Passage Bipolar Disorder (BD), Often Characterized by Periods of Depression and and Mania

Passage
Bipolar disorder (BD) , often characterized by periods of depression and mania, although it is possible to experience mania only, is frequently misdiagnosed.  Some studies suggest that as many as half of all individuals diagnosed with BD actually do not have the disorder.  One possible reason is the similarity in symptoms shared by both mania and borderline personality disorder.  Another potential reason involves recent efforts by pharmaceutical companies to increase awareness of BD symptoms.  As one physician stated:"In the past ten years, we've been bombarded with ads, 'These are the symptoms of BD-they're easily missed-and here is a new drug to treat it.'  I think that when you're constantly being reminded not to overlook something, you start looking for it everywhere, even when it's not there."Other studies report that BD is underdiagnosed, with almost 70% of patients receiving an initial misdiagnosis and almost 35% remaining misdiagnosed for 10 years or more.  This can be partially explained by the fact that people often seek treatment for their depressive symptoms but rarely for their manic symptoms.  In fact, some individuals may not initially realize that their manic episodes are problematic.  Patients may describe these episodes as positive experiences, particularly when compared with depressive episodes:Patient 1:  "During my depression, I'm so tired I stay in bed for days.  I feel totally useless.  But when I'm manic, I am so alive.  I feel like I'm on top of the world-I'm the life of the party, and my mind is running a million miles a minute.  I'm so productive, I don't need much sleep, and I can just go, go, go.  It actually took me a long time to realize that this wasn't normal, this awesome energy was way beyond how people normally feel."Patient 2:  "My mania actually came on over a long period during grad school and I just kept feeling better and better.  It was like I was getting sharper and smarter, and I was doing more research and coming up with all of these brilliant ideas.  I felt totally on top of my game."Because mania is often unrecognized and unreported, recent efforts have been made to encourage a more proactive approach to the self-identification of manic symptoms.  Proper diagnosis is critical for effective life-long treatment and management of BD, as reflected by this patient's experience:Patient 3:  "It was almost 10 years before I could acknowledge that my high-stress lifestyle was triggering my mania and that I needed to make some big changes-and that I needed to stay on my medication, even when I felt much better.  That was really hard for me to get, but I get it now-I have this for life, and I have to treat it every day.  Once I finally got that, I started to be able to accept this as a part of who I am."
T. Singh and M. Rajput ©2006 Matrix Medical Communications, and J. A. Scott and F. Sohrabi ©2015 Everyday Health Media.
-Does the quote from Patient 3 reflect the sociological concept of the illness experience?

A) Yes, the quote suggests an unconscious desire to remain ill.
B) No, the quote better reflects a stigmatized approach to mental illness.
C) Yes, the quote reflects meaning-making about and management of the illness.
D) No, the quote suggests that the patient's self-identity is changed by the illness.

Correct Answer:

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