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Bipolar disorder is a complex lifelong illness. It affects approximately 1-2% of the global population and can significantly impair daily functioning if left untreated. In Australia, bipolar disorder is a prevalent concern, with an estimated 2.2% of the population affected. Access to mental health services and support networks is crucial. Early diagnosis and appropriate treatment help individuals lead fulfilling lives despite the challenges posed by bipolar disorder.
To address the complex needs of individuals grappling with bipolar disorder, our luxury treatment center for bipolar disorder has emerged as a savior, offering tailored care and support. Our institute is equipped with state-of-the-art facilities and staffed by experienced professionals, catering to the unique requirements of executives and high-profile individuals seeking discreet and specialized treatment.
Providing a holistic approach that combines talk therapy, medication management, and lifestyle interventions, our approach aims to empower individuals with bipolar disorder in Australia to regain stability and enhance their overall well-being.
Bipolar disorder (previously called manic depression or manic-depressive illness) is a mental disorder that causes strange and unusual shifts in an individual’s mood, energy, function levels, and focus. These periods of abrupt change can make it hard to carry out everyday tasks [1].
Bipolar Disorder is classified into three broader types [1]. These comprise clear changes in energy, mood, and functioning levels. Mood can vary from periods of extremely joyful, energized, or irritable behavior (manic episodes) to very sad, indifferent, frustrated, or hopeless periods (depressive episodes). Less severe manic phases are termed hypomanic episodes.
Bipolar I disorder: It is characterized by manic episodes that last for at least a week (almost every day for most of the day) or by manic symptoms that are so stern that the individual will need instant medical care. Typically, depressive episodes occur as well, usually lasting at least 2 weeks. Episodes of depression with mixed features (having manic symptoms and depressive symptoms at the same time) are also possible. Having four or more episodes of depression or mania within 1 year is often termed rapid cycling.
Bipolar II disorder: It is characterized by a certain pattern of hypomanic and depressive episodes. The hypomanic episodes, as the name suggests, are less severe symptoms than the manic episodes in bipolar I disorder.
Cyclothymic disorder: It is characterized by recurring highs and lows that are not severe enough or do not last long enough to be qualified as hypomanic or depressive episodes.
Occasionally a person might have symptoms of bipolar disorder that do not fall in the three categories mentioned above, and this is termed as “other specified and unspecified bipolar and related disorders”.
Even though there may be many similarities between Borderline Personality Disorder (BPD) and bipolar disorder concerning their symptoms, the fact is that both of the mental health ailments are completely different and unique from each other.
BPD is a mental disorder characterized by long-term patterns of abrupt, moment-to-moment shifts in behavior, mood, and self-image. Such changes are often triggered by conflicts in interaction with other people. Nonsuicidal self-injury is also common in BPD, but not in bipolar disorder.
Bipolar disorder involves distinct longer-lasting episodes of mania/hypomania, and sometimes depression. Many things may be noted as precursors to or may precipitate, a manic or depressive episode and include changes in sleep, medications, stressful life events, and substance use.
In the last several decades, the world of medicine, and more specifically its sub-fields that have dealt with psychiatric problems, has tried to be more deliberate about withdrawing earlier descriptions that included such terms as "manic-depressive illness", “bipolar depression” and "manic depression" in characterizing bipolar disorder, and here are reasons further justifying such a move:
The term, “manic depression,” was officially replaced because mental health professionals often used it while describing a wide-ranging umbrella diagnosis for mental health conditions. “Manic depression” was replaced by the new term "bipolar disorder," for what seems to offer more clarity than ever before in diagnosis. While the Diagnostic and Statistical Manual of Mental Disorders (DSM), among other current mental health condition classification systems, seems to be a likely reason.
Another reason for this change is that these two terms contain an incredible amount of stigma and negativity, partly through the root word "maniac." Similarly, the word "depression" is used loosely when people exhibit periods of sadness, which should not be considered clinical depression. "Bipolar disorder" takes the focus away from these two words. "Bipolar disorder" has more of a clinical, medical sound to it and fewer emotional connotations than "manic depression [1].
