Residential doctor Ngo Tuan Khiem, National Institute of Mental Health, Bach Mai Hospitalsaid that patient N.T.A (19 years old) was diagnosed with Hung Cam, being treated at the Institute of Mental Health Bach Mai.
The patient's mother said that A is the eldest child in the family, is considered to be docile, gentle, few friends, good academic performance.
According to the patient's mother, after finishing grade 12, A did not continue to go to college but went to sell clothes.
Two years ago, A showed expression of excessive fun, always found himself a lot of energy, making it tirelessly.A often laughed and talked to people, talked about it after another.
The young girl also naturally likes to help people, such as sweeping trash in school, helping people in difficult circumstances.These are things that she never did before.
However, during this time, A sleeps little but still feels very strong, can still do everything.Patients increase their shopping, such as clothes, shoes, to the point of exceeding the ability to spend (the amount of parents' money).The above symptoms lasted 3 months and then gradually decreased, the patient did not go to the doctor or treated.
About 1 year later, A appeared signs of boredom, did not want to do anything, no more hobbies before, slightly lost weight.Accompanied by the patient also had insomnia, a night of awake and felt pessimistic, tired, even many times thought of death.
Patients often think of suicide in the evening, when lying alone, unable to sleep and see the gloomy future.However, 2 months later, the symptoms were relieved.The family only thinks that the patient changes his temperament at an old age.
Most recently, 3 weeks before the hospital, A appeared the same symptoms as 2 years ago, including: excessive fun, seeing more energy, working tirelessly ... Patient despite insomniaBut still feels good, can work.
In particular, A increases demand, sexual desire, even A has sex indiscriminately with many people.
At the same time, A has many unbelievable business and business ideas, such as cherishing intended to open a system of clothing stores, intending to open some transnational trading companies.
Seeing A showed abnormalities, everyone advised but I did not listen.As the symptoms are getting worse, affecting A's current job, she was taken to the National Mental Health Institute by her family, Bach Mai Hospital.
The patient was diagnosed with bipolar emotional disorders, currently in the stage of manic and psychotic symptoms.The patient was 15 -day inpatient treatment, combined with medication and psychological therapy.After treatment, the symptoms of the disease have been improved, the patient has reduced excitement, has more stable emotions, is released, eating and sleeping normally and treating treatment.
BSCKII Nguyen Thi Ai Van, Department of Treatment of emotional disorders, National Mental Health Institute, Bach Mai HospitalIt is characterized by bipolar disorder characterized by at least 2 stages with mood and the level of activity is noticeable.
Patients with the stage of increasing mood, vitality and activity (mild or manic) and at other stages, the patient will reduce mood, vitality and activity (depression).However, in some cases, the patient only has the stage of manic or a mild revival stage is also diagnosed with bipolar disorder.
Factors increasing the risk of disease
According to Dr. Ai Van, bipolar emotional disorders may be given genetic genes.Some studies have shown that, when the first relative of a person with bipolar emotional disorder, he or she is at risk of disease 10 times higher than the common population.
Research on twins also shows that the incidence of bipolar emotional disorders in twins and eggs is about 60-80%, while this rate is only about 20% in other twins eggs eggs..
In addition, the change of biological processes in the body or transforming the image of the brain is also one of the bipolar emotional disorders.
According to Dr. Van, in addition to the above reasons, some other factors can also affect and increase the risk of bipolar emotional disorders, specifically:
- Stress: Events that are stressed in life such as losing relatives, divorce, or losing jobs can increase the possibility of symptoms of disease.
- Biological arrhythmia: Changes in biological rhythms, such as sleep deprivation or shift work, can lead to chemical imbalance in the brain, increasing the risk of manic or depression disorders or depression.
- Lack of social relationships and social support: Lack of support from family and friends can increase the risk of recurrence of the disease, while the positive social environment can help reduce frequency.The capacity and intensity of the disease stages.
Warning signs
There are many signs to identify a person with bipolar emotional disorders.Here are some typical signs that people need to pay special attention:
- Excessive joy: The patient has an excessive joy with any things and phenomena that occur around.They show their happy faces, joyful attitudes.If they are opposed, they can move the attitude quickly from excessive fun to irritability and causing trouble with the opposition.
- Reduce sleep demand: Patients can wake up a few hours earlier than usual but do not feel tired, on the contrary, they feel full of vitality.
- Saying a lot, saying quickly: Patients often have pressure to say, speak loudly, speak quickly and when they speak, it is difficult to stop.
- Phi Phi Think: The thought of the patient may increase rapidly in speed but these thoughts still have links with each other.When their thoughts explode, their language became chaotic and inappropriate.
- Pay attention: The patient has an unable to focus and pay attention.They cannot focus on a certain job if there are stimuli from outside.
- Increase your favorite activity.
- Highly high: The patient promotes himself too much.In mild cases, the patient will reduce self -criticism, in more severe cases, the patient will uphold himself and may reach the paranoid level.