What is Bipolar/Bipolar Disorder/Bipolar Spectrum?
Bipolar is a mental sickness characterized by extreme swings in moods that include emotional high (maniac phase) and low (hypomaniac phase). This is also known as Bipolar Disorder / Bipolar Spectrum. It is a spectrum disorder which means it includes a group of conditions or varieties that have slight differences in appearance.
What are the causes of Bipolar?
Cause of the disease is unknown – idiopathic in nature; but several factors have been noted:
i)Inherited factor : very often observed in patients of Bipolar;
ii)Loss of balance in naturally occurring neurotransmitter in cerebral cortex;
What are signs and symptoms of Bipolar?
1)Maniac phase is characterized by:
a)Excessive irritation and aggression;
b)High level of optimism and self-confidence;
c)Trains of speech and thought;
d)Reckless and daring attitude;
g)Decreased need of sleep;
h)In severe case, hallucinations and delusions;
2)Hypomaniac phase is characterized by
a)Long period of sadness;
c)Anxiety and worry;
d)Irritable and agitated
g)Feeling of worthlessness;
h)Pain and aching without any reason;
g)Suicidal tendency; thought of death;
How are patients of Bipolar managed with Classical Homeopathy?
Bipolar is definitely a challenging mental disease to physicians of all systems of Medicines. However, because of diverse sources of medicines with detailed recorded symptomatology homeopathy has an edge over others in treating such conditions with internal medicines and, of course, with supporting aids. Let us take a live case:
Case Study 1:
MissKapila, a young lady, aged about 22yrs, along withher elder sister Mrs.Rose came to my chamber and the latterreported the following about Miss Kapila:
1)Variable mood for last 2yrs.; this time she was singing and dancing around the whole house again next moment serious sobbing sitting in a secluded corner of the house with her baby doll;
2)When she was in good mood, she did a lot of house-hold works and won’t allow others to do anything; she did everything so nicely and neatly that all of the family members got amazed; and when she was in lost mood, she would not do anything except sitting in a secret corner of the house like a statue embracing her baby doll; she would not take a sip of water or any food whatsoever;
3)When asked if there was a case of any broken-love behind, Mrs. Rose looked at the face of her sister and kept mum; she was told that the background history was very much important to treat such a case, a doctor must know the facts. She was apparently hesitating; she was assured that whatever she would tell us would remain secret for ever and there was not an iota of chance of leaking the same to outside world.Then Mrs. Rose disclosed that it all happened when her sister was practicing as a junior advocate in the Court of Metropolis. She had an affair with one Advocate of her peer group who eventually dumped her and married to some other lady.
4)When looked at Miss Kapila, we noticed that she was sitting like a stone-statue, looking at the face of her baby doll on her lap with a fixed gaze;
Appearance & Personal history:
Body Structure: Very lean and thing but no cachectic; definitely BMI less than normal;
Daily Practices: No fixed time of going to sleep or rising up; however, when in her good mood, she used to get up very early and start doing domestic work. When asked about her daily habits just prior to this tragic event, Mrs. Rose informed that her sister was all along a very serious type of girl; was very much dedicated to her daily duty of court-works; had been a bit nervous type, sensitive with mild disposition but easily excited; her grasping of problem was very high as she heard from the Senior Advocate of her sister, she used to execute things very smartly too. She did not like much fuss, rather stayed alone; he used to listen to music almost always; in these days too, when in good mood, she would always listen to music. She was very much sensitive to reprimand; used to put up a heavy face with somber look and tearful eyes for hours whenever our parents rebuked her even slightly.
Appetite/Thirst: Used to take little food and drinks while in good humor but in melancholic phase she almost starved;
Sleep: Used to get 3-4 hrs. of sleep during positive phase, otherwise she used to spend sleepless nights.
Menstrual history : OK;
1)Suffered fromhaemorrhoids for many years;
2)She could not bear smell of tobacco; actually this was a bone contention between her sister and her lover who was a chain-smoker;
3)She used to get offended very easily; could not tolerate fault-finding;
4)she was very quarrelsome and impatient;
3)Lost 3 kg. of body weight in last 6 months;
Maternal side: History of bipolar mood among maternal aunts ;
Paternal side: Cancer; High blood pressure; Grand pa committed suicide;
1)Too much affinity for music;
2)Very much melancholic, sometimes bordering on going insane;
3)Involuntarily deep sighing;
1)Often bit her own cheek to bleed considerably;
Ignatia 0/1, 12 doses in 120 ml aqua dest to be taken twice a day;
1)She must have a 24-hrs. companion who would try to keep Miss Kapila engaged during good mood phase giving her constant company, doing and supporting her jobs as much as possible without raising any objection; however, the companion must keep a close watch on her movements lest she injured herself. The idea is to enlongate the active phase of Miss Kapilaas long as possible;
2)The companion would drink and eat sitting beside her and would occasionally offer some food/drink to her but would never press her;
3)In her room there should be various types of fruits and the companion would take those freely within her view; energy drinks like diluted milk with glucose, protein-shake etc. should be there within her easy reach and the companion should also inspire her to take those not per force but taking those in front of her and expressing relishes. The idea is to push her to take those by herself;
4)In her room there should a music system which would constantly play music of her choice;
2)Review: after 1 week;
Mrs. Rose turned up as advised and reported that during the lastweek there was no change; but she slept a few hours almost every day. Ignatia 0/2, 12 doses as before; old advices to continue; in this way, Miss Kapila was givenupto Ignatia 0/12 step by step for last 8 months. From 3rd month onwards there was definite change in her attitude to foods and drinks. She started to take those herself from the tables and shelfs..From 6th month onwards two positive changes were noticed, duration of her melancholic phase is reduced and the stage of hyper-activity phase is changed to her normalcy before the attack 2 yrs ago; on the commencement of 9th month, she was given Tuberculinum 50M / 1dose; Her treatment was still going on;