Celebrity Revelations of Bipolar Help Reduce Stigma, Increase Understanding

Red velvet barricadeSeveral celebrities have revealed they have been diagnosed with bipolar over the past few years, and the most recent revelation came from Demi Lovato. The 18-year-old musician and actress, like many people with bipolar, was diagnosed after a stay in a rehabilitation center. Although bipolar is a serious illness that can dramatically interfere with basic life functions, it is also highly treatable.

Symptoms of Bipolar
Bipolar, also referred to as manic depression, is named for the polarized mood swings people experience. These individuals frequently bounce back and forth between periods of moderate to severe depression and periods of extreme activity and restlessness known as mania.

Common symptoms of bipolar include:

  • Manic episodes during which the person feels invincible, high, energized, and extremely busy or happy
  • Depressive episodes
  • Cycling between manic and depressive episodes
  • Compulsive or excessive spending, shopping, sex, or drinking during manic episodes
  • Thoughts of suicide or hopelessness during depressive episodes
  • Sleep disturbances
  • Extreme anxiety
  • Extreme irritability

Types of Bipolar
The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), identifies four different types of bipolar:

  1. Bipolar I Disorder: Those with bipolar I tend to have more manic episodes interspersed with periods of depression. The manic episodes must last for at least a week, and the depressive episodes must last for at least 2 weeks.
  2. Bipolar II Disorder: Bipolar II is primarily characterized by periods of depression. The depression is interspersed with episodes that are hypomanic, or “almost manic,” but with no full-blown episodes of mania.
  3. Bipolar Disorder Not Otherwise Specified: People with this version of the disorder have manic and depressive episodes, but the episodes do not last long enough to warrant a diagnosis of bipolar I or II.
  4. Cyclothymia: This form of bipolar disorder involves minor episodes of both mania and depression; however, neither the mania nor the depression may be severe enough to warrant a diagnosis of bipolar I or bipolar II.

Treatment for Bipolar
Lithium and other drugs with severe side effects have traditionally been the primary treatment for bipolar. However, modern treatments—including lower doses of lithium—are much more effective with fewer side effects. People with bipolar may need to try a combination of antidepressants and antipsychotic drugs. Frequently there is a period during which the doctor and person with bipolar must work together to determine appropriate medications and dosage, so people should report any negative side effects or depressive and manic episodes to their doctor. Mental health professionals may also use cognitive-behavioral and other therapies to help people learn to manage their symptoms. It is common for people to stop taking their medications when they begin to feel better, thinking that their condition is “cured.” However, there is no known cure for bipolar; the illness is only managed, but it can be managed effectively when people continue taking their medication.

Bipolar Stigma and Rights for People with Bipolar
As more high-profile figures reveal their bipolar diagnosis, the stigma of bipolar is reduced. It is important to realize that bipolar is not a choice and, like any other health condition, is out of the person’s control. People diagnosed with bipolar should also note that they have several legal rights, including:

  • Rights under the Americans with Disabilities Act to receive reasonable accommodations at work and school for their mental health disability
  • The right to privacy and confidentiality in treatment
  • The right not to reveal their diagnosis
  • The right to change doctors or seek a second opinion if they disagree with a doctor’s advice or diagnosis

References:

  1. http://latimesblogs.latimes.com/gossip/2011/04/demi-lovato-bipolar-disorder.html
  2. http://www.nimh.nih.gov/health/publications/bipolar-disorder/complete-index.shtml
  3. http://www.mental-health-today.com/bp/bi1.htm

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  • chris towers

    chris towers

    June 11th, 2012 at 3:42 PM

    I am always torn about these revelations. I know that getting the message out is the key to more knowledge, but at the same time I think that this should (or maybe could?) be better dealt with in private. There are just sometimes when things are better left unsaid, and I don’t mean that they should bypass treatment, but why share everything with the public? I know that some of them do it to get the message out, but I can’t help to feel like there are others doing it for the attention.

  • Damien

    Damien

    June 11th, 2012 at 5:11 PM

    the whole celeb lifestyly lends itself to bipolar episodes, don’t you think?
    look at the cycling that they do between the normalcy of everyday life and the trails of being a clebrity
    they constantly have someone hounding them for something and probably feel like they are being used for their fame and connections much of the time
    having to sort thru these kinds of feelings and never knowing who your real friends are who are those who are just using you to get stuff has to be hard

  • Grantley

    Grantley

    June 12th, 2012 at 4:22 AM

    I never see their revelations as self serving, I see them as a way to spread a message that it is okay to admit that they have mental illnesses too. At least it gets people talking.

  • t.martin

    t.martin

    June 12th, 2012 at 6:02 PM

    its not easy to manage something like that but neither is it impossible.and the good thing is that treatment and medicines are only improving and the stigma is decreasing.completely agree that celebrities are helping lower the stigma when they step out of the closet.I think not only are they helping others by being open about their illness but they are also helping themselves by speaking out the truth.

  • mark

    mark

    June 13th, 2012 at 4:48 AM

    if they have it i don’t want it

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