd-and-autism
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https://www.deronschool.org/blog/sensory-processing-disorder-vs-autism-whats-the-difference/
Informational Websites to visit:
Bipolar Disorder
Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental illness that causes unusual shifts in a person's mood, energy, activity levels, and concentration. These shifts can make it difficult to carry out day-to-day tasks.
Bipolar disorder is a mental health problem that causes extreme changes in mood. If you have bipolar disorder, you may sometimes feel excessively elated, impulsive, irritable, or irrational (called mania) or hypomanic (a milder form of mania). Other times you may feel excessively sad (called major depression).
Bipolar disorder can make it hard to do a good job at work or school, have relationships with friends and family, and it even increases the risk of suicide if it is not treated or treated incorrectly. However, a number of effective treatment options are available.
The exact cause of bipolar disorder is not clear. The problem may be related to the way a person's brain works; certain chemicals in the brain allow cells to communicate with each other and play an essential role in all brain functions, including movement, sensation, memory, and emotions. Approximately one to three percent of people worldwide have bipolar disorder. People with a family history of bipolar disorder are at increased risk of developing the condition. Most people develop the first symptoms of bipolar disorder between age 15 to 30 years; it is uncommon to develop the first symptoms of bipolar as a child or as an adult over the age of 65.
Bipolar Symptoms:
Mania — Mania causes you to feel abnormally and persistently happy, angry, hyperactive, impulsive, and irrational at different times. These feelings last at least one week, and may be severe enough that you need to be treated in a hospital. Other symptoms may include:
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Feelings of special powers and superiority
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Increased activity & decreased sleep/decreased need for sleep, restlessness
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Talking excessively
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Racing thoughts, Short attention span
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Inappropriate laughing or joking, or intense irritability, getting into lots of arguments, or fights
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Inappropriate impulsive behavior such as spending sprees or sexual engagement
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May include increased use of drugs or alcohol
Mania often causes difficulty maintaining relationships with friends and family, and can interfere with work or other responsibilities. During a manic episode, your moods can change rapidly from euphoria to depression or irritability.
Hypomania — Hypomania is less severe than mania, but it causes a change in mood that is abnormal. Hypomanic episodes are usually briefer than manic episodes, but last for at least four days. Hypomania may not seriously affect your ability to work or go to school, and some people actually function better during a hypomanic episode. Hypomania may not need to be treated in a hospital, but it should be treated with medicines because it may lead to a manic or depressive episode.
Depression — People with depression feel very sad and have trouble doing ordinary things like bathing, getting dressed, and cooking. During a depressive episode, you may feel sad most of the day or you may have little or no interest in any activity. Other symptoms may include:
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Weight loss or gain (due to changes in how much you eat)
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Difficulty falling or staying asleep, or sleeping too much
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Feeling irritated easily
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Fatigue, loss of energy, sluggishness
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Feelings of worthlessness, hopelessness, or guilt
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Difficulty concentrating and making decisions
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Recurring thoughts of death or suicide, or feeling you would be better off dead
Alcohol and drugs — More than 60 percent of people with bipolar disorder abuse alcohol or drugs to cope with the symptoms of Bipolar.
Suicide — The risk of suicide also is higher in people with bipolar disorder compared to people with other psychiatric illnesses (including depression). Suicide is often the result of feeling hopeless, and is more likely in people with severe symptoms who must be hospitalized for treatment. If a family member or friend mentions suicide, you should consider this a serious threat and immediately contact the person's doctor or nurse. If you are having thoughts of suicide, call your doctor or nurse or go to the nearest emergency department.
Diagnosis: There is no test that can diagnose bipolar disorder. Instead, the diagnosis is based upon a medical and psychiatric history and a physical and mental status examination. Laboratory testing may be performed to rule out other diagnoses.
Treatment of Mania/Anxiety: Treatment of mania focuses on managing symptoms and keeping you safe. In the early phase of mania (called the acute phase), you may be psychotic (having false, fixed beliefs or hearing voices or seeing things others cannot see or hear). You may not be able to make good decisions and you may be at risk of hurting yourself or others. You may need to be treated in a hospital temporarily, until your medicine begins to work. Medicines are the main treatment for mania, and a number of medicines are available. It is not usually possible to know ahead of time which medicine will be the most effective and cause the fewest side effects. It may be necessary to try several medicines before finding the best one. Treatment of mania continues until your symptoms completely resolve and you are able to function. Most patients continue to take medicine to prevent a recurrence of mania.
