I guess I really just want you all to understand what has been going on, and why. If you have the time, I've gathered as much information about the things I have been dealing with. I italicized those symptoms which I've experienced. Also, as a precursor, bipolar disorder and paranoid schizophrenia are genetic on the paternal side of my family. I believe that the onset of this was due to life events, contributing to post traumatic stress disorder, causing a "trigger".
Bipolar II Disorder is a bipolar spectrum disorder characterized by at least one hypomanic episode and at least one major depressive episode; with this disorder, depressive episodes are more frequent and more intense than manic episodes. It is believed to be underdiagnosed because hypomanic behavior often presents as high-functioning behavior.
According to the DSM-IV-TR, a hypomanic episode includes, over the course of at least 4 days, elevated mood plus three of the following symptoms OR irritable mood plus four of the following symptoms:
* pressured speech; rapid talking
* inflated self-esteem or grandiosity;
* decreased need for sleep;
* flight of ideas or the subjective experience that thoughts are racing;
* obsessive behavior, whether mild or severe
* easy distractibility and attention-deficit (superficially similar to attention deficit hyperactivity disorder);
* increase in psychomotor agitation; and
* steep involvement in pleasurable activities that may have a high potential for negative psycho-social or physical consequences
* excessive sexual activity
* uncontrollable, or only partially controllable, impulsivity
* poor judgment relative to a particular situation's judgment call
If left untreated, hypomania can slip deeper and deeper into mania (and sometimes psychosis), in which case, Bipolar I Disorder is often diagnosed.
Psychomotor agitation is a series of unintentional and purposeless motions that stem from mental tension and anxiety of an individual. This includes pacing around a room, wringing one's hands, pulling off clothing and putting it back on and other similar actions. In more severe cases, the motions may become harmful to the individual, such as ripping, tearing or chewing at the skin around one's fingernails or lips to the point of bleeding. Psychomotor agitation is a symptom typically found in major depression disorder or OCD, and sometimes the manic phase in bipolar disorder, although it can also be a result of an excess intake of stimulants.
Psychosis: A psychotic episode can be significantly affected by mood. For example, people experiencing a psychotic episode in the context of depression may experience persecutory or self-blaming delusions or hallucinations, while people experiencing a psychotic episode in the context of mania may form grandiose delusions.
In the context of mental illness, a mixed state (also known as dysphoric mania, agitated depression, or a mixed episode) is a condition during which symptoms of mania and depression occur simultaneously (e.g., agitation, anxiety, fatigue, guilt, impulsiveness, irritability, morbid or suicidal ideation, panic, paranoia, pressured speech and rage). Typical examples include tearfulness during a manic episode or racing thoughts during a depressive episode. One may also feel incredibly frustrated in this state, since one may feel like a failure and at the same time have a flight of ideas. Mixed states can be the most dangerous period of mood disorders, during which substance abuse, panic disorder, suicide attempts, and other complications increase greatly.
Individuals with bipolar disorder may become suicidal, especially during mixed states such as dysphoric mania and agitated depression. Persons suffering from Bipolar II have high rates of suicide compared to persons suffering from other mental health conditions, including Major Depression. Major Depressive episodes are part of the Bipolar II experience, and there is evidence that sufferers of this disorder spend proportionally much more of their life in the depressive phase of the illness than their counterparts with Bipolar I Disorder.
There is no cure for Bipolar II disorder, and relapses can occur even with continued medication and therapy.
Talk about overwhelming. This is my life, now.