Is it Bipolar Disorder or Depression?

Bipolar disorder is commonly misdiagnosed as depression. One of the reasons is that most people with bipolar disorder seek help when they’re in the depressive stage of the illness. When they’re in the manic stage, they don’t recognize the problem. What’s more, most people with bipolar disorder are depressed a much greater percentage of the time than they are manic or hypomanic.

Being misdiagnosed with depression is a potentially dangerous problem because the treatment for bipolar depression is different than for regular depression. In fact, antidepressants can actually make bipolar disorder worse. So it’s important to see a mood disorder specialist who can help you figure out what’s really going on.
Indicators that your depression is really bipolar disorder:

* You’ve experienced repeated episodes of major depression.
* You had your first episode of major depression before age 25.
* You have a first-degree relative with bipolar disorder.
* When you’re not depressed, your mood and energy levels are higher than most people’s.
* When you’re depressed, you oversleep and overeat.
* Your episodes of major depression are short (less than 3 months)
* You’ve lost contact with reality while depressed.
* You’ve had postpartum depression before.
* You’ve developed mania or hypomania while taking an antidepressant.
* Your antidepressant stopped working after several months.
* You’ve tried 3 or more antidepressants without success.

Exploring bipolar disorder treatment options

If your doctor determines that you have bipolar disorder, he or she will explain your treatment options and possibly prescribe medication for you to take. You may also be referred to another mental health professional, such as a psychologist, counselor, or a bipolar disorder specialist. Together, you will work with your healthcare providers to develop a personalized treatment plan.

Comprehensive treatment for bipolar disorder

A comprehensive treatment plan for bipolar disorder aims to relieve symptoms, restore your ability to function, fix problems the illness has caused at home and at work, and reduce the likelihood of recurrence. A complete treatment plan involves:

*Medication – Medication is the cornerstone on bipolar disorder treatment. Taking a mood stabilizing medication can help minimize the highs and lows of bipolar disorder and keep symptoms under control.
*Psychotherapy – Therapy is essential for dealing with bipolar disorder and the problems it has caused in your life. Working with a therapist, you can learn how to cope with difficult or uncomfortable feelings, repair your relationships, manage stress, and regulate your mood.
*Education – Managing symptoms and preventing complications begins with a thorough knowledge of your illness. Education is a key component of treatment. The more you and your loved ones know about bipolar disorder, the better able you’ll be to avoid problems and deal with setbacks.
*Lifestyle management – By carefully regulating your lifestyle, you can keep symptoms and mood episodes to a minimum. This involves maintaining a regular sleep schedule, avoiding alcohol and drugs, following a consistent exercise program, minimizing stress, and keeping your sunlight exposure stable year round.
*Support – Living with bipolar disorder can be challenging, and having a solid support system in place can make all the difference in your outlook and motivation. Participating in a bipolar disorder support group gives you the opportunity to share your experiences and learn from others who know what you’re going through. The support of friends and family is also invaluable.