Antipsychotic medicines — Antipsychotic medicines are usually necessary to manage the symptoms of bipolar, especially for mania. They are often used in conjunction with "mood stabilizers" and in combination with other drugs (see below); combination therapy is usually recommended for patients with severe mania. Side effects are common. For example, many antipsychotic medicines, such as olanzapine (brand name: Zyprexa), risperidone (brand name: Risperdal), and quetiapine (brand name: Seroquel) have a risk of weight gain, high blood sugar, diabetes mellitus, and high cholesterol. Clozapine (brand name: Clozaril) is an antipsychotic medicine that may be particularly effective in patients who do not respond to other mood stabilizers or antipsychotics.
Mood Stabilizers — Medicines such as lithium, valproate (sample brand names: Depakene, Depakote), and lamotrigine (sample brand names: Lamictal), are also often used in the treatment of mania or hypomania. All of these medicines may be effective, and the choice is often made based upon what medicines you have taken before, side effects, and any underlying medical illnesses. Supervision by a psychiatric professional and regular lab work is often required for medication maintenance
• Lithium — Lithium has been used for many years to treat mania. Studies also demonstrate that lithium may decrease the risk of suicide or self-harm (hurting oneself even without intending suicide). Common side effects of lithium can include frequent urination, tremor, loose stools, difficulty thinking clearly, or weight gain. Problems with kidney function, heart rhythm, or thyroid functioning can occur in people who take lithium for long periods of time. A test to measure the lithium level in the blood is required regularly when taking lithium. Blood testing is usually done every 6 to 12 months once the lithium dose is stabilized. Lithium can cause serious problems if you take an overdose or if your kidneys do not work normally. This can occur if you become severely dehydrated or take certain medicines with lithium. If you take lithium, talk to your healthcare provider before taking any new non-prescription or prescription medicines.
• Valproate, or Valproic Acid (Depakote) — Valproate is a medicine that is also effective in treating mania. It may be used instead of or in combination with lithium. Common side effects of valproate include weight gain, nausea, vomiting, hair loss, easy bruising, and tremor. Blood testing is usually done to check blood levels and to check for potential complications.
• Lamotrigine — Lamotrigine was developed to treat seizures, but it is also effective for people with bipolar disorder. Routine blood tests are not needed for monitoring. Lamotrigine can have serious side effects when taken with other medicines; be sure that your healthcare provider has an updated list of your prescription and nonprescription medicines. An infrequent but serious rash (called Stevens-Johnson syndrome) can occur early in treatment; call your healthcare provider if you notice a new rash while taking lamotrigine. If you have underlying heart disease, your doctor may recommend mediations other than lamotrigine, as this drug can increase the risk of heart rhythm problems in some people.
Treatment for Depression:
Mood Stabilizers are the primary choice for the depressive phase of bipolar disorder, and work in conjunction with antipsychotics. Antipsychotic medicines may help to treat bipolar depression (see 'Antipsychotic medicines' above). In particular, olanzapine or quetiapine can be helpful for patients with bipolar depression. In some cases, an antipsychotic medicine is combined with an antidepressant medicine.
Antidepressants — Antidepressants are rarely used to treat people with bipolar depression, sometimes in combination with a mood stabilizer. However, people with bipolar disorder who use antidepressants must be monitored closely because there is a chance that antidepressants may trigger a manic episode.
Electroconvulsive therapy (ECT) — During electroconvulsive therapy (ECT), an electrical current is passed through the brain, which in turn causes chemical changes that can relieve severe depression. While scientists do not yet fully understand exactly how ECT does this, they know it causes helpful changes to the molecules and cells of the brains of people with depression. ECT is especially effective for people with severe, life-threatening depression that has not responded to medicines. There is evidence that ECT may be effective in treating mania as well. Patients who undergo ECT are given general anesthesia to induce sleep and prevent discomfort. The patient is monitored carefully before, during, and after the treatment. Side effects of this therapy include brief confusion and memory loss. Although ECT has often been negatively portrayed in the media, it often provides rapid and dramatic relief of depression and has few side effects. ECT can be used in pregnant women and in those who cannot tolerate antidepressant or mood stabilizing medicines and is especially useful for those who need a treatment that begins working rapidly.
Maintenance:
Medicines — Once the worst symptoms of mania or depression are under control, treatment focuses on preventing a recurrence. People who have suffered a manic episode must continue taking medicine(s) to control bipolar disorder. This usually includes a mood stabilizer and an antipsychotic medicine. Other medicines may also be recommended if, for example, a single drug is not helpful or you cannot tolerate the side effects.
Psychotherapy (counseling) — Although medicines are the treatment of choice for bipolar disorder, counseling and talk therapy also have an important role in treatment. This is especially true after an acute episode has passed. Psychotherapy may include individual counseling as well as education, marital and family therapy, or treatment of alcohol and/or drug abuse. Therapy can help you to stick with your medicine, which can decrease the risk of relapse and the need for hospitalization.
