Will two -phase emotional disorders become fine?Good mood psychiatrist to answer questions for you

With two phases, emotions are like "rolling roller coasters". Patients and family members of bilateral emotional disorders often seek "redemption" methods. Faced with the 7 common problems in both phases, the good mood editor will take you to find the answer below!

01. Why are both emotional disorders often misdiagnosed?

Double -phase emotional disorders are often called "emotional seesaw", and they are easily missed. Studies have shown that 69%of patients with two -phase patients have been diagnosed with other diseases such as single -phase depression, anxiety disorder, schizophrenia, personality disorders and mental active substances. Why does this happen?

Some children, adolescents and elderly patients are often typical of early irritability or irritability, which makes bilateral emotional disorders more likely to be diagnosed. When some patients are impatient, social function will not be significantly affected. Family members may also feel that patients are only outside and cheerful, like spring, full of energy, and people who are happy when they are happy, and they will not think of being sick at all, so in most cases, they will not go to the hospital for medical treatment. For some so -called "depression" patients, when they are irritable, they often think that depression improves. When the doctor inquires, he did not tell the doctor in detail about these symptoms, which caused misdiagnosis. For patients with bilateral emotional disorders, the manifestation can be transformed into a period of irritability or severe depression at any time. Early identification helps improve the cure rate, reduce recurrence, and improve prognosis. When patients are diagnosed, they should comprehensively describe symptoms to the doctor (note: Sometimes when the patient descriptions are inaccurate or incomplete, family members can add explanation).

02. Will the dual -phase emotional disorders become fine after a long time?

Patients with both phases often have such concerns, "Will this disease become schizophrenia after recurrence?" First of all, we must be clear that these are two independent diseases. However, the two may have symptoms overlap, and more and more evidence shows that they have a common genetic foundation. Double -phase disorders are manifested as the dominant symptoms with emotional disorders, and throughout the course of the whole disease. The emotion is high or low, accompanied by changes in thinking and behavior, and the intermittent period is basically normal. Patients with schizophrenia are mostly disconnected from reality. They are mainly manifested by characteristic hallucinations, delusions, and thinking logic disorders. The inner experience and the surrounding environment are not coordinated. With the development of the disease, the early symptoms of the disease sometimes become unknown, and other symptoms are the main manifestations of clinical manifestations. At this time, doctors need to re -evaluate and make diagnosis.

03. Can the two -phase be completely cured?

The recurrence of double -phase emotional disorders is a stubborn "heavy cold". There are many factors that lead to recurrence, which may be physical diseases, obvious social psychological factors, poor obsession or insufficient drug dosage, and so on. The recurrence rate within one year after the drug was discontinued, the recurrence rate was significantly higher than the single -phase depression. And some research data show that 40%of patients with two -phase recurrence within 1 year; 60%of patients with two -phase recurrence within 2 years; 73%of two -phase patients have recurrence within 5 years. However, two -phase emotional disorder can still be cured after comprehensive treatment, and patients and family members cannot give up the treatment confidence.

04. When can patients with two -phase patient stop medicine?

Dual -phase disorders have recurred in a cycle for almost life, so long -term treatment must be adhered to. Treatment is mainly divided into acute period, consolidation period, and maintenance period. Generally, the symptoms of symptoms after the acute stage specification are eliminated, and then entering the consolidation stage treatment to prevent the symptoms from disappearing again; after the solid transition period of the treatment period, enter the maintenance period of treatment, continue to take medicine to prevent recurrence, maintain good social functions, improve patients 'patients' Quality of Life. The maintenance period lasted for a long time, and even life treatment was needed. However, in the maintenance period, if the patient's mood is stable, the type of drug can be reduced as appropriate, but the dose of the main therapy drugs should be maintained at the level of the consolidation period until it is ready to stop treatment. Prematurely stopping medicine or adding and subtraction of drugs by itself is easy to cause repeated diseases, which is not conducive to recovery.

05. What should I do if I am willing to take medicine?

Both phase patients are resolutely refused to take medicine, how can family members persuade? Because of the emotional instability of two patients, the drug refusal is also staged. At this time, the family must not use violence to force the patient to take medicine, but to clarify why the patient refuses to take medicine. If the patient thinks that the drug has some side effects, the family members should ask the patient in time where the patient is uncomfortable, lethargic, handshake, or decreased memory, etc., and timely find a doctor to adjust the dose or replace the drug. If the patient feels that the drug has no effect and is easy to dependence, it is because the patient has a wrong understanding of the drug. You can find authoritative doctors to explain to patients and dispel patients' concerns.

06. What indicators should be monitored for long -term patients?

Lithium carbonate is the basic drug for the treatment of bilateral emotional disorders, but its treatment and poisoning are relatively close. Therefore, the blood lithium concentration must be reviewed regularly during the period of taking lithium carbonate. Wait for discomfort, pay close attention and prevent lithium salt poisoning. It is generally recommended that the treatment of the first month for treatment is reviewed once a month, and the blood lithium will be monitored regularly every 2 weeks after 1 month after 1 month. At the same time, electrolytes, renal function and thyroid function should be listed as compulsory items. In addition, patients who have long taken katonine and propyate for a long time should also pay attention to regularly check liver function and blood routine during treatment.

07. Is the electric shock therapy effective for both phases?

With the development of medical technology, the treatment of bilateral emotional disorders is not limited to drug treatment and psychotherapy. Some research data show that when the use of drugs to treat bilateral emotional disorders and impetuous phases cannot obtain the ideal effect, such as acute severe irritability, extreme stimulus, irritability, ineffectiveness of lithium salt treatment Patients with treatment can be treated with improved electrical convulsions, which can effectively improve the clinical effect, and the total effective rate of treatment exceeds 80%. Under normal circumstances, the effect is relatively fast and can be applied or merged alone. Patients with drug treatment should be appropriately reduced. The frequency of treatment is generally once the next day, with depression 6 to 8 times, and 8-10 times of irritability. The increase or decrease of the number of treatment depends on the severity of the symptoms and the response speed to the treatment. references

[1] Zhang Junfeng, Zhu Yonghong. The clinical effects of patients with no convulsions for the treatment of combined with Chinese medicine for the treatment of bipolar obstacles of emotional obstacles [J]. Clinical medical research and practice, 2022,7 (06): 67-70.

[2] Lu Lin. Shenyu Village Psychiatry (6th Edition) [M]. Beijing: People's Health Publishing House, 2017.

[3] Hu Changqing. Seek a balance in the two days of ice and fire-how to better recover in two-phase disorder patients [J]. Psychological and health, 2021, (10): 14-16.

(Article source: Photo.com)

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