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Racing thoughts refers to the rapid thought patterns that often occur in manic, hypomanic, or mixed episodes.While racing thoughts are most commonly described in people with bipolar disorder and sleep apnea, they are also common with anxiety disorders, obsessive–compulsive disorder (OCD), and other psychiatric disorders such as attention deficit hyperactivity disorder (ADHD).
The emphasis of the treatment of bipolar disorder is on effective management of the long-term course of the illness, which can involve treatment of emergent symptoms ...
Although BP-II is thought to be less severe than BP-I in regard to symptom intensity, BP-II is associated with higher frequencies of rapid cycling and depressive episodes. [28] In the case of a relapse, patients may experience new onset sleep disturbance, racing thoughts and/or speech, anxiety, irritability, and increase in emotional intensity ...
A mixed affective state, formerly known as a mixed-manic or mixed episode, has been defined as a state wherein features and symptoms unique to both depression and (hypo)mania, including episodes of anguish, despair, self doubt, rage, excessive impulsivity and suicidal ideation, sensory overload, racing thoughts, heightened irritability, decreased "need" for sleep and other symptoms of ...
[17] [157] Atypical antipsychotic medications (e.g., aripiprazole) are preferred over antidepressants to augment the effects of mood stabilizers due to the lack of efficacy of antidepressants in bipolar disorder. Treatment of bipolar disorder using antidepressants may carry a risk of affective switches where a person switches from depression to ...
The management of the bipolar type of schizoaffective disorder is similar to the treatment of bipolar disorder, with the goal of preventing mood episodes and cycling. [83] Lithium or anticonvulsant mood stabilizers such as valproic acid , carbamazepine , and lamotrigine are prescribed in combination with an antipsychotic.
Hypomania is a feature of bipolar II disorder and cyclothymia, but can also occur in schizoaffective disorder. [11] Hypomania is also a feature of bipolar I disorder; it arises in sequential procession as the mood disorder fluctuates between normal mood (i.e., euthymia) and mania. Some individuals with bipolar I disorder have hypomanic as well ...
Bipolar disorder is difficult to diagnose. [2] If a person displays some symptoms of bipolar disorder but not others, the clinician may diagnose bipolar NOS. The diagnosis of bipolar NOS is indicated when there is a rapid change (days) between manic and depressive symptoms and can also include recurring episodes of hypomania. Bipolar NOS may be ...
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