To learn more about your diagnosis and how to manage it, check out these reliable, fact-based links:
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New Journeys: A program for patients recently diagnosed with bipolar disorder: www.newjourneyswashington.org/
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The Depression and Bipolar Support Alliance https://www.dbsalliance.org/
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www.dbsalliance.org/education/bipolar-disorder/5-steps-to-take-after-a-bipolar-disorder-diagnosis/
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www.dbsalliance.org/pdfs/brochures/printable/Just_Diagnosed_Printable_Version.pdf
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www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Bipolar-Disorder/
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www.ibpf.org/about-bipolar-disorder/i-am-newly-diagnosed-with-bipolar/
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www.helpguide.org/articles/bipolar-disorder/living-with-bipolar-disorder.htm
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www.everydayhealth.com/bipolar-disorder/a-therapist-speaks-myths-and-facts-about-lithium-treatment/
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www.everydayhealth.com/bipolar-disorder-pictures/famous-people-with-bipolar-disorder.aspx
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www.webmd.com/bipolar-disorder/living-healthy-life-with-bipolar
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www.healthline.com/health/bipolar-disorder/mixed-state-bipolar#risk-factors
What is Bipolar 2?
Bipolar II disorder involves a major depressive episode lasting at least 2 weeks and at least one hypomanic episode. People with bipolar II disorder typically don’t experience manic episodes intense enough to require hospitalization. Doctors sometimes misdiagnose bipolar II disorder as depression since depressive symptoms may be the primary symptom when the person seeks medical attention. When there are no manic episodes to suggest bipolar disorder, the depressive symptoms become the focus. Most people think of bipolar I as the more severe condition since manic episodes can be more intense and require hospitalization, and bipolar I may often be more challenging to treat, too. However, research suggests that depressive episodes in bipolar II may be more frequent and longer than in bipolar I and persist longer through life because it is more challenging to identify this diagnosis. You may get a diagnosis of bipolar 2 if you have experienced both of the following:
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At least one depressive episode. We know what that looks like.
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Symptoms of hypomania that have lasted at least four days (at least 1 episode). Well, what is hypomania?
Feelings: During a hypomanic episode, you may feel
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Happy, joyful or a sense of wellbeing
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Very excited or uncontrollably excited
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Like you can't get your words out fast enough
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Irritable or agitated
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Increased sexual energy
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Easily distracted – like your thoughts are racing or you can't concentrate
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Confident or adventurous
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Like you’re untouchable or can't be harmed (more likely in mania)
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Like you can perform physical and mental tasks better than normal
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Like you need less sleep than usual
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Very focused or determined to complete certain tasks or projects
Behaviours: During a hypomanic episode, you might:
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Be more active than usual
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Talk a lot, speak very quickly, or not make sense to other people
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Be very friendly to others
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Say or do things that are inappropriate and out of character
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Sleep very little or not at all
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Act rudely or aggressively
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Misuse drugs or alcohol
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Spend money excessively or in a way that is unusual for you
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Lose social inhibitions
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Take risks with your safety
Stable or neutral periods
It's common to have stable or neutral periods in between episodes. This doesn't mean that you have no emotions during this time. It means that you're not currently experiencing mania, hypomania or depression, or that you're managing your symptoms effectively. You might find you feel stable for years in between episodes. Or your periods of stability might be much shorter. Stable periods can feel like a relief. But they can also feel challenging in their own way. You may feel:
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Happy, calm or relieved
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Worried about becoming unwell again
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Embarrassed or guilty about things you did or said when you were unwell
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Like you have lots to sort out or catch up on
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Like you have to 'get back to normal life' straight away
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That you miss elements of your life or personality from when you were unwell
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Unsure about whether to continue with medication or other treatment
Read more here:
OCD
Obsessive-compulsive disorder (OCD) is a long-lasting disorder in which a person experiences uncontrollable and recurring thoughts (obsessions), engages in repetitive behaviors (compulsions), or both. People with OCD have time-consuming symptoms that can cause significant distress or interfere with daily life.
PTSD
Post-traumatic stress disorder (PTSD) is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event. It is natural to feel afraid during and after a traumatic situation. Fear is a part of the body's “fight-or-flight” response, which helps us avoid or respond to potential danger.
Schizophrenia
Schizophrenia is a serious mental health condition that affects how people think, feel and behave. It may result in a mix of hallucinations, delusions, and disorganized thinking and behavior. Hallucinations involve seeing things or hearing voices that aren't observed by others.