Bipolar disorder is an emotional disorder. Due to the great contrast of disease manifestations in different periods, it is difficult for ordinary people to make an accurate judgment of the disease in many cases, and it is even more difficult to know the correct treatment. Therefore, many times, the disease can not be diagnosed earlier, which delays the timely treatment of the disease and brings unspeakable pain to patients.

What should bipolar patients do when they have an attack?

Bipolar patients will feel very good about themselves. Generally, patients in manic period will feel surprisingly good about themselves under the background of high emotions. For example, I feel that I have never been so healthy and energetic. I think my brain is quick, my reaction is quick and so on. Moreover, the symptoms of bipolar disorder often encourage patients to overestimate their intelligence, status and pretentiousness, and may exaggerate their own ideas.

Patients with manic depression will have abnormal expansion of thinking association, which is usually called mental escape in psychology. The association process of patients is obviously accelerated, concepts follow one after another, and many voices are heard. Patients will be distracted, the topic will often shift with the environment, and there will be the phenomenon of wandering ideas and the connection between sound and meaning. For example, when talking about poetry and white clouds, thinking can jump to snow in winter and so on.

Bipolar patients will have great emotional changes. It should be noted that the most representative symptom of manic depression should be the manic emotional experience of patients different from ordinary depression. When manic attacks occur, patients often appear relaxed and happy, even complacent and beaming. However, patients' emotional reaction may be unstable and impatient, and they may go on the rampage because of some trivial matters, or even have destructive and aggressive behaviors, or their opinions may be refuted, or their demands may not be met. In addition, some patients will have short-term negative emotions during the manic period.

Related reading-

Depressed articles

Emotional depression:

Depression is different from the bad mood of normal people after "encountering unhappy things", which is accompanied by serious brain reactions (it was later learned that the brain of depressed patients lacks "5- hydrocephalus and norepinephrine" closely related to emotions).

If friends around you find your strange emotions, they will occasionally tell you to relax, be positive and relax.

The problem is that they don't know what you need. The most unacceptable reality is that you don't even know what you really need.

It seems that my depression comes out of thin air!

No matter how delicate a person is, he can't tell the exact reason why he is depressed. No matter how hard he tries, it is difficult to improve his emotional state by solving reality and improving reality. It's not just the simple reality that makes you depressed. There are many reasons for depression, and you can't find a clear point to make it clear.

Modern psychodynamics has found that people's emotions are actually controlled by related hormones-what state you are in, how you feel, including all your emotions, are controlled by hormones, which is fatal.

Next, talk about the experience of depression.

Lack of concentration:

Under normal circumstances, when facing a transaction, a person will instinctively pay attention to the event itself and the utility effect brought by the event itself. Simply put, if you have poor grades, you will naturally think of some effective improvement measures, such as making a study plan and working harder.

But when depression strikes, your attention can't be controlled by all kinds of subtle things attached to the event, not the event itself. For example, emotional changes, interpersonal relationships, and even changes in the physical location of tables and chairs attached to the incident. All this makes your energy trapped in all kinds of small things that have no effect on reality until you exhaust your whole essence.

Out of touch with reality:

When you are depressed, it's like painting a layer of gray paste on your brain, isolating your brain from the outside world, leaving your whole world stuck in your autistic skull alone, making you unable to think and concentrate.

What do you mean by "isolating the brain from the outside world"?

In normal people, people's emotions are often coordinated with their own cognition and actual situation, while in a depressed state, your emotional state is often independent of actual situation and current cognition.

Similarly, as a normal person, because of poor exam results, his mood was greatly affected and he became depressed. Then, through his efforts, he changed the previous actual situation and made progress. At this time, his previous questions received positive feedback, and the previous cognition of "poor grades" was replaced by the new cognition of "my grades have improved", and the corresponding emotional troubles gradually disappeared. In other words, his emotional state at this time matches the current cognition and actual situation.

This problem has been satisfactorily solved.

What is the so-called "brain isolation from the outside world" of depressed patients?

It is that the connection between my brain and the outside world seems to be cut off by some dark force, and I can hardly use any effective methods to restore my mood to normal. Even though the fact that my grades have really advanced by leaps and bounds has stood there, it is difficult to generate a new cognition from the changes in the actual situation, and then this new cognition can be linked to the current mood. Therefore, the change of reality really has little effect on improving your mood.