So how common is bipolar disorder in Australia?
Around 1 in 50 adult Australians (2.2%) experience any form of bipolar each year.
Bipolar disorder is the 9th leading contributor to the burden of disease and injury in Australia among females aged 15-24 years [2].
In men of the same age, it is the 10th primary contributor.
Research studies in Australia have shown that the average age of symptom onset is 17.5 years.
The same research shows that there was a delay of approximately 12.5 years before a diagnosis of bipolar disorder was made.
As per the Black Dog Institute, a chief research body centered at Sydney’s Prince of Wales Hospital, bipolar disorder is mainly inherited through genetics and can be prompted by elements comprising pregnancy, stress, and illicit drug use [3].
Bipolar Spectrum Disorders (incorporating both sub-threshold and severe forms of Bipolar) cost the Australian Government $7.39 billion each year.
The usual cost per person is $13,013 per year, with Bipolar affecting 2.2% of the Australian population [4].
The cost is concentrated on income support, hospitalization, and related services.
Even though bipolar disorder causes classic mania and depression symptoms are common across genders and ages, the manifestation of mania and depression with bipolar disorder can be expressed differently among men, women, and children.
Here goes the break-up:
Mania: The individual in a state of mania can continually act impulsively and dangerously. They could also show more anger, irritability, and aggression than was typical. Perhaps they are more prone to substance misuse or to the dangers involved in certain activities, such as gambling going on spending binges, or risking exposure to STDs through reckless sexual behavior.
Depression: The manifestation of depression in men with bipolar disorder is largely evidenced as irritability or aggression, workaholism, and sometimes even social withdrawal. Other related symptoms may include not involving sad feelings or acts of hopelessness [1].
Hypomania: Women with a diagnosis of bipolar disorder may be more likely to experience hypomanic states—a milder form of mania, but often highly impairing and disruptive to day to day life. They could also be more likely to exhibit some symptoms of racing thoughts, anxiety, agitation, or trouble concentrating.
Depression: Most women have an escalated risk of experiencing depression with bipolar disorder also tends to surface during hormonal changes and most at most times are often linked to menstruation and childbirth, then they will tend to have more fatigue and changes in appetite than men.
Mood Swings: The mood may swing in the kids suffering from bipolar disorders very rapidly and waft. This might switch very quickly from one mood to another, from too excited to angry, maybe sad.
Irritability: This is a more common characteristic in kids with bipolar disorder in comparison with adults. Such kids are likely to throw frequent arguments and also temper tantrums.
Focus And Difficulty In Learning: Such children often have a problem focusing in school or completing even the simplest of things. In the case of manic phases, a child is hyperactive and remains uninterested in activities during the depressive phase.
Elevated mood: Having feelings of happiness, elation, and energy for a long time without a strong stimulus.
Racing thoughts: To think about a lot of different things all the time and switch from one to the other very quickly.
Increased energy and activity: The feeling of restlessness and inability to stay in a single position.
Inflated self-esteem: Having a greatly enthusiastic view of yourself or yourself being your hero.
Decreased need for sleep: Sometimes thinking that you don't need to sleep, or you are unable to sleep even if you try which is a late symptom of depression.
Talkative behavior: Fast speaking, especially on subjects that are not important.
Impulsive behavior: A failure to use their reason to think about the results of their actions, for instance, spending parties, driving fast, or risky sexual behavior.
Poor judgment: Involving ourselves in activities that can endanger us, such as substance abuse.
Feeling sad or hopeless: Feeling dejection or upset all through the day regularly.
Loss of interest or pleasure in activities: Losing interest is something you used to enjoy.
Changes in appetite or weight: Substantial weight loss or gain (not through dieting)
Changes in sleep patterns: Oversleeping inability to sleep or restless sleep.
Feeling restless or slowed down: Having a hard time with the pace or daily function, feeling either fast or slow in your movements.
Decreased energy or fatigue: Feelings of tiredness or without energy for no obvious reasons.
