Is double photograph depressed what kind of be after all?

Hello, I am mental family doctor, have a few research to obstacle of double photograph affection, I will answer your question.

Double photograph obstacle calls double photograph affection the obstacle again, it is to point to commonly clinical go up to have mania or light mania show effect already, have the obstacle of a kind of mood of depressed fit again.

When mania breaks out, expression upsurges for affection, interest and motivation increase, verbal behavior grow in quantity;

The mood appears when depressed fit low, interest decreases, tired, the core symptom such as thinking behavior arrearage.

Be in a bad way person often suffer from in all / in all ill angst symptom and corporeal abuse, still can appear in fit fastigium sensitive, suspicious even psychedelic, covet, or the mental sex symptom such as nervous sex symptom.

And double photograph is depressed the patient that accords with double photograph obstacle to diagnose namely, be in the phase of depressed fit at present.

But double photograph is depressed also not be only pure cent is a double photograph patient that accords with depressed fit a kind, there is more meticulous classification even in according with pair of depressed patients, and this classification is directer decided a patient medication plan.

We know:

Ⅰ of double photograph obstacle

The patient that satisfies mania fit and depressed fit to diagnose a standard at the same time calls Ⅰ of double photograph obstacle model.

Ⅱ of double photograph obstacle

Contented and depressed fit diagnoses a standard, and fit of only contented light mania diagnoses what standard patient says to be Ⅱ of double photograph obstacle model.

In addition a few before the patient that depressed fit is diagnosed is being accepted fight depressed when medicationing, appeared to turn apparently dry phenomenon (namely the illness is extremely sudden fast improve, and occurrence different at before excited word is behaved more) , it is to be able to be maintained for double photograph obstacle of depressed fit.

Before knowing double depressed treatment, we should understand a concept first, mood stabilizing agent.

Mood stabilizing agent

It is to have effective control mania and / or depressed fit, but won't cause turn photograph, frequency conversion, use for a long time can control mania and depressed recrudesce effectively. Clinical on the calm stabilizing agent with the widest application has: Lithium of acerbity natrium of third the fifth of the ten Heavenly Stem, carbonic acid, pull Mo San Qin.

The with depressed disease distinction on the patient treatment with double depressed photograph needs to add mood stabilizing agent namely, and although added calm stabilizing agent, double photograph Ⅰ with double photograph Ⅱ model between also have clear distinction.

Double photograph Ⅰ medication principle

Double photograph Ⅰ medicaments choice basically is lithium salt or acerbity natrium of third the fifth of the ten Heavenly Stem + a kind of SSRI (except of handkerchief Luo Xiting) , or lithium salt + acerbity natrium of third the fifth of the ten Heavenly Stem, or fight chlorpromazine thing + the combination of mood stabilizing agent.

Among them medicaments of a gleam of is recommended in abstruse nitrogen is smooth + fluorine Xi Ting is thought remedial double photograph is depressed the most effective cure combination.

The feeling that at the same time we also want to always pay close attention to patient patient changes, once appear,turn dry tendency is to want to stop instantly take those who fight depressed medicaments.

Double photograph Ⅱ medication principle

Double photograph Ⅱ because be light mania + depressed fit, turn more easily so dry, in principle is to ban use those who fight depressed medicaments, unless patient expression is attached most importance to,spend thought of depressed serious commit suicide so, general we are not to use those who fight depressed medicaments.

Double photograph Ⅱ it is onefold that medicaments chooses a gleam of to recommend use rich horse acid Kui sulfur is made the same score or sulfur of rich horse acerbity Kui is made the same score + stabilizing agent of a kind of mood

Additional, spend pair of depressed acute period turn to consolidate period cure (after general 6-8 week) , double photograph consolidates depressedly period cure is to should stop take those who fight depressed drug, turn in order to decrease dry risk, if do not have resume combustion,can turn to maintain period cure. In addition, can cooperate psychotherapy, identify knowing and doing to be waited a moment for cure, family cure for example.

The suicidal risk of double depressed patient should be more than pure depressed disease patient apparently, the end that so we treat also is precautionary recrudesce, reduce rudimental symptom, reduce suicidal risk, reduce circular time and mood instability, in order to maintain good social function. Break out first commonly the proposal maintains 1-2 year, break out for many times can maintain 2-3 year or take for a long time. So, double photograph obstacle is to must go to normal hospital to follow the doctor's advice undertake medicationing scientificly.