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Manic ­ Depressive Disorder
Bipolar Mood Disorder

by Dr. Raj Rakhra


Medically termed bipolar mood disorder is a variation of classic depression. It typically begins as depression and then develops into alternating periods of depression and mania. A person with severe manic depression may go from feeling happy or elated to feeling overwhelmed and feeling low, miserable or in despair. It is characterized by an alternating pattern of emotional highs (mania) and lows (depression). The intensity of the associated signs and symptoms varies. Bipolar disorder can range from a mild condition to a severe condition, and there may be periods of normal behavior. The course of manic depressive disorder is highly variable. Both depression and mania can vary in severity and the length of time cycles and last for days, weeks or months.

Episodes of mania and depression typically recur during ones lifespan. Between episodes, most people with bipolar disorder are free of symptoms, but as many as one-third of people have some residual symptoms. A small percentage of people experience chronic unremitting symptoms despite treatment. Due to the complex nature of the disorder, it has been suggested that many individuals may go undiagnosed their entire lives.

Both children and adolescents can develop bipolar disorder. It is more likely to affect the children of parents who have the illness. Unlike many adults with bipolar disorder, whose episodes tend to be more clearly defined, children and young adolescents with the illness often experience very fast mood swings between depression and mania many times within a day. Children with mania are more likely to be irritable and prone to destructive tantrums than to be overly happy and elated. Mixed symptoms also are common in youths with bipolar disorder. Older adolescents who develop the illness may have more classic, adult-type episodes and symptoms.

Manic phase
For many people, signs and symptoms in the manic phase may include: Feelings of euphoria, extreme optimism and inflated self-esteem, rapid speech, racing thoughts, agitation, increased physical activity, poor judgment, recklessness or taking chances not normally taken, a tendency to be easily distracted, inability to concentrate and aggressive behavior.

Depressive phase
In the depressive phase, signs and symptoms include: persistent feelings of sadness, anxiety, low esteem, guilt or hopelessness, disturbances in sleep and appetite, fatigue and loss of interest in daily activities, problems concentrating and irritability, lack of motivation to do anything.

Some people simply sleep for weeks and withdraw from social activities, avoiding relationships with others. Some people seem to be working and living a normal life, interacting with others but having an inwards feeling of sadness, anxiety, despair and inability to experience genuine pleasure.

The cause of this disorder is not well understood. It may be triggered by episodes of extreme stress or trauma. Heredity may be a factor in some cases. Childhood traumas may play a role in some people. Monomines, the brain chemicals are depleted in some depressed patients.

There are drugs allopathic doctors use in many patients with great success, but there are many patients who avoid drugs due to side effects, drug intolerance or for other reasons. Ayurvedic, Naturopathic, Homeopathic remedies and nutritional substances are quite helpful, alone or along with allopathic medicine and they can complement each other.

Ayurvedic supplements including Ashavgandha, Brahmi, Chavan prash are tonics to the brain and are quite helpful. A change of diet and lifestyle according to Dosha will be necessary for good results. Each dosha has specific personality, desires, needs, tolerances and they act and react differently, even in very similar situations. Disturbances in Vata and Pitta Doshas are predominant in Depression and Mania. Balancing the dosha with herbs, meditation and yoga will help.

It is very important to consult your Naturopathic Doctor before using the following remedies. (They may interact with drugs and can cause adverse reactions.)
- Amino complex to supply protein, needed for normal brain function.
- Ltyrosine is important in treating depression, stabilizing mood swings. Do not take if you are taking MAO inhibitor drugs.
- Tyrosine when deficient can cause hyperactivity, anxiety and poor brain function.
- Vitamin B complex, B6, B12 injections combined in a single injection once or twice a week can supply vitamins essential for normal brain function and a healthy nervous system.
- Zinc plus copper in small amounts protect the brain cells. Excessive use is harmful.
- Lithium, a trace mineral that alters the manic depressive cycle, produces great mood stability. Blood work is a must before taking this supplement.
- Epa / Dha Improve cerebral circulation and stabilize blood pressure.
- 5-hydroxytryptophan- increases serotonin. Do not use without consulting your Naturopathc Doctor.
- Multi-Vitamin-Mineral Complex, Nicotenamide ­increases dopamine and serotonin production. Vitamin C is a great antioxidant. Its deficiency may cause many disorders.
- Vitamin D is useful especially during fall and winter.

Eat a diet that consists of vegetables, fruits, nuts, seeds, beans and legumes. Eat white fish and turkey twice a week. Eat fish high in omega 3 fatty acids such as tuna, salmon or mackerel. Avoid sugar, processed foods, alcohol, caffeine, carbonated beverages, food colorings, preservatives and other additives.

Avoid known allergic foods. Check with your health care practitioner for your specific needs. Avoid choline and the aminoacids ornithine and arginine.

Avoid drugs that are not prescribed by your Doctor.Maintain your routine daily activities. Sleeping 6-8 hours a night is very important. Daily exercise is important and avoiding stressful situations at work or at home.

Dr. Rakhra is a doctor of Ayurvedic Medicine as well as a Naturopathic Physician, serving Calgary and Southern Alberta for the last eighteen years. He runs a family practice that deals with acute and chronic disorders. He is a Member of Alberta Association of Naturopathic Doctors. Dr. Rakhra's clinic is located at 121 - 14 Street North West in Calgary, Alberta. You can reach his office at 403-270-7033. Visit his webiste at: www.aynh.com


A Magazine of People and Possibilities
Now Celebrating 17 Years In Print and 11 Years Online!
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