Difficulty concentrating or making decisions: Issues with inability to fully concentrate on work or making decisions.
Feelings of worthlessness or guilt: Looking at yourself as a failure or useless and feeling too much guilt.
Recurrent thoughts of death or suicide: Getting ideas of suicide or death or planning to commit suicide [1].
To diagnose bipolar disorder, the mental health professionals may use tools and assessments, including:
To be diagnosed with bipolar disorder, one must have gone through the experiences of at least one episode of mania or hypomania. Mental health specialists rely upon the Diagnostic and Statistical Manual of Mental Disorders (DSM) to conduct a proper diagnosis of the type of bipolar disorder a patient may be suffering from.
To ensure that you have bipolar disorder, your mental health practitioner will assess your symptoms' pattern and how they impact you most when the episodes are at their worst.
People with bipolar disorder are more likely to also have the following mental health conditions:
Moreover, the function of memory is profoundly impaired during mania episodes therefore the patient cannot remember having it, it is a difficult task for physicians to diagnose patients with bipolar disorder correctly.
The fact that bipolar disorder patients have mania symptoms, including hallucinations can be misdiagnosed with schizophrenia, emphasizes the significance of proper diagnosis and hence, proper treatment. BPD is another similar condition that could be a misdiagnosis in bipolar disorder patients.
You need to be as truthful and comprehensive as you can be while you are describing your symptoms and experiences to your mental health professional in a private setting. The addition of a close person to your private conversations with the care provider may be useful for providing some extra information concerning your mental health history.
There's no definite way to prevent bipolar disorder. Nonetheless, timely mental health treatment could save someone from a mental health disorder that gets much worse later in life, be it bipolar disorder or another condition.
If you've been diagnosed with bipolar disorder, some strategies can help prevent minor symptoms from becoming full-blown episodes of mania or depression:
Pay Attention To The Warning Signs: Providing early care of symptoms can stop episodes of worsening. It is possible that you may have discovered a trend or what makes you tend to go into bipolar episodes. Call your doctor immediately if you feel like you fall into a depression or mania period. Include family members or friends on the list of possible warning signs.
Avoid Drugs And Alcohol: Drinking alcohol or taking recreational drugs may exacerbate your symptoms and make the relapse more likely.
Follow Your Prescription Exactly As Directed: You may find yourself grappling with the idea — don't. Discontinuing your prescription on your own or lowering dosage may cause side effects or symptoms may come back [5].
Treatment is best started under the guidance of a doctor who specializes in mental health conditions or mental disorders (psychiatrist) who is skilled in treating bipolar and related disorders.
You could be assigned to a team of mental health care practitioners, such as a psychologist, social worker, and psychiatric nurse.
Bipolar is a chronic disease. Treatment is geared toward managing the symptoms.
Medications: In fact, many times you will need to start on meds to stabilize your moods from the get-go.
Continued treatment: For bipolar disorder, this treatment involves medications for life including periods when you feel you are fine. People who miss maintenance treatment have a particularly high risk of symptom relapse or minor mood disturbance turning into full-fledged mania or depression.
Day treatment programs: Your doctor might prescribe a short-term stay at a day treatment facility. Such programs offer the support and counseling needed for you to regain control over symptoms.
Substance abuse treatment: We also have substance abuse treatment in case you have a habit of alcohol or drugs. Otherwise, the management of bipolar disorder can be adamant.
Hospitalization: Your doctor will order you to be hospitalized if he/she thinks you are becoming a threat to yourself especially if you have suicidal thoughts or are detached from reality (psychotic). Being in a psychiatric hospital can be very helpful in keeping you calm and guided because it helps stabilize your mood whether you are going through a manic episode or major depressive episode [6].
Many medications help in the treatment of bipolar disorder. The types and amounts of medication are tailor-made based on your specific symptoms.
Medications may include:
Mood Stabilizers: Usually you will need to take anti-manic remedies that help to control manic or hypomanic episodes. Illustrations of mood stabilizers are Lithium, divalproex sodium, valproic acid, lamotrigine and carbamazepine.
