Bipolar Disorder


Bipolar Disorder in Lexington, Richmond & Frankfort KY

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What is Bipolar Disorder?

Bipolar disorder, also known as manic-depressive illness, is a chronic mental illness that causes dramatic shifts in a person’s mood, energy, activity level and ability to think clearly or carry out day-to-day tasks. People with bipolar disorder have high and low moods, known respectively as manic episodes and depressive episodes, which are much more severe than the normal ups and downs that most people experience. Bipolar disorder symptoms can result in damaged relationships, poor job or school performance, and even suicide. However, with a good treatment plan and self-management, people suffering from this illness can live full and productive lives. 


Signs & Symptoms
People with bipolar disorder usually experience intense emotional states that occur in distinct periods called “mood episodes,” that represents a drastic change from a person’s usual mood or behavior. An overly joyful or overexcited state is called a manic episode, and an extremely sad or hopeless state is called a depressive episode. People’s symptoms and the severity of the mania and depressive episodes can vary widely. 

Common symptoms of bipolar disorder are described below:

Symptoms of a manic episode include:

Mood Changes
  • A long period of feeling "high," or an overly happy or outgoing mood
  • Extreme irritability
Behavioral Changes
  • Talking very fast, jumping from one idea to another, having racing thoughts
  • Being easily distracted
  • Increasing activities, such as taking on new projects
  • Being overly restless
  • Sleeping little or not being tired
  • Having an unrealistic belief in one's abilities
  • Behaving impulsively and engaging in pleasurable, high-risk behaviors
Symptoms of a depressive episode include:

Mood Changes
  • An overly long period of feeling sad or hopeless
  • Loss of interest in activities once enjoyed, including sex.
Behavioral Changes
  • Feeling tired or "slowed down"
  • Having problems concentrating, remembering, and making decisions
  • Being restless or irritable
  • Changing eating, sleeping, or other habits
  • Thinking of death or suicide, or attempting suicide.
Occasionally, people with severe episodes of mania or depression can have psychotic symptoms, such as hallucinations or delusions, as well. This often causes bipolar disorder to be misdiagnosed as schizophrenia.


Diagnosis & Treatment Options

Bipolar disorder is diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders (DSM). There are five basic types of bipolar disorder:
  1. Bipolar I Disorder – defined by manic or mixed episodes that last at least seven days. Usually depressive episodes occur as well, lasting at least two weeks.
  2. Bipolar II Disorder – defined by a pattern of depressive episodes and hypomanic episodes, but no full-blown manic or mixed episodes. 
  3. Bipolar Disorder Not Otherwise Specified (BP-NOS) – diagnosed when symptoms of the illness exist but do not meet diagnostic criteria for either Bipolar I or II.  
  4. Cyclothymic Disorder, or Cyclothymia – a mild form of bipolar disorder with episodes of hypomania and mild depression that last for at least 2 years. 
  5. Rapid-Cycling Bipolar Disorder - occurs when a person has four or more episodes of major depression, mania, hypomania, or mixed states within a year. Rapid cycling can come or go, but occurs more frequently when onset occurs at a younger age.
Bipolar disorder cannot be cured, but it can be treated effectively over the long-term. Proper treatment helps many people gain better control of their mood swings and related symptoms, using one of the following options or a combination of them.
  • Medications – various medications include mood stabilizers, antipsychotic medications, and antidepressants
  • Psychotherapy – various types of therapy can be used, including cognitive behavioral therapy (CBT), family-focused therapy, interpersonal and social rhythm therapy, and psychoeducation.
  • Electroconvulsive therapy (ECT)
  • Self-management strategies and education
  • Complementary health approaches, such as meditation, faith and prayer

There Is Hope!

If you suffer from bipolar disorder or know someone who does, the most important thing you can do is get the right diagnosis and treatment. Talk to your doctor about treatment options and programs available to you. Seek out mental health specialists, such as psychiatrists, psychologists, social workers or mental health counselors.  

For more information, do not hesitate to call our office and set up an appointment or visit one of these websites. 

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Lexington, KY

Darby Creek Location
501 Darby Creek Road
Suite 11
Lexington KY, 40509
Phone: 859-338-0466
Fax: 859-294-0802

Recent Posts
By Paul Dalton 05 Feb, 2016
So you live in Kentucky and only a few more weeks until spring. Everyone should be happy and feel better about that, right? I think most of us get a sense of relief and hope, and that cognitive energy to bust out of the winter season and get moving. For some, the spring can be a rough time. Depression, anxiety, bi-polar disorder, and relationship issues prevent the spring season from being all that it could be. Following are some reasons that these and other conditions may worsen in the spring, a few resources for you, and some concrete strategies you can implement to help yourself. 

So why do people struggle some in the spring when it should be all flowers and sunshine? 

