Table of Contents
With thanks… xi
A word Paul Abbott xv
A word Jo Crocker xviii
A word Professor Steven Jones xxi
Introduction: Is This Book for You? 1
Chapter 1 Causes, Symptoms and Diagnosis 21
Q1 What is bipolar disorder? 21
Q2 Why was manic depression renamed bipolar disorder? 22
Q3 What is the difference between Bipolar I, II and III? 23
Q4 What is cyclothymia? 24
Q5 Is there an age or gender profile for people with bipolar disorder? 24
Q6 What are the symptoms of bipolar disorder? 25
Q7 What is depression? 28
Q8 What is hypomania? 31
Q9 What is a manic episode? 32
Q10 What is psychosis? 35
Q11 What are the mixed features of bipolar disorder? 37
Q12 What are the less recognized symptoms of bipolar disorder? 38
Q13 Are the symptoms of bipolar disorder linked to the symptoms of seasonal affective disorder? 41
Q14 What is schizoaffective disorder? 43
Q15 What is borderline personality disorder? 43
Q16 What is the link between bipolar disorder and addiction? 45
Q17 What impact does bipolar disorder have on someone's physical health? 45
Q18 Can bipolar disorder cause thyroid problems? 48
Q19 What causes bipolar disorder? 48
Q20 Is there an increased risk of bipolar disorder for other family members? 50
Q21 Is it possible to have genetic testing for bipolar disorder? 52
Q22 Is It possible for a child to have bipolar disorder? 54
Q23 Are the symptoms of bipolar disorder different in children? 57
Q24 Is bipolar disorder ever diagnosed in older adults? 59
Q25 Why is bipolar disorder often misdiagnosed? 60
Q26 What can someone do if they think a loved one might have undiagnosed bipolar disorder? 63
Q27 How is bipolar disorder usually diagnosed? 64
Q28 What happens once a diagnosis of bipolar disorder is made? 67
Chapter 2 Treatment 71
Q29 What is the most effective way to treat bipolar disorder? 71
Q30 Are there official treatment guidelines for bipolar disorder? 73
Q31 What is psychological treatment, such as cognitive behavioural therapy? 75
Q32 How can someone with bipolar disorder get psychological treatment? 84
Q33 What drugs are used in the treatment of bipolar disorder? 87
Q34 What does someone with bipolar disorder (or someone with a family history of bipolar disorder) need to know about antidepressants? 93
Q35 What new drugs are in the pipeline for bipolar disorder? 95
Q36 Does someone with bipolar disorder need to take medication for the rest of his or her life? 97
Q37 Will drugs encourage weight gain? 100
Q38 How can someone with bipolar self-manage their treatment? 102
Q39 What is electroconvulsive therapy? 104
Q40 What is repetitive transcranial magnetic stimulation? 107
Q41 How can the symptoms of seasonal affective disorder be effectively treated? 107
Q42 What is the best course of action if a child shows symptoms of bipolar disorder? 108
Q43 Does treatment need to be different for older people who have bipolar disorder? 111
Q44 What is an 'advance decision'? 112
Chapter 3 Support 115
Q45 What professionals support someone with a bipolar diagnosis? 115
Q46 What is an advocate? 127
Q47 What role do family and friends play in the recovery of someone with a diagnosis of bipolar disorder? 128
Q48 On a practical level, how can family and friends help someone with a diagnosis of bipolar disorder? 131
Q49 On an emotional level, how can family and friends help someone with a diagnosis of bipolar disorder? 134
Q50 If someone with a bipolar diagnosis feels suicidal or is self-harming, what is the best course of action? 136
Q51 What is the best way for a loved one to cope during the really tough times? 144
Q52 What support do mental health charities offer? 149
Chapter 4 Hospital Care 152
Q53 What are psychiatric hospitals like? 152
Q54 What is an 'informal' patient in a psychiatric hospital? 160
Q55 What does it mean if somebody is sectioned? 160
Q56 Are there different types of sectioning procedures? 164
Q57 Can someone refuse to be sectioned? 166
Q58 What are a person's rights if they have been sectioned? 166
Q59 Who looks after patients in a psychiatric hospital? 168
Q60 What is a 'nearest relative'? 172
Q61 How can friends and family support a loved one in a psychiatric hospital? 173
Q62 How can friends and family forge a good relationship with those who care for their loved one in a psychiatric hospital? 176
Q63 Do psychiatric hospitals allow smoking? 178
Q64 What happens when a psychiatric patient is well enough to leave hospital? 179
Q65 What are the pros and cons of being treated in a psychiatric hospital? 181
Chapter 5 Lifestyle Choices 184
Q66 Can a healthy lifestyle lower the chance of relapse for someone with bipolar disorder and reduce the risk of developing it in the first place? 184
Q67 What is the link between stress and mood swings? 185
Q68 How can regular sleep patterns help to control symptoms of bipolar disorder? 187
Q69 How does exercise affect bipolar symptoms? 191
Q70 Can complementary therapies help control bipolar symptoms? 192
Q71 How can meditation and mindfulness help control bipolar symptoms? 196
Q72 What dietary changes can help control the symptoms of bipolar disorder? 198
Q73 What is the 'Mind Meal'? 204
Q74 Can nutritional supplements minimize the symptoms of bipolar disorder? 206
Q75 Can herbal remedies help control bipolar symptoms? 212
Q76 How does nicotine affect bipolar symptoms? 213
Q77 How does caffeine affect bipolar symptoms? 216
Q78 How does alcohol affect bipolar symptoms? 219
Q79 Can over-the-counter medications be' harmful for someone with bipolar disorder? 222
Q80 Can prescription drugs taken for conditions other than bipolar disorder influence recovery? 223
Q81 How do recreational drugs affect those with a bipolar diagnosis? 223
Chapter 6 Living with Bipolar 229
Q82 Is there still a stigma around bipolar disorder? 229
Q83 What is the best way to explain to a child that their parent has been diagnosed with bipolar disorder? 235
Q84 Is a person with a bipolar diagnosis legally obliged to inform their employer? 237
Q85 What is the most sensible way for a woman with bipolar disorder to approach pregnancy? 242
Q86 What is the most sensible way for someone with bipolar disorder to approach university life? 244
Q87 How can someone with bipolar manage their money? 247
Q88 What is a 'lasting power of attorney'? 248
Q89 What is the best way to make a complaint about any aspects of care? 249
Q90 Where can somebody with a bipolar diagnosis get insurance? 251
Q91 Is it ever unsafe for someone with a bipolar diagnosis to drive? 252
Q92 What well-known people have/had bipolar disorder? 253
Q93 Can a diagnosis of bipolar disorder ever be a positive thing? 261
Q94 What does the future hold for bipolar disorder? 263
Extra resources 267
Glossary 281
Index 287