Antipsychotics: If depression or mania symptoms do not resolve even after other medications, adding antipsychotic drugs such as risperidone, olanzapine, aripiprazole, quetiapine, ziprasidone, asenapine or lurasidone. Your doctor could opt for a combination of some of these medicines or with a mood stabilizer alone.
Antidepressants: Your doctor could include an antidepressant to help with mood regulation. The administration of an antidepressant may cause manic episodes and hence, it is commonly used along with a mood stabilizer or antipsychotic.
Antidepressant-Antipsychotic: Symbyax, which is a combination of the antipsychotic olanzapine and the antidepressant fluoxetine, is the treatment of choice. It does both the role of an antidepressant and a mood stabilizer.
Anti-Anxiety Medications: Benzodiazepines are the primary treatment for anxiety and insomnia, but they are given for a short time only.
A variety of medicines used for treating bipolar disorder can cause birth defects in infants or even pass into the breast milk. Some drugs should be avoided during pregnancy, eg valproic acid and divalproex sodium. Furthermore, contraceptives may be ineffective when taken along with certain mood stabilizers or anti-depressants [5].
Discuss your treatment options with your doctor before it is too late, especially if you happen to be pregnant. If you are taking medicine for your bipolar disorder and you feel that you may be pregnant, talk to your doctor immediately.
Psychotherapy is a very crucial part of Bipolar disorder treatment and can take place in individual, family, or group settings. Different types of therapies can be helpful in this regard.
These include:
Psychoeducation: The knowledge of bipolar disorder (psychoeducation) can help you and your loved ones understand the condition, and this will be an advantage in fighting the condition. Understanding what happens is a step toward getting the best support, recognizing issues, making a plan to prevent relapses, and sticking to treatment.
Interpersonal And Social Rhythm Therapy (IPSRT): IPSRT is key in normalizing and consolidating daily activities like eating, sleeping, and waking in its routine. A systematic routine for day-to-day activities assists in mood management. Folks with bipolar disorder may turn out to be more productive if they try to have a schedule for sleep, eating, and working.
Family Focused Therapy: The family members' involvement and communication can keep you on treatment and in line with your treatment plan. Also, both you and your loved one should be on the lookout for any warning signs to help minimize mood swings.
Cognitive Behavioral Therapy (CBT): The approach is to zero on the unhealthy, negative thoughts and behaviors and change them with good, positive ones. CBT may help pinpoint what you experience during your bipolar episodes. Another important thing you gain from this experience is the knowledge of tools to deal with stress and to handle difficult situations.
Besides that, depending on your particular needs, other treatments may be implemented in your depression therapy.
Electroconvulsive therapy (ECT) uses electrical currents to induce a brief seizure that passes through the brain intentionally. It seems that ECT causes changes in brain chemicals and brain structure (in certain cases) that result in the reversal of symptoms in some mental illnesses. ECT may be considered if you don't respond to medications, you can't take antidepressants due to other health disorders, or you have a high suicide risk.
Transcranial magnetic stimulation (TMS) is being tried out as a prospective solution for those who didn’t respond significantly to antidepressants.
The treatment plan tailored for children and teenagers usually varies from one patient to another, taking into account the severity of the symptoms, drug side effects, and other factors.
Generally, treatment includes:
Medications: Bipolar kids and teens are usually administered the same type of drugs as those prescribed for adults. There is, however, little research on the safety and effectiveness of bipolar drugs in the children population compared to the adults so most of the treatment decisions are made based on adult research.
Psychotherapy: Getting the first and subsequent treatment can prevent them from relapsing. Psychotherapy can help children and teens develop a routine, in addition to coping skills, address learning difficulties, solve social conflicts, and strengthen family ties and communication. Lastly, in the case of juveniles with bipolar disorder, it can also help to address the substance abuse issues that are common in children and teens.
Psychoeducation: Learning about bipolar symptoms and their distinction from those normal behaviors related to the developmental stage of your child, the situation, or culture will be among the facets of psychoeducation. When you come to know about bipolar disorder, you will be armed with enough knowledge to support your child.
