Signs and Symptoms of Bipolar Disorder
On average, it may take up to 6 years for someone to get a bipolar disorder diagnosis. This could be due to the difficulty of differentiating it from depression. It could also be due to the presence of a co-occurring disorder or addiction.
The American Journal of Managed Care says 56 percent of bipolar people have an addiction. Alcohol is the substance bipolar people abuse the most. Such substances complicate the disorder screening process. They make it difficult to make a timely and accurate diagnosis.
It’s tough to diagnose young patients as well. That’s because teenagers are at the age where they can experience constant mood swings. Some of them also experiment with many drugs. This skews the results of their medical checkups.
Patients go through about three incorrect diagnoses before doctors discover they are bipolar. Dr Wes Burgess wrote that in “Bipolar Handbook: Real-Life Questions with Up-to-Date Answers”. This means people suffer from their symptoms for years before they get treatment.
The problem with this condition going untreated is it may destroy the person’s life. It leads to bankruptcy, risky behavior, substance abuse, deteriorating relationships, and death. Moreover, struggling to understand ones risky actions can cause more stress.
As mentioned earlier, the various symptoms appear during one of the patient’s episodes. Out of the normal phase, the patient will be in a depressive or manic state.
In the manic state, the patient feels ‘high’ or ‘wired’. Wired is a term meaning someone is over stimulated, overexcited or overactive. Thus, the individual engages in irresponsible behaviors, such as going on spending sprees. They may also engage in reckless sexual behaviors.
Other symptoms include having distracted and racing thoughts, being talkative, and being sleepless.
With depressive episodes, the individual feels sad and empty. They feel weak, tired, and lethargic. They no longer find pleasure in activities they used to like. Plus, they don’t feel like doing anything.
Depressed people are unable to think critically or concentrate. They also become forgetful. Moreover, they carry a lot of guilt and feelings of worthlessness. They no longer socialize and this makes them very lonely. They may start isolating themselves on purpose.
Unlike the manic who doesn’t sleep, the depressed person goes from one extreme to the next. At night, they suffer from insomnia. Even if they manage to sleep, they keep waking up during the night. Then, during the day, they feel very sleepy and end up sleeping for long hours.
If this depressive state lasts long, the patient may start contemplating suicide. They feel no one loves them anymore. They also believe no one will miss them when they are gone. They think it would be better for everyone if they were no longer alive.
Aside from these two extreme states, there’s also a fourth state called hypomania. This is a less severe form of mania. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) sees hypomania as distinct from mania.
Hypomania is the first stage of manic episodes. It lacks the symptom of psychosis that defines mania. It appears during the mid to late teenage years. The difference between mania and hypomania is the hypomanic remains functional and productive.
Some prescription drugs such as norepinephrine can trigger hypomania. Such effects make people worry prescription pills are more dangerous than illicit drugs. The good news is lowering the dosage of the pills will remove the bad side effect. Alternatively, the patient can withdraw from or change the medication.
When hypomania gets extreme, it has the name hyperthymia. This is a state where the patient experiences hypomania on a long-term basis. Yet, hyperthymia is more stable. It has the following symptoms:
- High-energy and tirelessness
- Extroversion and attention seeking behavior
- High productivity and performance
- Extreme talkativeness and tendency to repeat oneself
- Risk-taking behavior
- Strong sex drive
Let’s take a deeper look at the types of bipolar disorder.
7 Signs That Your Family Member Is Struggling with Addiction
“Does this mean that families have no role to play in the miraculous process of recovery? On the contrary…Studies have shown time and again that addicts who feel connected to a family that supports the recovery (even if that family is just one person) have a better chance of staying clean then those who believe that no one cares.”
~Beverly Conyers, Addict in the Family: Stories of Loss, Hope, and Recovery
It’s not always easy to tell when a loved one is suffering from a substance abuse disorder, whether it is an addiction to alcohol, illegal drugs, or prescription medications. The disease of addiction can affect anyone – including those in your own family – and early detection, timely intervention, and effective treatment are the best ways to maximize the chances of a lasting recovery.
The fact of the matter is, if you have suspicions that someone close to you is struggling with an addiction, you are probably right. If you want to confirm those suspicions so you can get your loved one help, here are some things to look for:
Addiction Sign #1 – Changes in Physical Appearance
Addiction is a progressive disease that always takes a physical toll on the substance abuser. Some of the telltale physical signs of an addiction are:
- Rapid weight loss or gain
- Lack of personal hygiene
- Changing grooming habits
- Loss of pride in physical appearance
- Dressing differently than normal
- Needle marks on the arms or legs
- Bloodshot eyes
- Dilated pupils
- Open Sores
- Severe Tooth Decay
- Puffiness around the face
- Constantly scratching
Addiction Sign #2 –Changes in Attitude
Addiction can “hijack” a person’s brain to the point where the ONLY thing that is important to them is the abused substance. Some indications that this may be happening are:
- Loss of interest in formally-enjoyable hobbies
- Neglect of skills and talents
- General apathy or disinterest in everything
- Social withdrawal
Addiction Sign #3 – Rapid Mood Swings or Mental/Emotional Abnormalities
A person in the throes of an active addiction has almost no control over their moods or behaviors and may swing from one end of the emotional spectrum to the other with no warning.
