Overview

烦躁的躁狂症是具有混合特征的躁郁症的较旧术语。一些心理健康专业人员使用精神分析对待人员可能仍会在此期间指出该疾病。

Bipolar disorderis a mental illness. An estimated 2.8% 美国的人被诊断出患有这种情况。据估计 40% 躁郁症患者经历混合发作。

患有混合功能的双相情感障碍的人经历了情节狂躁,hypomania, 和depressionat the same time. This can make treatment more challenging. Keep reading to learn more about living with this condition.

患有烦躁不安的人会经历相同的经历作为躁郁症的症状— the depression, mania, or hypomania (a milder form of mania) — just at the same time. People with other bipolar types experience mania or depression separately, rather than simultaneously. Experiencing both depression and mania increases the risk of extreme behavior.

People with mixed features experience two to four symptoms of mania along with at least one symptom of depression. Below are some of the common symptoms of depression and mania:

Depression symptoms Mania symptoms
无缘无故或长期悲伤的哭泣发作增加 夸张的自信心和心情
焦虑,烦躁,躁动,愤怒或忧虑 增加烦躁和攻击性行为
睡眠和食欲的明显变化 may require less sleep, or may not feel tired
inability to make decisions, or extreme difficulty making a decision impulsive, easily distracted, and may demonstrate poor judgment
feelings of worthlessness or guilt 可能表现出更大的自我重要性
没有能量或嗜睡的感觉 engages in reckless behavior
social isolation 可能会发生妄想和幻觉
身体疼痛和疼痛
thoughts of self-harm, suicide, or death

If you have mixed features, you could appear euphoric while also crying. Or your thoughts may race while you’re feeling a lack of energy.

People with dysphoric mania are at an increased risk for自杀or violence toward others. If you think someone is at immediate risk of self-harm or hurting another person:

  • Call 911 or your local emergency number.
  • 呆在一起的人等待救护人员的到来。
  • Remove any guns, knives, medications, or other things that may cause harm.
  • 听,但不要判断,争论,威胁或大喊。

If you or someone you know is considering suicide, get help from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255.

Bipolar disorder isn’t fully understood, and no single cause has been identified.可能的原因include:

  • 遗传学
  • a brain chemical imbalance
  • hormonal imbalance
  • environmental factors like mental stress, history of abuse, or a significant loss

Gender doesn’t seem to play a role in determining who will be diagnosed with bipolar disorder. Men and women are diagnosed in similar numbers. Most people are diagnosed between the ages of 15 to 25 years old.

Some risk factors include:

  • 使用刺激剂,例如尼古丁或咖啡因,会增加躁狂症的风险
  • 躁郁症家族史
  • 睡眠习惯差
  • 营养习惯不良
  • inactivity

如果您有躁狂症或抑郁症状,请预约去看医生。您可以首先与您的初级保健医生交谈或直接接触mental health specialist

Your doctor will ask questions about your symptoms. There may also be questions about your past, like where you grew up, what your childhood was like, or about your relationships with other people.

在您约会期间,您的医生可能:

  • 要求您完成心情问卷
  • ask if you have any thoughts of suicide
  • 查看当前药物以确定它们是否可能导致您的症状
  • 查看您的健康病史,以确定其他情况是否可能导致您的症状
  • order a blood test to check for甲状腺功能亢进,这可能导致类似躁狂的症状

Your doctor may recommend temporary住院如果您的症状很严重,或者您有伤害自己或他人的风险。药物也可能有助于平衡更严重的症状。其他治疗方法可能包括:

  • 个人或小组的心理治疗
  • mood stabilizers likelithium
  • anticonvulsant medications像丙丙酸酯(Depakote,Depakene,Stavzor),卡马西平(Tegretol)和Lamotrigine(Lamictal)

Additional medications that may be used include:

  • aripiprazole (Abilify)
  • asenapine (Saphris)
  • haloperidol
  • 利培酮(Risperdal)
  • ziprasidone (Geodon)

您的医生可能需要结合几种药物。在找到适合您的东西之前,您可能还需要尝试不同的组合。每个人对药物的反应有所不同,因此您的治疗计划可能与家人或朋友的治疗计划不同。

According to a study published in 2014 , the best treatment for dysphoric mania is combining atypical psychotic medications with mood stabilizers. Antidepressants are typically avoided as a treatment method for people with this condition.

具有混合特征的双相情感障碍是可治疗的疾病。如果您怀疑自己患有这种状况或其他心理健康状况,请与您的医生交谈。可以通过治疗来管理心理健康状况,但是您需要与医生一起工作。

Seeking help is an important first step in treating your condition. You should also remember that while you can manage symptoms, this is a lifelong condition.Check out some resources here.

Consider joining a support group. These groups create environments where you can share your feelings and experiences with others who have similar conditions. One such support group is theDepression and Bipolar Support Alliance (DBSA)。DBSA网站有大量信息,可以帮助您教育自己和周围的人。