Depression Disease
There is a disease out there that can be more harmful to families than
AIDS, it
can cause more pain and suffering to the individual afflicted with
the disease
than anything anybody could dream of, this disease is so rare,
that less than
one percent of the people in the nation( National...Ill, 2),
the disease is
Manic Depression, also known as Bipolar. Bipolar is a
disease that is common,
but yet very few people are aware of it and know its
symptoms. I was one of
those people who knew about Bipolar, but really done
know its affect on a person
and those people around him. Bipolar is a disease
that has lot to be discovered.
Although it has been around for a while,
it is still relatively new. In an age
where AIDS and STDs rule the front
page, a disease as Bipolar does not receive
attention until it is too late.
Manic Depression(bipolar) is a mental illness
involving serious episodes of
mania and depression(National...Ill 2). Even
though two million people have
the disease, doctors are still baffled by its
cause. The most likely
explanation is that it is caused by a single gene, but
that has yet to be
proven. Over twenty-three percent of adolescents who have
bipolar, also have
moms, who has this disease(National...Ill 3). Another cause
is that bipolar
might be inherited. During mania and depression there are many
chemical
changes that accompany the mood (Sims2). The number one chemical in the
brain
that change is sodium. During both depression and mania the sodium
levels
will rise, while other brain chemicals will rise during mania and fall
during
depression(Sims 2). It is crucial that teens get diagnosed right away.
In my
case I was in the middle. The signs were there, we just did not see
them at
first, but we still took care of it in the early stages. If they do
not get
treated right away the problem will only continue to get worse and
worse. The
problem is, many teens have high energy levels and it is tough to
diagnose. Some
signs of manic depression can range anywhere from a decreased
need for sleep to
an increased sexual drive(National...Ill 4). The thing that
caused my parents to
be superstitious was my wild mood swings. One minute I
would be acting as if
there was nothing wrong, the next minute, I would be
feeling there is no sense
in going on. Another thing bipolar might do is hide
behind another problem. A
kid might be doing poor in school, but in reality
it could be the early stage of
manic depression. This was another sign that
something was wrong with me. I had
a 3.0 grade point average, but when my
first quarter report card came out I had
1.5. Bipolar can show its face
anywhere it is important to the family and
friends of the person that they
find help immediately. Manic Depression is not
curable. There are many
different ways to treat it and to deal with it. Bipolar
is a disease, when
treated properly will go into remission and has the
possibility of never
showing up again. There are three ways that are effective.
The first is
mood stabilizers. These drugs help level your mood so, signs of
mania and
depression are lessened. The second way is talk therapy. Talk therapy
is when
a person with bipolar talks to a psychiatrist or a social worker about
their
thoughts and/or feelings(National...Ill 4). This is often used
concurrently
with the mood stabilizers. The third way is Electroconvulsive
therapy (ECT),
this is often used in the treatment of severe
depression(National..Ill 4).
Lithium is the most common mood stabilizer and it
is the most used to treat
patients with bipolar(National...Ill 4). Lithium is a
chemical that
stabilizes the chemicals in the brain and in turn soothes the
persons'
thoughts. This drug although helps the person mania and depression, it
also
lessons their creativity(National...Ill 5). Lithium is taken in the form
of
pills. The main thing doctors look for in a person taking lithium is their
"level.(Sims
1)." A level is how much lithium there is per pint of blood.
"A good lithium
level, in a normal adolescent is between five tenths and
eight tenths," said
Dr. Syed Ali of the Cleveland Clinic. "In order to
maintain these levels we
try to have the person take a dosage at breakfast
and a dosage at dinner," he
said, "usually the dosage depends on how the
body’s enzymes break down the
lithium chemicals." I currently take two pills
in the morning and three at
dinner. The reason you do not take lithium during
lunch is that your body’s
enzymes do not break down the lithium fast enough
and you start suffering side
effects, such as tremors, said Dr. Ali. He(Dr.
Ali) also says that it is
critical for a person to maintain his or her level.
"If they do not," he
said, " they might notice the effects now, but later
down the line they
will." It used to be that only Lithium was the only
approved drug to treat
bipolar, now studies have shown that a new drug,
Depakote, is
effective(National..Ill 4). This drug also acts as a depressive
combatant.
Depressive combatants are drugs that take out the depressive
episodes in manic
depression(National...Ill 2). Although there is not a lot
known about this drug,
it has been proven to be very successful in lab
studies (National...Ill 3). The
next kind of treatment that works well with
taking of the pills is talk therapy.
