2 Answers

  1. Symbolically, I will note that home diagnostics is not very useful, but if you need some criteria in order to figure out whether you need to urgently look for a specialist, and which one, then you can use such criteria to distinguish between mental health and illness:

    1. Adaptability – this is how we determine how much a person's vital functions are disrupted, i.e. whether he is able to lead a normal human life. BAR maladaptivity means that in the depressive phase, you can't get out of bed, leave the house, go to an important interview, etc., in the manic phase, start ten projects at a time, can't support them all, don't notice it, go traveling, go out for bread, sing and dance in a very “inappropriate situation”, etc.

    2. Criticism is the preservation of a person's critical perception of their state and perception of the world. Theoretically, the perception of the world and oneself should float synchronously with the phase-from complete confidence in meaninglessness and powerlessness to the same complete confidence in the correctness and feasibility of all maniacal ideas. But criticism can be violated to varying degrees, so the very fact of having a question about your condition does not indicate health. If you can challenge and refute an idea in a state that seems manic to you, then this is much more convincing.

    3. Control – whether a person can control their state and actions. It is clear that a normal person should not be able to move between extreme emotions by willpower, and any really strong experience like grief cannot be hidden in your pocket, but some level of control over the manifestations of emotions necessary for the situation, the ability to live and let go of emotions can be considered normal. But more important than controlling your emotions is controlling your actions, and it is quite clearly decreasing.

    4. Suffering – whether a person is suffering from their condition, whatever it is. If he suffers, and this suffering goes beyond the experience of some trauma, loss, or existential crisis(or was not associated with them at all), then we can assume some kind of affective disorder, for example, this or that type of depression, as well as some other disorders, for example, neuroses.

    As an illustration, you can read the book “Painted Mother” by Jacqueline Wilson – on behalf of the little daughter of a supposedly bipolar mother. It is clear that fiction does not accurately convey reality, but some impression, in my opinion, can be captured.

  2. There are three types of BAR flow: remitting, dual-phase, and continuous. The first one corresponds to the classic description of Kraepelin: episode-remission-episode. The second is observed when one episode is followed by a second one of a different polarity. The continuous nature of the course of BAR in most cases does not have periods of remission between episodes. Complete remissions are observed only in some patients, and residual affective symptoms are often detected between episodes. A special group includes the so-called fast-cycling forms (with fast phase changes). This condition is diagnosed if the patient has suffered 4 or more affective episodes of any kind during the year. There is also an alternation of manic and depressive episodes over a period of weeks) and a cycle over a single day. Rapid phase change is more common in women with type II AD who have hypothyroidism and are constantly taking antidepressants (AD). Such patients have an early onset of illness, greater severity of depressive symptoms, are often misdiagnosed, have a high risk of suicide, poorer functioning, and a poorer response to lithium therapy.

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