Hi,
As per your clinical history, the exact cause of
bipolar disorder is unknown, but several factors may be involved, such as:
1) People with
manic depression appears to have physical changes in their brains.
2) An imbalance in naturally occurring brain chemicals called
neurotransmitters seems to play a significant role in the
manic disorder.
3) A manic disorder is more common in people who have a first-degree relative, such as a sibling or parent, with the condition.
So visit your Doctor [psychiatrist] now and do a physical and
psychological evaluation. Your Doctor will check your scale and adjust your medicines. Finding the right medicines for you will likely take some trial and error. If one doesn't work well for you, there are several others to try.
This process requires patience, as some medicines need weeks to months to take full effect. Generally, only one medicine is changed at a time so that your doctor can identify which medicines work to relieve your symptoms with the least bothersome side effects. Medicines also may need to be adjusted as your symptoms change.
Do follow lifestyle modifications like this:
1) Pay attention to warning signs. Addressing symptoms early on can prevent episodes from getting worse. You and your caregivers may have identified a pattern of your bipolar episodes and what triggers them. Call your doctor if you feel you're falling into an episode of depression or
mania. Involve family members or friends in watching for warning signs.
2) Try to avoid drugs and alcohol. Using alcohol or street drugs can worsen your symptoms and make them more likely to come back. Take your medicines exactly as directed. You may be tempted to stop treatment but don't. This can have immediate consequences as you may become very depressed or go into a manic or hypo-manic episode. If you think you need to make a change, call your doctor.
3) Check first before taking other medicines. Call the doctor who's treating you for bipolar disorder before you take medicines prescribed by another doctor or any over-the-counter supplements or medicines. Sometimes other medicines trigger episodes of bipolar disorder or may interfere with medicines you're already taking to treat.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Uday Nath Sahoo