- Extreme mood swings
- Difficulty in following through or completing projects
- Uncharacteristic sexual appetite or behaviors
- Inability to focus or concentrate
- Preoccupation with mundane or repetitive tasks
Addiction Sign #4 – Secretive Behavior
Addiction is a disease that requires secrecy on the part of the substance abuser in order to progress. Therefore, a person caught within an active addiction will:
- Lie or give evasive answers about their actions and whereabouts
- Hide or steal money
- Isolate themselves for long periods of time
- Receive or make phone calls/texts at odd hours
- Become extremely possessive about their phone, to the point that they step away, delete all messages, or uncharacteristically lock their phones/change passwords
Addiction Sign #5 – Changes in Energy Levels
Substance abuse can have a major effect on a person’s energy levels and sleep patterns, depending upon the intoxicant of choice. Signs to look for include:
- Bursts of manic activity
- “Stream-of-consciousness” talkativeness
- Going long periods without sleep
- Extreme drowsiness
- Passing out
- Excessive sleeping
Addiction Sign #6 – Drug Paraphernalia
Specific drugs require different articles to ease usage. Substance abuse can be evidenced by:
- Empty liquor bottles, beer cans, or medicine containers
- Rolling papers
- Small glass or metal pipes
- Marijuana bongs
- Burnt metal spoons
- Plastic baggies
- Razor blades
- Small mirrors
- Straws or small tubes
- Steel wool
Addiction Sign #7 –Mounting Consequences
Addiction is a disease that leaves a path of destruction in its wake. No matter how “careful” the substance abuser is, there will eventually start to be a negative impact upon their life.
- Difficulties at work – excessive absences, disciplinary actions, or job loss
- Problems at school
- Financial difficulties – missing money, late payments, repossessions, maxed-out credit cards
- DUI or Public Intoxication charges
- Car Wrecks
- Injuries or illness
Substance abuse disorders progress differently in every individual, but if your loved one is exhibiting several of these signs, you may have cause for concern. If this is the case, it is best that you seek the services of a professional interventionist or substance abuse counselor.
If you live anywhere in the Treasure Valley, your best resource for getting the help you need is Northpoint Recovery—Idaho’s premier inpatient drug and alcohol rehabilitation facility.
Monitored 24 hours a day by trained medical personnel and possessing the best staff-to-patient ratio in the region, Northpoint offers a safe, therapeutic environment and an empirically-based treatment program that maximizes the chances of achieving long-lasting sobriety and return to a healthier life.
Helping Families: Breaking Free from Codependency
“It’s amazing how many people still don’t understand codependency, even when it is consuming them and those they love. The need to fix others is always easier than accepting we are codependent and need help.”
~Jeanette E. Menter, Christian Lay Counselor and author of You’re Not Crazy—You’re Codependent: What Everyone Affected by Addiction, Abuse, Trauma, or Toxic Shame Needs to Know
In relationships that are healthy, both partners comfortably and confidently rely on each other for help, understanding, and support. The relationship brings something positive to both people’s lives.
Interdependency is a GOOD thing. After all, everyone occasionally needs help from someone else.
However, when you are close to someone with a Substance Use Disorder—alcoholism, illegal drug use, or the abuse of prescription medications—it is far too easy to become trapped within a dysfunctional and desperate downward spiral.
Of course you want to take care of and protect your addicted loved one – it’s only natural. However, when your efforts to “help” the substance abuser result in the neglect of your other important obligations – your family, bills, job, or health – then it indicates a problem. When you are so responsible for that person that you lose yourself, you have developed a codependency.
An Open Letter to the Parents of Adult Alcoholics and Addicts
It is an unbelievably difficult transition.
Your teenaged child who has an extensive personal history of substance abuse has just turned 18, and everything has changed.
They are now adults in the eyes of the law, and you can no longer legally control what they choose to do. As adults, they can do whatever they want, but then they must face the consequences of their actions.
On the other hand, nothing has changed. Adult or not, this is still your child – your flesh and blood. The paltry, arbitrary one-day distinction between 18 years and 17 years and 364 days means nothing to you.
You still feel the same love for them, and consequently, you still feel the pain and heartbreak every time they drink or use. You lose sleep worrying about what will happen to them, and you still feel the need to provide protection.
In some ways, it seems like the pain has gotten worse now that they have moved out of your house. Because they are no longer living at home, you are even more preoccupied about who they are hanging around with, how they are earning their living, and what is going to happen next.
And, if they have been away from home for any appreciable length, you are probably hearing the same old worn out a list of demands that always guilt you into helping them –
“Give me some money because I don’t have any food at my place…no gas…no electricity, etc.”
“They’ll throw me out if you don’t help me.”
“You don’t understand – I’m sick! I’m really hurting. I need the cash or I’ll kill myself.”
