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Bipolar Disorder

S. Nassir Ghaemi, MD

Dr. S. Nassir Ghaemi is Assistant Professor of Psychiatry at the Harvard Medical School and Director of the Bipolar Disorder Research Program at Cambridge Hospital. He studies the underdiagnosis of bipolar disorder and the use of mood stabilizers in treatment protocols.

Bipolar disorder is vastly underdiagnosed. On average, it takes 20 years or until a person is almost 40 years of age, before bipolar disorder is diagnosed. Dr. Ghaemi explains that Bipolar disorder is overlooked for many reasons. Most people have a classic picture of a euphoric person as being manic. However two-thirds of manic episodes are not elated, but an irritable or depressed mood. To complicate matters, half of all people with bipolar disorder have lack of insight, so they do not even realize they are ill.

Family support for bipolar disorder is critical, yet scarce. One half of people with bipolar disorder are not medication compliant. In his clinical practice, the divorce rate for bipolar disorder is 90%. Dr. Ghaemi explains how important it is for families to help, especially with medication issues.

How many people have bipolar disorder?
Do more men or women have bipolar disorder?
Is bipolar disorder hereditary?
What is bipolar disorder and how does it usually present itself?
What is mania?
What is the difference between mania and hypomania (type II)?
How does depression present in bipolar patients?
Do the symptoms of bipolar disorder differ much among people?
How often do manic or hypomanic episodes occur?
How long does it usually take for someone to be diagnosed for bipolar disorder?
How often are people misdiagnosed and why?
What is lack of insight?
How do you diagnose patients if half of them have a lack of insight?
How can families help when their loved ones with bipolar disorder?
What should families do if they think someone is manic and are fearful?
Which type of medication is used to treat bipolar disorder?

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© 2001 Families for Depression Awareness

Bipolar Disorder
Dr. S. Nassir Ghaemi is the director of the Bipolar Disorder Research Program at Cambridge Hospital

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