Mother Li Wenli revealed that in May of 20 13, Chen Ping (a pseudonym), who was in the fifth grade of primary school, suddenly had a high fever and suddenly became a different person after being cured. He is often in a daze, either falling asleep for a long time every day without eating, or becoming very violent and hitting his parents with things. But when she regained consciousness, Chen Ping always felt annoyed. Since then, she has cleaned and cooked for her parents every time to make up for it. "I remember what I did when I was awake, but I couldn't control it at that time." Chen Ping (pseudonym) begged her parents for a younger brother or sister several times, so that she could accompany her parents better than herself. Bipolar disorder is extremely harmful. It is the sixth largest mental illness in the world, and its suicide risk is 10 times that of the general population.
Bipolar disorder, also known as bipolar disorder, belongs to a type of mood disorder and refers to a kind of disease with both manic and depressive episodes. There are often mild and short-term depressive episodes before manic episodes, so most scholars think that manic episodes are bipolar disorder, and only depressive episodes are unipolar disorder. The onset age of this disease is 15- 19, which has the characteristics of high recurrence rate, high disability rate, high mortality rate, low diagnosis rate and low treatment rate. The average time from the first onset to the diagnosis was 10 years. The misdiagnosis rate is extremely high, and 37% of bipolar disorder will be misdiagnosed as depression.
So what is the cause of bipolar disorder?
1, genetic factors
Genetic factors play an important role in the pathogenesis of mood disorders, especially bipolar disorder. In the family study, the risk of illness of biological relatives of patients increased significantly, and the comorbidity rate was 10~30 times that of the general population. The closer the blood relationship, the higher the risk of illness.
2. Biological factors
① Neurobiochemical, psychopharmacological and neurotransmitter metabolism studies confirmed that patients had abnormal metabolism of central neurotransmitters and changes in the function of corresponding receptors. Lack of 5- hydroxytryptamine (5-HT) functional activity, norepinephrine.
The enhancement of adrenaline function may be related to manic episode. Dopamine (DA) has abnormal functional activity, and γ -aminobutyric acid (GABA) is an inhibitory neurotransmitter in the central nervous system, which may have abnormal functional activity, because antiepileptic drugs acting on this neurotransmitter can be used as emotional stabilizers to effectively treat mania and bipolar disorder.
② The second messenger is unbalanced, and the second messenger is an indispensable intermediary between extracellular information and intracellular effect.
③ Neuroendocrine dysfunction, mainly the dysfunction of hypothalamus-pituitary-adrenal cortex axis and hypothalamus-pituitary-thyroid axis.
3. Environmental factors
Environmental factors have certain influence on the onset of this disease. Most patients are induced by psychological stimulation, such as parents scolding or being frightened, working under great pressure, being criticized by leaders, quarreling with relatives and so on.
So how to prevent bipolar disorder?
1, give enough sleep
Adequate sleep and regular life can prevent the onset of this disease. Bipolar patients often can't sleep because of mental excitement, and long-term insomnia will aggravate their condition.
Step 2 use your heart
Home care is very important for patients' recovery, especially for patients with suicidal tendencies.
3. Pay attention to seasonal changes
The disease is greatly influenced by seasonal changes, especially in late autumn and winter, which is the high incidence of depressive symptoms, so beware of accidental injury to patients; Summer is a period of high incidence of mania, and family members should pay more attention to it.
4. Acupuncture
Acupuncture therapy can enhance vitality or relax the body, mainly through acupoints. Oil massage can also relax or enhance vitality.