After all, I feel depressed because I am not normal. I can find the exact source by analyzing the actual situation and self-analysis, and then improve my emotional level through improvement.

Your emotional state can't match the current cognition and actual situation, and you can't find an exact source to make you have a strong desire and fighting spirit to change the status quo. Your whole world is painted gray.

As mentioned above, "there are two kinds of hormones related to emotions in the brain of depressed patients, serotonin and norepinephrine: what state you are in and how you feel, including all your emotions, are controlled by hormones, which is fatal." Maybe that's why.

An illusory state:

I often experience the separation of self and emotion, just like a split wooden head exists in this world. From looking at myself in the mirror when I wash in the morning, to having classes during the day, to having supper with my classmates when I study in the evening, and then going home alone-everything seems extremely laborious now. ...

"I seem to have been thrown into a dark and damp hole. There are spiders, ants, scorpions and poisonous snakes, and all the creepy things. They seem to crawl around me, hiss and release mucus and venom on me. "

My whole world is occupied by fear and pessimism, and I feel that there will never be spring again. I'm tired of this world, and the world has abandoned me.

"One day when I came home from night lessons, I stood by the window alone, and there was only darkness and rain outside. I closed my eyes, and the world stopped immediately: there was only the sound of rain outside, and there was only a beating heart and a tired brain inside my body. Besides, there is nothing else in my world. "

Your mind will become extremely subtle and your attention will be erratic. When a stranger walks up to you, if he gives you a casual look, it is enough to make you think. You will spend a lot of time thinking about what that look means, whether he has any intentions, and what he does for a living ... Maybe a normal person will subconsciously make similar associations, but for people with depression, these trivial things are all they have, and the whole body and mind cannot extricate themselves.

This is almost what you experience when you are wrapped in depression.

Of course, the above classification is not rigorous and is only for readers' understanding.

What I want to say is: I can't imagine how I got through it if I was just depressed instead of manic. I still remember my mania.

Manic article

If depression is an emotional category, then mania is more reflected in the cognitive category for me.

Depression pulls your mood to the bottom, mania can make your thoughts soar, and this strange thought is exaggerated to arouse your high-pitched mood. Only when I am in a manic state can my depression be released. At that time, I often subconsciously put myself in a manic state to escape the extreme pain caused by depression. These two are like angels and demons. They have been playing chess to see which side is in charge of me.

Normal people see the world with their eyes, while manic people see the world with "images" without eyes.

Mania let me see the other side of the world that I have never felt before. I can feel the smooth operation of my brain without resistance, as if I can instantly extract the core elements of things and smell the most secret desires of people, and it is extremely clear, and the laws of the whole world are clear at a glance.

Let's talk about a few typical examples of fits in a manic state.

1. One stage math test in senior three. Everyone is immersed in calculus and doing problems. I saw a girl struggling with a math problem. When I saw her anxious expression on the manuscript paper, my attention was immediately attracted by this expression. I seem to smell that her whole animal desire is suppressed by the rules of civilization-the deepest part of this expression seems to tell you that she is under some pressure and engaged in something different from her age. At that time, I felt that we should strip off our clothes, chase and play naked on the grassland and release hormones to the extreme, just like millions of years ago. That kind of picture is very vivid in your mind. Then compared with the real situation, I couldn't help laughing in the examination room.

Isn't that too exaggerated? Mania is full of such a flying perspective.

Afterwards, I seem to know all the "animal languages". I can fully understand the mentality of the lion when hunting, the state of the tiger when enjoying food, and the pleasant experience of the pet dog rolling in the grass ... At that time, the only thing I wanted to do was to go to the vegetable market to buy a piece of raw pork or raw beef at once and experience the state of a wild animal when eating.

This kind of psychological empathy has no redundant concepts and abstract labels, and is a more primitive and pure emotion. I even found that this primitive way of communication is almost universal in the animal kingdom, which ignores the labeling of language and words. But with the growth of age, this pure concept is gradually replaced by abstract and inaccurate concepts, but they have not disappeared and have always existed in your depths.

On the way home afterwards, I saw a woman giving a lecture to the child in front of the door, and I heard the child crying. There are several neighbors around who like to watch the excitement, as if the child's shrill cry is not a big deal to them and has become accustomed to it.

