Many patients endorse grandiose delusions, believing they are high-level operatives such as spies, government officials, members of secret agencies, or that they are knowledgeable professionals despite lacking such background. Mania also commonly presents with psychotic features, which include delusions or hallucinations. Much has been written about the depressive side of bipolar disorder, while much less material is available about the manic side (it doesn't even get its own page on the National Institute of Mental Health, NIMH website). It affects men and women equally and is found in all racial and ethnic groups and all social classes. The median age of onset is 25 years, although the illness can start as early as childhood or as late as the 40s or 50s. Bipolar Disorder "other specified" and "unspecified" is when a person does not meet the criteria for bipolar I, II, or cyclothymia but has still experienced periods of clinically significant abnormal mood elevation.īipolar disorder affects nearly 6 million adults in the U.S., or about 2.6% of the population over 18 years of age.People with cyclothymia may have brief periods of normal mood, but these periods last less than eight weeks. Cyclothymic Disorder or Cyclothymia is a chronically unstable mood state in which people experience hypomania and mild depression for at least two years.Bipolar II Disorder is a subset of bipolar disorder in which people experience depressive episodes shifting back and forth with hypomanic episodes, but never a "full" manic episode.To be diagnosed with bipolar I, a person's manic episodes must last at least seven days or be so severe that hospitalization is required. Most people diagnosed with bipolar I will have episodes of both mania and depression, though an episode of depression is not necessary for a diagnosis. Bipolar I Disorder is an illness in which people have experienced one or more episodes of mania.You feel all these things."Īccording to the National Alliance on Mental Illness, there are four types of bipolar disorder: You feel the government is putting chips in your head. "When you're in this state, you're hyper-paranoid about everything. But West also admitted that during his manic periods he may suffer from racing thoughts, irritability, sleep loss, and paranoia or psychosis. Speaking with David Letterman last year for his Netflix series My Next Guest Needs No Introduction, West explained that taking medication every day can "ramp him up" which can be a double-edged sword: "hen you ramp up, it expresses your personality more" and you have "a heightened connection with the universe," as well as more energy and productivity. According to Kardashian-West, "For him, being on medication is not really an option, because it just changes who he is." But we can definitely feel episodes coming, and we know how to handle them.'"īut for West, "handling them" doesn't include medications. "'I think we're in a pretty good place with it now,' she said, adding that West has a newfound sense of purpose - to show that you can live a normal life with mental illness. However, she said that he now accepts his diagnosis. She said that, in the past, West found it hard to accept that he has bipolar disorder, telling people that he was instead suffering from sleep deprivation. In a 2019 interview in Vogue magazine, Kardashian-West openly discussed her husband's mental health issues.
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