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Information about bipolar disorders

How do the processes of bipolar disturbances work?

The process of the bipolar disorder depends on numerous factors such as the degree of severity of the disorder, the age upon first manifestation, comorbid states, frequency of the episodes, cycle pattern and the possible existence of rapid cycling. There are also considerable differences between the various forms of bipolar disorder, i.e. e.g. between bipolar I and bipolar II disorder. It is important to understand that the prognosis quite significantly depends on your willingness to be treated. Please, on this also see „What are my chances of a cure?“ and „The ten most important healing factors “. Here, we present a few facts on the course of bipolar disorders:

Verlaufsmuster Bipolarer Störung

  • In relation to the bipolar I disorder several episodes occur in more than 90% of the persons afflicted. Mania makes up on average only 10% to 20% of the illness phases, as a rule the depressive phases are clearly predominant. Left untreated, on average four episodes occur in the first ten years after making the diagnosis. On average, there are eight phases of the illness. In 60% to 70%, depressive episodes occur immediately before or after the manic episode. In 90% of persons afflicted the symptoms fall off completely between the phases at the start of the disorder. In the further course, the number of the episodes can increase, 30% to 50% of the time persons afflicted are in depressive and 10% in manic phases. Outside of the episodes in one part of the persons afflicted (20% to 50%) residual symptoms also occur, above all mood instability, slightly depressive moods and intellectual restrictions (such as e.g. concentration and attention disorders). The bipolar I disorder is often accompanied by other psychic and physical disorders. The risk of substance abuse, anxiety disorders and psychoses is increased. The risk of suicide is increase by 20 times and is even higher if a comorbid addiction disorder exists.
  • Cyclothymias pass to a bipolar I or bipolar II disorder in 15% to 50% of the cases. Due to the early start the danger of development of significant social and professional deficits exists in the course of the illness if an extensive rehabilitation is not successful.
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