I can't bear to see this scene. I can't stand adults being so careless and indifferent to children's cries. I heard an extremely tragic and serious, deadly narrative and a shocking desire for self-destruction in the depths of human nature from the child's shrill cry.

3. Group intercourse in the square. Every weekend, I get to school from home, and I have to transfer to a square on the way. This is probably the first batch of square dance lovers in China. Once I saw a middle-aged woman in front of the square. Her movements are very standard, and there is a surly self-confidence in the dance steps, which is particularly eye-catching.

Originally, this activity was a good way for people of this age to kill time, but I saw a severely repressed sexual desire from her movements and eyes-every movement and eyes seemed to be an outlet for her to release sexual repression, as if telling all male companions around me: I am in heat, I am eager for men's eyes and attention, and I am attracted!

Maybe she is quiet in her daily life. She can't accept that she is an animal dominated by her body and needs a seemingly noble reason to cover it up. But at this moment, she is bound by her irresistible desire to express herself, and she no longer needs to worry about it, so she can directly reveal that shameful desire. I can immediately make up the scene of her having sex with several men who are fascinated by her sexual charm. Isn't her self-sufficiency and evil eyes the same as she is now?

Physical laws of images.

If you read this sentence in a book: "Solar energy is the energy source of all living things on the earth".

This conclusion has a logical span, so the first reaction is puzzling, but if you think about it carefully, you will feel that it is generally the case. This is the thinking process of normal people.

What about mania? Your mind is free, and your attention is extremely subtle.

You can instantly establish a logical chain of any conclusion, and it is all-round. All your mental attention will be immediately focused on this conclusion. At that moment (such as the above sentence), your mind flashed like a slide, how single-celled organisms evolved into plants, how plants used sunlight to synthesize carbohydrates (including the details of photosynthesis), and how various animals established food chains from plants (cows eat grass, people eat beef, etc.). ), the position of human beings in the food chain ... You feel that your cognition is close to the original operation mode of nature, your thinking is extremely smooth and there is no resistance, and the whole spirit vibrates with nature in the deepest part of your body. This strange peak experience often happens.

Because of bipolar disorder in high school, many courses are chaotic. Although you think you can learn better, your divergent thinking makes you completely unable to control your attention. Surprisingly, in physics, this fanaticism is very helpful to you.

While others are still memorizing basic physical formulas such as buoyancy law or F=ma, you can already control them through that purer physical intuition. In physical intuition, you can accurately perceive the quantitative correspondence between F and ma. A little more complicated, such as the formula of gravity F= G*mM/r, you can still quickly transform a mathematical geometric model in your mind. This geometric model vividly shows why gravity is inversely proportional to the square of distance, how mass affects the gravity factor and so on.

The end result is that most physical formulas are as vivid to you as watching cartoons, because you don't understand them from abstract definitions and concepts, but a more pure "natural intuition". Therefore, with a strong physical intuition, the author learns physics very quickly, and basically can learn it once without any extra-curricular assistance, and most of the problems are solved in seconds.

The three-dimensional sense of music.

When we listen to music when we are lovelorn, in love, or when important events happen, we will find that music can especially express your mood and state. We can even conceive a meaningful story and scene through the combination of lyrics and tunes when listening to songs.

What about mania? You don't need love at all to achieve the same effect, or even better.

You can clearly feel how the changes of the chords and lyrics of the song gradually push your emotions up, and even what kind of psychological state the composer of this song is in when composing. With the deepening, you can even find out what preparations you need to make to create a pop music, what points you need to pay attention to and so on. I feel that if I have the basic knowledge of vocal music, I can create a touching pop music in one afternoon.

It seems impossible now, but for me at that time, it was really a less laborious thing (at least at that time, I was confident that I could do it).

Strange separation of mind and body.

A normal person is walking. Ordinary tasteless things, because we are too used to it. When mania reaches a certain level, my body will be separated from your will: all parts of your body are extremely strange to your will. This feeling is like when you put on goggles and look at the world in the water under the pool, you will see a vision different from the ground and a strange freshness.

In addition to the positive experience, there are many unbearable complications in manic state. Mental illness is, after all, a disease, not an ability.

;