Depression can be incredibly hard to live with; it permeates every part of a person’s life and leaves them feeling very low and unable to cope with day to day life. Most people will have an encounter with depression during their life and most people cope with it and move on without any problems. For people with bipolar depression life can be quite different.

Bipolar depression tends to come in cycles which are mixed with periods when the sufferer feels intense highs. During these highs bipolar depression is forgotten and the person might feel invincible and this can lead to other problems. When someone who is bipolar is in the middle of a bipolar depression period they tend to go into a deep depression, their sleeping patterns can be affected, they may lose their appetite, they lack motivation and their personal relationships can suffer. If the bipolar depression episode is particularly intense they may even contemplate suicide, so it is essential that they learn effective ways that will help them to live with bipolar depression.

Firstly it is important to try to get bipolar depression under control as this will make life slightly easier for the sufferer. This should be done by getting medical advice and treatment to stabilise the moods of the person with bipolar disorder. Medication to control bipolar depression can be prescribed and many people with bipolar disorder find that this is a huge step forward for them. They will still have periods or episodes of bipolar depression but with the correct medication and management these can become less frequent. By lowering the frequency of these periods, a person who has been diagnosed with bipolar disorder can deal better with them.

As well as medication, another good way to learn to live with bipolar depression is by attending cognitive behavioural therapy sessions which can help a person to pinpoint triggers for their depression. When a person is able to pinpoint these triggers they can then either try to avoid these types of situations, or if they are unavoidable, learn strategies to cope and lessen the impact of bipolar depression when it strikes. Obviously, this type of treatment is not suitable for everyone but many people do benefit from it and it is worth taking a look at if you suffer from bipolar depression.

Exercise can also play an important role in living with bipolar depression as it encourages the production and release of endorphins, a natural chemical that the body produces when it is happy. This also occurs when a person exercises – so it is a good idea for those people who suffer from bipolar depression to take regular exercise as it will benefit them.

Some people also advocate alternative treatments such as taking up yoga or meditation as it allows the bipolar depression sufferer to relax and learn further coping mechanisms. Whilst not everyone would agree, those people who do practice yoga or meditation do find that it improves their mood and general wellbeing which is both useful and valuable.



Thanks to Lina Smith for contributing this article to our Depression blog:

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When people talk about depression, they usually mean a person who is feeling down and lethargic, and who has generally lost interest in life. Most people don’t realize that there are many different types of depression a person can be suffering from, with each type often showing different symptoms.

While this isn’t an exhaustive list, here is a quick overview of the most common forms of depression.

Mild/Minor Depression is the least severe form of depression. Usually the symptoms aren’t so severe that they have a major impact in the life of the sufferer, although the depression can still cause distress and disruption. Many people who are suffering from mild depression never seek treatment - they don’t believe the symptoms are severe enough.

Dysthymic Disorder is a long-term form of mild depression (lasting two or more years). Like mild depression, most sufferers never seek help as they don’t believe their symptoms are severe enough. Also like mild depression, the symptoms of dysthymic depression don’t usually have a huge impact on the sufferers day-to-day life. But when the long-term results from the depression are considered, the impact can be huge. People who suffer from dysthymic depression often can’t remember a time when they weren’t depressed.

Moderate Depression fits somewhere between mild depression and major depression. The symptoms of moderate depression are more severe and numerous than mild depression, and they begin to have an impact on the work, home and social life of the sufferer. While mild depression and dysthymic depression can go unnoticed by others, the symptoms of moderate depression are usually noticeable. If left untreated, people suffering from moderate depression can slip into major depression.

Major Depression (also known as clinical or unipolar depression) is what most people think of when they think of depression - the individual seems to have totally given up on life, and has a large number of obvious symptoms. It is unlikely that someone suffering from major depression could function normally in a work, social or home setting - their symptoms are too pronounced. Suicide can be a huge risk with major depression, and professional help needs to be sought to treat the depression.

Bipolar Depression (BPD) is sometimes known as manic-depression, and is characterized by the sufferer having large mood swings from very upbeat and energetic to extreme lows. Both periods normally last for several weeks at a time. Bipolar depression is usually categorized into a number of sub-categories. While there is no firm consensus on how many sub-categories there are, the four most common are Bipolar I Disorder, Bipolar I Disorder, Cyclothymic Disorder and Bipolar NOS.