Sometimes, the only time you interact with your child is when they want money. You are terrified that if you do not give them what they want, they’ll vanish, go to jail, or maybe even end up dead.
So, you continue to pay for their apartment, you keep on bailing them out, and you keep on writing checks to their lawyers, their therapists, and to the Court, all in a vain attempt to protect them. You almost bankrupt yourself sending them to a treatment program after treatment program, and in return, they drop out before the rehab plan is finished. Even when they complete the program, they turn right back around and relapse immediately.
You continue to give until everyone else in the family suffers. Your nest egg is depleted, funds you set aside for the future of your other children have been frittered away, and your own fiscal stability is gone forever.
Worst of all, all of your sacrifices have been for naught. Your child isn’t improving, you’re arguing with the rest of the family because of all that you have done, and all of your money is going towards drinking and drugging.
Now that you are about to lose your mind, what can you do?
Ask that question of anyone in recovery, and you will invariably get the same answer ––
“Admit to yourself and one other person that you are powerless over alcohol and drugs, and as a result, your life has become unmanageable.”
When you truthfully and sincerely, you will immediately feel as if a crushing weight has been lifted from your shoulders.
Look at it this way–for so very long, you have been waging war against an invincible enemy– addiction – over which you have no power at all. All of your attempts to have destroyed your peace of mind, your personal harmony, and your sanity.
By admitting that you are powerless when it comes to addiction –especially an addiction that belongs to another– you instantly become free from the terrifying responsibility of beating it.
That admission’s second part– that your life has become unmanageable – are you giving yourself permission to seek professional help.
Once you ask for help, you will discover that there are concrete actions that you can take that will help you restore balance to your life.
From this point on, you should concentrate on YOUR life. YOUR sense of peace. YOUR serenity. YOUR sanity. YOUR well-being. YOUR money. The rest of YOUR family. YOUR happiness.
You are not abandoning your child. You simply cannot help another person before you help yourself. You are absolving yourself of any blame for their addiction. You no longer have to shoulder the weight of their substance-abuse problems.
Those are the attitude adjustments that you have to make, personally. When you can do this, you can begin doing those practical things that demonstrate those realizations.
First, QUIT ENABLING your child’s addiction.
Stop giving money to your alcoholic/addict and quit shielding them from the natural repercussions of their behaviors. Consider this–
As long as they suffer no consequences, why should they ever change?
People can only change themselves. In this instance, that just might be sufficient.
When you alter the dynamic of the toxic relationship that you have created with your child, they, also, will be forced to alter their behaviors. What happens as a result is not your responsibility.
At first, they will almost always resist strongly. They may cuss you, weep, bargain, and beg, all in an attempt to get you to return to your old way of interaction. If they have children of their own, they may even try to use them as bargaining chips.
The next thing that you have to do is stand up to your addicted offspring. This is called “tough love”. You have to be firm, for both your sake and theirs.
It will be hard. Because you have stopped the money, you will have to listen to any number of frantic promises and even more guilt trips. Naturally, the part of you that loves them wants to believe those promises and wants to assuage your self-perceived guilt.
If you acquiesce now, you only strengthen their addictive behavior and teach them that there are no consequences resulting from their actions.
FIRST, your child will never stop siphoning off your financial resources and destroying your sanity. Your love for them will be exploited and they will never admit to any personal responsibility for their actions. Worse, they will have no reason to ever seek help.
Quid pro quo should be your watchword. Refuse to give any support without first receiving some sort of provable progress showing how they are getting their life together – treatment program reports, 12-step meeting attendance, counseling sessions, Jim on struggle sobriety, etc.
Any support should be conditional upon their dedication to their own sobriety and recovery. It is permissible to help them find appropriate facilities and programs.
Do not forget – the responsibility for attending, complying, and making progress is completely theirs. The most typical trigger of relapse is an individual’s own mistaken self-image that they are undeserving or incapable of sobering up. They can gain that belief in their self-worth by actually working hard in a drug rehab program
If they have kids, think of the children’s welfare, rather than subjecting yourself to the epithets and insults coming from an addict. Steel yourself to committing to take in your grandchildren yourself or discuss with other members of your family their ability and willingness to do so. It may even be necessary to contact Child Protective Services.
SECONDLY, you need to realize that your adult child can defeat their demons– if they have the right kind of motivation, and if the right alcohol/drug rehab program is chosen.
THIRDLY, don’t forget that you have to concentrate on your own recovery from codependency. Your own actions when you were enabling their addiction have damaged your life and the lives of the rest of your family. You can affect positive healing by focusing on each step in your recovery.
FINALLY, remember that you do not have to go through this alone. There are innumerable 12-step support groups and recovery programs for the loved ones of alcoholics/addicts. The more you use their services, the more you will discover that the sharing your own experiences will reduce the pain and distress that you feel
It is a scary truth that your child is now an adult and can make their own choices. For better or worse, one of those choices might be to continue using and drinking.
In this case, you may not be able to keep them from ruining their life, but the rest of your family doesn’t have to go down as well.
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