Talk therapy is going to see a
psychiatrist or a social worker and talking with
them about their feelings or
something that is bugging them. "Often times we
are happy if the kid just
comes in says hi," says Ed Becker of the Cleveland
Clinic Social Workers.
"Most times the kids are so scared and they just
don’t want to talk to you
about anything and even if you do ask them a
question, it is a one word
response you get back," Talk therapy is nothing new
to most people. Many of
times a person has gone to see a psychatrist to help a
person out. Whether
that person was seeing the doctor for marital problems or to
conquer their
fear of heights a psychatrist is somebody they could always talk
to. However,
a person with bipolar doesn’t see a psychatrist or social worker
as a friend,
but as a person out to get them(Shriberg 13). "The first thing we
tried to do
is to make the person feel comfortable," said Becker. "If the
person is
comfortable he or she will more likely talk," he continued, "In
Todd’s
case it took us about four sessions before he would open up to me."
The
reason it took me so long to open up along with most other bipolar suffers
is
that we do not feel we can trust the guy. We feel everything we say will
be
told to our parents and the public(Sims 3). It took me awhile to trust
Mr.
Becker, but once I started talking and confiding in him, my
medication seemed to
really kick in and I have not looked back since. "Once
Todd started opening up
to Mr. Becker, we noticed a change in him," says Mr.
John Krepop. "He seemed
to be smiling more and acting like his old self," he
remarked. The least
common method of treating is Electroconvulsive
therapy(ECT). This is when they
shock the brain to have it wake up. A course
of treatment with ECT usually
consists of six to twelve treatments given
three times a week for a month or
less. The patient is given general
anesthesia and a muscle relaxant. When these
have taken full effect, the
patient's brain is stimulated, using electrodes
placed at precise locations
on the patient's head, with a brief controlled
series of electrical
pulses(National...Ill 6). This stimulus causes a seizure
within the brain
which lasts for approximately a minute(National...Ill 6).
Because of the
muscle relaxants and anesthesia, the patient's body does not
convulse and the
patient feels no pain. The patient awakens after five to ten
minutes, much as
he or she would from minor surgery( National...Ill 6). In the
book the Bell
Jar by Sylvia Plath, Esther goes through the same kind of
treatment to help
snap her out of the funk that has been plaguing her. ECT is
effective in over
eighty percent of the people that use it. When we talk about
Manic
Depression, it usually only the person who suffers from it that gets
the
attention. What most people fail to see is the stress, pain, and
suffering
family and friends have to go through. Each day they wake up and
wonder what
kind of mood that person will be in. At times these people feel
like there is
nothing they can do right for this person. These people
sometimes don’t
realize how important they are to the recovery of a person
suffering from
bipolar. There is another way to help a person who suffers
from bipolar and that
is the support of his family and friends. Talk therapy
might be the best
prescribed medicine, but love is the greatest. "In almost
one hundred percent
of my cases, the people who have the support of their
family and friends, get
through life with the disease," said Dr. Ali. "The
people who end up
committing suicide are the ones who have no one to turn to,
they feel alone and
the longer they go on feeling like this, the closer they
are to death. The
twenty percent of people with bipolar who do committ
suicide are the ones with
no families and no friends. All they do is sit
around all day and feel more
depressed until they wake up and find no point
in life anymore," Dr. Ali said.
Each time a person wakes up with bipolar
is tough enough, it is crucial that
they have the loving support of a family
and friends. So in this paper, I decide
on getting a first hand account from
the people who love me the most. I have
asked my parents, Barb and John
Krepop, along with my girlfriend Meghan Patton,
various questions about how
they feel about the disease and how they have
handled it. Both my parents and
Meghan agree that they always sit back and
wonder if they are handling the
situation properly and if they are helping it at
all. Meghan said, "Sometimes
I worry that I am not handling it ok and that I
am not helping you. When we
fight, I often worry that it’s my fault because
you can’t help it." She
continues, "Sometimes I think we shouild break up.
Then at other times I
see how we both help each other out and I know that I
would miss you." "At
times I wonder, it’s hard for me to let go, I want
what is best for you and
maybe I do put too much pressure on you, but it’s
hard for me to step back,"
said John Krepop. "Honestly, I was a bit
shocked," said Meghan when asked
about her reaction when I told her I suffered
from bipolar. "I really didn’t
know what it was, and I especially didn’t
know how to deal with it. For a
short while I wondered if I should end our
relationship, especially before we
became to attached. I was afraid that because
you had it we would never have
a normal relationship." My dad’s reaction was
more of the same except he felt
a little relief. "I felt relief because it
explained a lot of what you were
doing and acting.