In an extensive interview with Humo Licht Prof. Pascal Sienaert, psychiatrist at the University Psychiatric Center KU Leuventhe complexity of bipolar disorder. That disorder-often also called manic-depression-is more than the well-known mood fluctuations between deep depression and mania. She is more common than people think and is often recognized too late or incompletely.
The condition is expressed in various forms, ranging from light hypomania to heavy manic or depressive episodes, sometimes with psychotic characteristics. The first signs often occur at a young age, typically around early adulthood. Yet a correct diagnosis often does not end in the beginning, because the disorder usually starts with a depressive period.
Recognition and treatment
According to Sienaert, there is a need for more knowledge, but also to more attention for early signals and individual differences. For example, increased sleep needs, increased appetite and an abrupt start can indicate a bipolar depression instead of a classic depression. The treatment requires customization. Medication – especially mood stabilizers such as lithium – remains a cornerstone. In addition, psycho-education plays a crucial role: patients learn to recognize signals, monitor their rhythm and learn to deal with the impact of their condition. Psychotherapy and support of the loved ones are also important.
“People with a bipolar disorder have to redesign their identity and come to terms with the diagnosis. That takes time, but the path to recovery is possible and worth it,” said Sienaert.
Against the stigma
Bipolar disorder is often accompanied by self -stigma and incomprehension, despite the fact that the condition affects 1 to 2% of the population. Testimonials from famous people such as Stephen Fry of Mathias Vergels help break the taboo, but there is still work to be done.
“There are plenty of examples of people with a bipolar disorder who thrive in a demanding position without any problems,” Sienaert emphasizes. “The stigma is a shame, because it hinders people in their lives and self -confidence, while most patients with the right support can lead a meaningful life.”
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How do you recognize a bipolar disorder? | There
Want to know more about living with a bipolar disorder?
Pascal Sienaert wrote the book together with experience expert Ann Dierick Living with a bipolar disorder About (Lannoo).