Manic bouts raise risk of bipolar disorder patients suffering from depression or anxiety

Manic bouts raise risk of bipolar disorder patients suffering from depression or anxiety

Anyone suffering from bipolar disorder can experience bouts of mania and severe clinical depression. The National Institute of Mental Health (NIMH) defines bipolar disorder, also called manic-depressive illness, as a brain disorder which causes unnatural shifts in mood, energy levels, and ability to carry out day to day activities. According to the Depression and Bipolar Support Alliance, nearly 2.6 percent of Americans are afflicted with this disorder. A study by a group of researchers revealed how after a bout of mania, bipolar disorder patients are equally likely to suffer from depression episodes or anxiety disorders. The study titled “Reexamining associations between mania, depression, anxiety and substance use disorders: Results from a prospective national cohort,” published in the journal Molecular Psychiatry in May 2016, was based on data collected during the National Epidemiologic Survey on Alcohol and Related Conditions.

Examining co-occurring mental disorders following mania

The researchers examined details obtained from 34,653 American adults taking into consideration factors such as gender, age, race, nationality, marital status, nature of employment, family income and role in society. Logistic regression was used to determine the strength of associations between the manic episodes during the previous year assessed in the first phase of the study, and the neuropsychiatric conditions inclusive of depression, anxiety and substance use disorders in the second wave of the study.

According to the authors, the data revealed that associations of manic episodes with any depressive disorder was in no way stronger than associations of manic episodes with anxiety disorder though the same was found to be much stronger than association of manic episodes with any kind of substance use disorder, addiction to nicotine or alcohol dependence. The observations further the findings of previous researches that indicate the extent to which severe clinical depression and anxiety or incessant anxiousness can co-occur. However, the study was limited by the fact that it was unable to find out the cause due to which a bout of mania may give way to anxiety in a person suffering from bipolar disorder. Nevertheless, the observations made indicate a significant link between depression and anxiety in patients detected with bipolar disorder and who have had episodes of mania.

What did the scientists find?

Taking into account the limitations of the study, the scientists warn that further clinical research is needed to analyze if interventions efficacious during bouts of manic episodes tend to decrease co-occurring states of anxiety. The authors noted, “These new findings that anxiety disorders are equally common as those of depression among individuals with mania suggest that expansion of the current unitary mood conceptualization may inform nosology, treatment and etiology of these conditions.”

Road to recovery

Even the most experienced mental health professionals find it difficult to diagnose bipolar disorder or distinguish it from ordinary mood swings one may experience due to problems at home or office. As symptoms of the disorder overlap with those of depression and anxiety, this disorder remains the most underdiagnosed. This results in many people being bereft of the necessary treatment.

As observations point out bipolar disorder patients are at a high risk of suffering from depression following a mania attack. Therefore, it becomes imperative to provide timely treatment to them before the same aggravates to severe depressive behavior. If you or your loved one is suffering from depression, the Texas Depression Treatment Help can assist you in getting information about the best depression treatment centers in Texas. You may call at our 24/7 helpline number (866) 827-0282 or chat online for further expert advice on depression disorder clinics in Texas.