15,766 views
Official website of the online self-help and family group https://peer-support-community.com Manga "Nighttime Heart Clinic" https://amzn.asia/d/0a0aNXJ Become a member of this channel and help us create content. We also run online self-help and family groups / @masudatherapy Materials, etc. https://wasedamental.com/20240909-2/ When you have trouble at the self-help group https://crimson-panda-f74.notion.site... If you have any questions or concerns, please contact us here. Our staff will reply to you [email protected] ◆How to join the membership from your iPhone (browser) Safari • How to register for membership from your iPhone (Safari) Google Chrome • How to register for membership from your iPhone (Google Chrome) [Request during premiere broadcast] Please refrain from greeting people by name or having personal conversations in the chat box. ◆For business inquiries, please contact [email protected] ◆For questions or projects, please contact https://forms.gle/jryU4Mk9NFS66r4b8 ◆We have many books, such as "How to stop hating your parents" https://amzn.to/45IJNFB https://amzn.to/3ODfOqW ◆2nd Ch / @wasedamasuda ◆Masuda's AI: GPTs https://chat.openai.com/g/g-F3vsvlW7J... ◆Mental health encyclopedia video list https://note.com/wasemenblog/n/nd8161... 00:00 OP 00:25 What is bipolar disorder? 02:11 Treatment 06:17 High relapse rate 08:07 Difficulty in understanding from others, loneliness 09:03 Goals of treatment 12:21 Differentiation 15:00 Today's homeworkToday, I would like to talk about the theme of "social reintegration from bipolar disorder". I would like to give a rough explanation of the symptoms and treatment of bipolar disorder. ◾️What is bipolar disorder? Bipolar disorder is a disease in which you repeatedly experience a "depressive state" where your mood is depressed and a "manic state" where your mood is raised and you feel energized. It is a disease in which the faucet or adjustment of the part of the brain that energizes you and the part that tries to suppress your energy is not working well. It used to be called "manic depression". Now it has been renamed "bipolar disorder". If you have no energy, can't eat, can't sleep, feel depressed, and blame yourself for a period of more than two weeks, and conversely, if you have an abundance of energy and don't need to sleep or eat, you can move around, and you have a sense of omnipotence that you are wonderful, then if you are in a hypomanic state, it is defined as more than four days, and if you are in a normal manic state, it is defined as more than one week. There are quite a few individual differences. There are also questions about how wide the range is. There are some criteria, but when you are in clinical practice, there are very fine waves, so it can be quite difficult to differentiate. If the symptoms are mild, the waves may not be caught, and diagnosis may be delayed, and there are many cases where the patient does not go to the hospital. Some people continue to have these waves, but as they get older, the width becomes wider, and what was suppressed can no longer be suppressed. It is said that the disease usually develops in people in their teens and twenties, but it is not uncommon for people to first go to the hospital in their 40s or 50s. ◾️TreatmentAs for how it changes with treatment, it is that drug therapy narrows the range of depression and the range of energy. And it extends the period until relapse. Or it can be imagined as shortening the state and period of depression. As for what kind of treatment is given, basically the mind is the brain. Since it is a brain disease, drug therapy is used. There are various drug therapies that are combined, but the most common are called mood stabilizers, such as lithium, valproic acid, lamotrigine, and carbamazepine. Valproic acid, lamotrigine, and carbamazepine are also antiepileptic drugs. I also use antipsychotics that are also used for people with schizophrenia. I also use olanzapine, quetiapine, risperidone, Latuda, and aripiprazole. The question of whether to use antidepressants or not is a bit complicated, and when antidepressants are used, the depression can suddenly turn into a manic state. When depression suddenly jumps into mania, it doesn't switch suddenly, but sometimes it becomes a mixed manic-depressive state. I feel down but I'm cheerful, I blame myself, I'm negative, but I'm strangely active. In this mixed state, suicidal thoughts increase. So I don't use them basically. But when the depression is too severe and other drugs don't help, I sometimes consider antidepressants. There are drugs that are good for depression and drugs that are good for mania, so I do it while matching these. When the depression is severe, I use several types, and when the mania is severe, I use several types. During the period of relapse prevention, I use different drugs and