1. Sleep
Many times the spring season causes a change in our circadian rhythm . The sun wakes you up in the am, it is difficult to keep a routine, and restlessness all contribute to the sleep problem. Our eating in the winter and spring can affect how much we sleep. Caffeine, napping, undereating, and how much we are moving, all contribute to how much we sleep. Spring likely has an effect on melatonin in the body, which aids in sleep. 

Strategies that help are EXERCISE and EATING RIGHT! If you keep moving with the help of  a tool like a Fitbit or utilize regular exercise of 45 minutes or more 4-5 times per week, you are far less likely to have sleep problems. Exercise helps you sleep. Exercise helps you eat better. Eating and sleeping adequately can reduce your stress and fight any symptoms you may have. Eating healthy keeps your mind, body, and spirit in a positive place. When your body is well, your mind has a great chance of being well too. Sounds too simple? Give it a try!

The sleep foundation can help here :  Sleep Foundation Healthy Sleep Tips
Eating Right For Spring
Here is a good link to read on symptoms getting worse in the spring: Spring Makes Symptoms Worse

2. Spring Fever is Real
Our office has existed for over 15 years now. I can tell you that March to May is our busiest time of the year, always. Bipolar disorder, marital infidelity, depression, and anxiety are the main reasons people call us in the spring. The real causes of spring fever include longer days that produce more sunshine and increased energy, changes in hormone production, sleep cycles, nutrition and diet changes, body needs, and possibly, a lack of self care. When we bust of out winter here in Kentucky we sometimes forget that it takes a little time to get our minds and bodies in shape for yard work, spring cleaning, and for many, an increased workload all the way around. Here are some links to let you know spring fever is real. 

Spring Fever
WEB MD-You Give Me Spring Fever
Wiki Spring Fever
Spring Time Bad for Depression

3. Expectations Are High

Sometimes in spring we have been thinking about all the things we should of, could of, would of done if we had lived in San Diego or Florida during our winter days. The reality of being human can set in when we find out that spring has sprung, it is time to get moving, and we don't have the energy or drive to complete our list of high expectations. Many people are disappointed in themselves and these outcomes. Don't worry about it. 

Strategies you can use include setting small attainable goals you can feel good about. Work on your list a little at a time. Make goals that regular people can reach with time built in for you to EXERCISE AND SLEEP. Do a mix of things that you enjoy and are healthy for you while completing your responsibilities. If you deny yourself from pleasure too long, that strategy is likely to backfire. Have a good balanced approach. Use a checklist that has 3 sections. One section is for today. One section is for the week. Reserve one part of the list for things your are really wanting to do. Put a vacation or planned fun activities on a calendar. Look up things you might want to do during that time online. Planning, thinking and dreaming are fine. They keep us hopeful. 

Tiny Buddha Expectations and Disappointment
Expectations at The Silent Blog
Three Ways Expectations Can Hurt You

4. Allergies

If you live in Kentucky, you know about allergies. Kentucky is known to be one of the worst states when it comes to spring and fall allergies.  Louisville is ranked as one of the worst cities in the entire country to live in due to allergies.   Many times people are unaware they are being affected. Sometimes the symptoms are less obvious than a runny nose, cough, and cold like symptoms. Many times people are lethargic, grouchy, have headaches, and have cognitive deficits. The allergic affect we have in Kentucky can quickly turn into a sinus infection, bronchitis, ear infections, and other maladies that make us mentally and physically drained. That flower below can cause us some issues! 

Get to a doctor. Take a seasonal allergy medication. Some are mild, like Allegra (please get your physician's approval before taking allergy medications) and can be taken everyday. Prescription nose sprays may help, but may also have some cognitive or mood altering side effects. Be careful, but don't suffer! Get help from an allergist if you need it. 

Allergy Resources
Pollen Map
How to Beat Spring Allergies by WEB MD
By creekmoremarketing 21 Sep, 2015

Welcome to our website!

Therapy is a great choice. It works, and I hope you make a commitment today to start. Most people find the idea of attending therapy with a therapist or counselor far more scary than the actual process itself. Here is a link that describes how the process works at our locations.

Our therapists are located in Lexington, Frankfort and Richmond, KY. See individual profiles of our therapy providers here . I hire our professionals personally and attempt to provide you with someone that will care about your outcome and treat you well. These are experts at counseling and therapy and provide services you will want to tell others about.

Our clinicians care, and you will know they are different in that respect. Providing therapy in Central Kentucky is much more than a job to our therapists. It is a profession, and a way of life.

Please let us help you today!   Contact us here   or at 859.338.0466 now.

Sincerely,

Paul D. Dalton, MS, LPCC, CADC

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What is therapy?

Therapy is more long-term than counseling and focuses on a broader range of issues. The underlying principle is that a person's patterns of thinking and unconscious awareness affect the way that person interacts with the world. The goal is to uncover those patterns and become aware of their effect and then learn new, healthier ways to think and interact.
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