A few days ago, the author attended a talk show hosted by the Faculty of Psychology. Indeed I am a Bipolar Affective Disorder sufferer. The talk show was titled “Living with Bipolar” by presenting three speakers. One was a bipolar sufferer who is still outstanding. Another was a caregiver and the other one is a psychologist practicing in a health center in Yogyakarta. Taklshow itself has been extremely interesting because it was attended by people with Bipolar Affective Disorder in Yogyakarta.
The Meaning of Bipolar Affective Disorder
Bipolar Affective Disorder is a mental disorder that attacks the person’s mental condition. Also referred to as nuisance “mood”. This disorder is characterized by mood swings are very extreme form of depression and mania phase. Sufferer’s mood can change suddenly between two poles (bipolar) opposite, namely happiness / mania and sadness / depression and extreme redundant. Therefore, once the disease used to be called Manic-Depressive disease.
Bipolar patient population ranged from 0.3% to 1.5% of the total population. This incident was lower when compared with patients with other mental disorders called schizophrenia. In some cities in Indonesia also began to be reported patients aged adolescents. Most cases occur in young adults, the age of about twenty to thirty years. Typically, the earlier a person suffering from bipolar affective disorder, the risk of the disease will be more severe, even the possibility of recurrence will be even greater.
Manic and Depressive Phases
As for the signs and or symptoms of a phase of “manic” in Bipolar Affective Disorder is as follows:
- Excessive excited .
- Irritability so that more irritable.
- Feel very important.
- Feeling rich or have more ability than others.
- Full of ideas and a new spirit.
- Quickly move from one idea to another.
- Hearing voices that other people can not hear it.
- Increased sexual libido.
- Develops a plan that does not make sense.
- Very active and moving very fast.
- Speaking so quickly so it is difficult to understand what is being said.
- Burst spending money.
- Making a strange decision and sudden, but tends to harm.
- Feeling very famiar with others
- Easy to throw criticism of others.
- Difficult to restraint himself or herself in everyday behavior.
- It’s hard to sleep.
- Feeling very excited, as if one day it does not quite 24 hours.
While the signs or symptoms of a phase of “depressive” on Bipolar Affective Disorder is as follows:
- The prolonged mood of gloom and sadness.
- Often crying or wanting to cry for no apparent reason.
- Loss of interest in doing anything.
- Not being able to feel the excitement.
- Easily get tired, not excited, not powered.
- Hard to concentrate.
- Feeling useless and hopeless.
- Feeling guilty and sinful.
- Low self-esteem and lack of confidence.
- Thinks his or her future is very bleak and pessimistic.
- Thought of suicide.
- Loss of appetite or even overeating.
- Weight loss or even its reverse, the weight gain./li>
- Trouble on sleeping, waking up early or even oversleeping.
- Nausea, making it difficult to speak with suppressed nausea.
- Dry mouth, constipation and sometimes diarrhea.
- Loss of sexual desire/libido.
- Avoid communication with others.
Treatments on Sufferers
As a sufferer, I should have medications for bipolar indeed. In general, treatments on patients with Bipolar Affective Disorder are by way of medication and psychotherapy. In psychotherapy, which need to be considered are; Firstly, seen pressure areas and how to handle it. Pressure can come from work or family. If the pressure or stress is piling up, then this will encourage the patient to the manic phase or depressive phase.
Another thing to consider in the treatment of bipolar patients is to monitor and support the use of drugs given by doctors. Drugs make a remarkable difference. The main thing to consider in the use of the drug is to maximize the benefits while avoiding the side effects of drugs. In general, patients are ambivalent about their drug use. They acknowledged that the drug is very helpful and prevent the risk of hospitalization in a hospital, but in general, people are very upset because they turned out to require medication. A psychotherapist should resolve ambiguous feelings about the patient’s medications and encourage patients for treatment regularly and continuously.
It also needs to be developed and maintained about the therapeutic alliance. This is one of the many reasons for practitioners to deal with ambiguity or ambivalence of the patient’s using of drugs. Over time, the strength of the alliance will help keep the symptoms experienced by patients in minimum standard and keep them supposed to remain in the midst of society.
Educating The Caregivers
Clinicians should also provide education to patients and families about bipolar disorder. Patients and their families need to be aware of the dangers of substance abuse, a situation that will lead to recurrence and the importance of the role of drugs. Support groups for patients and their families is very important. Family or people who care are also called caregivers
So, this is a little review and introduction about Bipolar Affective Disorder. The writer hopes that in subsequent writings can further explore this disease with better reviews and more complete. Hopefully.