Oct
We haven went to the physicians, and really dont care to , but i seirously feel hes bi polar..i know very little about bpd but one minuete hes in a perfectly good mood, and the next hes sooooo heated. like pissed/angry/mad at EVERYTHING…and he WONT let anything go, he wont drop anything.. then maybe like 5 munuetes later, hes like so sorry for acting that way. This happens ALOT…just about each day. ..short fuse or bi polar disorder?
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Doesn't sound like bi-polar to me, and I'm bi-polar (and happily medicated). Sounds like he has a temper. If it continues, he definitely needs to see a physician. There can be a lot of causes. His temperament (personality), food he eats or doesn't eat, not eating often enough and the right food, too much sugar, and just something the requires medication.
This is NOT something a clever answer on this forum will cure. He need professional help.
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if you think he needs help why wont you seek a proper diagnosis from a doctor?
it could be a number of conditions or nothing at all, but if it is a condition and you dont get the proper help he could get worse. it could be BPD? not just bipolar which i dont think it is. there are several disorders which mask each other and only a professional will beable to tell which (if any) he has.
i have a number of conditions including bipolar so i know the implications of late diagnosis
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No, that’s closer to personality disorder..nearly schizophrenic
Either way he does need a Doc.
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sounds more like a short fuse, bi-polar cycling isn't just about anger and usually doesn't happen in a five minute time span
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I'm Bi-Polar and this definitely doesn't fit the symptoms. This situation needs to be diagnosed by a Doctor although you don't want to go you really have to.
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Bi-polar extremes aren't as swift as that. He's probably just a teenager.
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how old is he?
it's probably just that awkward teenage phase…
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Bipolar disorder: Epidemiology and diagnosis
Author
Jeffrey Stovall, MD Section Editor
Thomas L Schwenk, MD Deputy Editor
H Nancy Sokol, MD
Last literature review version 16.2: Might 2008 | This Topic Last Updated: March 26, 2008 (More)
INTRODUCTION — Bipolar disorder is an illness characterized by periods of mood elevation. Patients with bipolar I disorder have episodes of sustained mania, and often experience depressive episodes. Patients with bipolar II disorder have one or more major depressive episodes, with at least one hypomanic episode.
Recognition of bipolar disorder is important; untreated it is associated with substantial morbidity and mortality, and treatment differs from that of unipolar depression. It isn’t unusual for bipolar disorder to be underdetected. Patients may present with symptoms of depression, especially in the primary care setting, but a careful history may find evidence of prior manic episodes [1] .
This discussion will address the epidemiology, clinical manifestations, and diagnosis of bipolar disorder. Issues related to acute treatment and maintenance therapy for bipolar disorder are discussed separately. (See “Bipolar disorder: Treatment”).
EPIDEMIOLOGY AND PATHOGENESIS — The lifetime prevalence of bipolar disorder has traditionally been estimated as about one percent [2] . More recently, a spectrum of bipolar conditions has been proposed [3] , including subthreshold bipolar disorder, with a higher prevalence (2.6 to 6.5 percent) [4-7] . The World Health Organization identified bipolar disorder as the sixth leading cause of disability-adjusted life years worldwide among people ages 15 to 44 years [2] .
The true prevalence of bipolar disorder is uncertain; the diagnosis is apt to be missed when patients are seen with depression and not specifically asked about symptoms suggesting prior episodes of mania or hypomania [4,8] . In a study of outpatients being treated for depression in a family medicine clinic, a screening questionnaire for bipolar disorder (the Mood Disorder Questionnaire or MDQ [9] ) was positive in 21.3 percent; two thirds of those screening positive had never been diagnosed with bipolar disorder [8] . The sensitivity and specificity of the MDQ in this population was 0.6 and 0.9 respectively, when results of screening were compared to DSM-IV criteria as determined by the Structured Clinical Interview.
Bipolar I disorder affects men and women equally; bipolar II disorder is more common in women [3] . The age of onset is generally between 15 and 30 years [10-12] . Newly diagnosed mania is unusual in kids and in adults over the age of 65 [13] .
Genetics — Family, twin, and adoption studies demonstrate the importance of genetics in the pathogenesis of bipolar disorder [14-17] . The approximate lifetime risk in relatives of a bipolar proband is 40 to 70 percent for a monozygotic twin and 5 to 10 percent for a first degree relative, compared with 0.5 to 1.5 percent for an unrelated person [16] .
The search for candidate genes has been the subject of considerable study, although no single gene has been identified [14,15] . It is likely that a complex interaction between genetic and environmental factors is involved. Most candidate gene studies have focused upon neurotransmitter systems influenced by the medications used in the clinical management of this disorder, but no clear findings have emerged [16] . Linkage studies have suggested a role for the tryptophan hydroxylase 2 (TPH2) gene [18] ; tryptophan hydroxylase is the rate limiting enzyme in the synthetic pathway for serotonin.
CLINICAL MANIFESTATIONS AND DIAGNOSTIC CRITERIA — The diagnosis of a specific mood disorder is based on a patient's presenting symptoms and history of prior symptoms. Diagnostic criteria for bipolar disorder are discussed below (see “Bipolar disorder” below). The distinction between bipolar disorder, depression, and other depressive syndromes is presented in a flow diagram (show figure 1).
Mania — Diagnostic criteria for mania from the American Psychiatric Association are shown in a table (show table 1) and include the following [19] : A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least one week (or any duration if hospitalization is necessary) During the period of mood disturbance, at least three or more of the following symptoms are present:
- inflated self esteem or grandiosity
- decreased need for sleep
- more talkative than usual
- racing thoughts or flight of ideas
- distractibility
- increase in goal-directed activity
- excessive involvement in pleasurable activities that have a high potential for painful consequences, such as spending money or sexual indiscretion. The mood disturbance leads to significant impairment in social or occupational functioning. The symptoms are not directly due to substance use or
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well. if he punches himself then there might definitely be something there.
I struggle with BiPolar. it is different for everyone
like my uncle (who died 2 weeks ago from a hit and run) he would get suicidal, delusional, and just plain scary
my cousin sounds a lot like your brother. except he gets delusions. like god sent him to do stuff. now it has gotten to the point that if he does not take his meds-he goes straight to jail.
BiPolar is a very serious issue. the sooner you catch it-the superior
would he be open to seeing a psychiatrist just once. to see what he thinks. also he could take anger managment classes.
medication for anger problems- I know mood stablizers help a great deal. and there are a few different excersises he can do if he can feel himself getting to a breaking point
I would try and speak him in to seeing a professional-even if its just once so you guys can have an idea what you’re doing
ADD: whoever stated BiPolar swings arent that swift is wrong. the quicker they are-the more unstable he will be. I have seen people who only have a major swing a few times a year. but I also know many people that fit the same description as your brother