People with bipolar I disorder have the most extreme mood swings. Their low moods can be classified as major depression, while in their positive moods they can engage in crazy, outrageous and even dangerous activities. During this ‘mania’ state they may even suffer from paranoia or hallucinations.

People with bipolar II disorder have much less extreme mania periods. Indeed, many bipolar II sufferers go untreated because people mistake their ‘mania’ phase for simply getting over their depression. People with bipolar II don’t suffer from paranoia or hallucinations.

Cyclothymic disorder is a milder but much more long-term version of bipolar disorder (usually lasting for two or more years). Like bipolar II the mania phases are relatively minor, but in addition their depressive phases aren’t so severe that they classify as major depression. If left untreated, cyclothymic depression can develop into bipolar II depression.

Finally, Bipolar NOS (Not Otherwise Specified) is a catch-all category for people who have some of the symptoms of bipolar, but those symptoms don’t allow the person to be neatly categorized in one of the three other categories. For example, the sufferer may have fast cycling between the manic and depressive states, or manic states without depressive states.

Premenstrual Dysphoric Disorder (PMDD) is a severe form of Premenstrual Syndrome (PMS) that affects between 3% and 8% of women. Symptoms of depression appear around a week prior to menstruation, and disappear within a few days of menstruation beginning.

Postnatal (Postpartum) Depression can occur any time in the first 12 months after a baby is born. Some form of postnatal depression affects over 80% of new mothers, although most who are affected only have a very mild form of depression that usually passes naturally with rest and the support of family and friends. However around 15% of mothers get a more severe form of postnatal depression, and like major depression the sufferer needs treatment and support to overcome the illness.

Seasonal Affective Disorder (SAD) is a type of depression caused by the changing light levels throughout the year. The most common for of SAD is caused by the low-light levels of winter, but a much rarer form of the disorder is triggered by the high-light levels of summer.

As you can see, depression comes in many different forms - each type of depression has different triggers and symptoms associated with it, and each type of depression also responds better to different treatments. By being aware of the different forms depression can take, you can be much more prepared to help a friend of family member.



Thanks to Jason Anderson for contributing this article to our Depression blog:

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Being bipolar and living with the illness means that you should have a bipolar disorder treatment plan in place. This usually begins to be formed from the time that a diagnosis of bipolar disorder is made. Often the bipolar disorder treatment is split into two types – one for treating manic episodes and one for treating depressive episodes. It is essential that this happens so that the person with bipolar disorder is getting the correct bipolar disorder treatment.

During a manic episode the bipolar disorder treatment will start with the elimination of any substances that might could the sufferer harm – many will turn to stimulant drugs so they should be removed as they can further alter the mood. Next an assessment should be made to determine whether the best form of bipolar disorder treatment is to hospitalise the sufferer. In particularly extreme manic episodes this can happen to prevent the sufferer from coming to any harm.

Then mood stabilising drugs need to be administered as the next phase in the bipolar disorder treatment. Lithium tends to be used at this stage as it is can be a highly effective mood stabiliser. If after a week or so the bipolar sufferer will then be given antipsychotic drugs which should help to stabilise the moods. After this stage of bipolar disorder treatment additional drugs may be prescribed along with any therapy that might be needed. By this point the bipolar sufferer should be quite stable and able to continue with their daily life as usual.

During a depressive episode the bipolar disorder treatment is quite similar with lamotrigine or lithium being given to the sufferer initially. If they fail to respond to these many doctors have the opinion that they will have to cope with the depressive episode for as long as it lasts. Strangely antidepressants are not normally included in bipolar disorder treatment plan for depressive episodes as they don’t tend to work very well.

Once the bipolar disorder treatment is underway the next step could be to begin cognitive behavioural therapy (CBT) so that the sufferer can start to recognise what triggers their bipolar disorder and learn ways to avoid these triggers. Therapy of this form can be hugely successful if the sufferer is willing to try this type of bipolar disorder treatment. By being able to manage their different moods a bipolar sufferer is helping to reduce the number and severity of depressive and manic episodes. Alternative bipolar disorder treatments are also quite popular with yoga and meditation being two of the most widely used by sufferers around the world.

Although there is no known cure for bipolar disorder there are a number of ways that bipolar disorder treatment can help sufferers and there is constant research into finding more ways. It may seem as though there is nothing that can be done for someone who is bipolar but as you can see there are several options that sufferers can try to find which is the best bipolar disorder treatment for them.



Thanks to Lina Smith for contributing this article to our Depression blog:

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