Support: Cooperating with teachers and counselors of the school and requesting family and friends for support helps get knowledge of services and ensure success [6].
Educate Yourself: Learn about bipolar disorder to get insight into their experience. Listen to the given audio and summarize the key ideas in your own words.
Encourage Treatment: Help them to find the appropriate help and stick to the prescribed treatment.
Be a Listening Ear: Provide support and be empathetic with an open mind.
Identify Triggers: Work with them to detect and avoid situations that provoke their symptoms.
Maintain Routine: Help set up sleep, meals, and activity schedules at regular intervals.
Practice Self-Care: Don't be selfish when it comes to the support of them.
Set Boundaries: It is fine to say no to outrageous requests during manic episodes.
Seek Additional Support: Involve support groups for you and your family members.
Our extravagant bipolar disorder treatment institution provides a luxurious level of care and comfort while addressing the unique requirements of our clients who are mostly coping with this complex mental health problem. Our gated havens provide outsourced services and a variety of amenities that are designed to positively affect healing, stability, and overall life quality.
Our first-class inpatient bipolar treatment center provides people with all-around treatment in silent and lavish surroundings.
Here's what typically happens:
Personalized Treatment Plans: On arrival, the goal is to carry out a comprehensive evaluation of each person and get a personalized treatment plan that is customized to their wishes and needs.
Evidence-Based Therapies: Our clinics specialize in applying different evidence-based therapy approaches that are based on CBT, DBT, and IPT, which are all conducted by qualified mental health professionals.
Medication Management: Our psychiatrists with skills monitor medication management to make sure that affected individuals receive only the best pharmacological interventions to manage symptoms and mood changes.
Holistic Approach: Our luxury centers for treatment use a holistic approach. We not only address the symptoms of bipolar disorders but also the factors that cause them. This could also involve nutrition counseling, mindfulness exercises, fitness classes, and stress management techniques.
24/7 Support and Monitoring: Our clients benefit from being checked up and monitored by our staff who are prepared and compassionate 24/7, hence they can be sure that they will receive assistance whenever the need arises.
Individualized Attention: Because of a smaller staff-to-patient number, our clients receive more individualized attention and care which enables healthcare workers to grasp the particular dissimilarities and problems of the patients.
Luxurious Amenities: Our executive bipolar treatment center flaunts lavish amenities such as gourmet food, yoga classes, and comfortable accommodations to create a relaxing as well as nurturing setting, which is ideal for healing and recovery.
Discreet and Confidential: Our guests can be confident that their privacy and confidentiality will be respected as the hotel can provide discreet services and rooms that comply with the business executives’ demands.
Comprehensive Care: Through the use of different therapeutic modalities and holistic approaches, our luxury treatment center provides comprehensive care that takes care of the physical, emotional, and psychological symptoms of bipolar disorder, which promotes long-term wellness and resilience.
1. Mayo Clinic. Bipolar disorder; Symptoms & Causes. https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/symptoms-causes/syc-20355955
2. QIMR Berghofer Research Medical Institute. Bipolar Disorder. https://www.qimrberghofer.edu.au/our-research/mental-health-and-neuroscience/bipolar-disorder/
3. Bipolar Australia. What is Bipolar? https://www.bipolaraustralia.org.au/bipolar-information
4. Bipolar Australia. Achieving Cost Savings in Bipolar Disorder – A Preliminary Evaluation. https://www.pc.gov.au/__data/assets/pdf_file/0005/250862/sub781-mental-health-attachment.pdf
5. Cleveland Clinic. Bipolar Disorder. https://my.clevelandclinic.org/health/diseases/9294-bipolar-disorder
6. Mayo Clinic. Bipolar disorder; Diagnosis & Treatment. https://www.mayoclinic.org/diseases-conditions/bipolar-disorder/diagnosis-treatment/drc-20355961
The Balance RehabClinic is a leading provider of luxury addiction and mental health treatment for affluent individuals and their families, offering a blend of innovative science and holistic methods with unparalleled individualised care.