为什么要尽早地诊断和治疗双向情感障碍？
On average, people with bipolar disorder see 3 to 4 doctors andspend over 8 years seeking treatment before they receive a correct
diagnosis. Earlier diagnosis, proper treatment, and finding the right
medications can help people avoid the following:
● Suicide. The risk is highest in the initial years of the illness.
Over the course of the illness nearly 1 out of 5 individuals with
bipolar disorder will die from suicide, making it one of the most
lethal psychiatric illnesses.
● Alcohol/substance abuse. More than 50% of those with bipolar
disorder abuse alcohol or drugs during their illness. While some
individuals may use substances in an attempt to “self-medicate”
symptoms of bipolar illness, individuals with a combination of
substance abuse and bipolar illness have a worse outcome.
● Marital and work problems. Prompt treatment improves the
prospects for a stable marriage and productive work.
● Treatment difficulties. In some individuals, it appears that
episodes become more frequent and harder to treat over time.
This is sometimes referred to as “kindling.”
● Incorrect, inappropriate, or partial treatment. A person misdi-agnosed
as having depression alone instead of bipolar disorder
may incorrectly receive antidepressants alone without a mood
stabilizing medication. This can trigger manic episodes and
make the overall course of the illness worse.
平均说来，一个双向情感障碍的病人要看3-4个心理医生，花八年时间才来找到正确的治疗方法。这篇短文讲了尽早地诊断和治疗双向情感障碍可以避免的5大问题。 趁热打铁把这个也翻译出来。另外我有一个问题是，国内到底合格的大夫有多少？都说要尊重医生意见，可是医生水平不够还哪尊重得了？另外躁郁症心理咨询和用药应怎样搭配？
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一般说来双相患者要看3到4位大夫，花8年以上时间寻求治疗方法后才能得到正确的诊断。论断得早，治疗得当并找到适当药物可以帮助避免下列问题：
● 自杀。该病前几年这种风险最大。该病史中近1/5的双相病患死于自杀，使它成为了最致命的精神疾病之一。
● 酒精/药品滥用。50％以上双相病患在患病期酗酒或嗑药。尽管有些人使用一些药品是出于“自我药品调节”双相症状的初衷，但药品滥用的双相患者往往效果最差。
● 婚姻与工作问题。即刻治疗会改善稳定婚姻和有效工作的前景。
● 治疗困难。有些人身上，症状出现更频繁且随时间推移越来越难治疗，这有时被称为kindling（这个术语不敢乱翻）
● 不正确、不适当或偏颇的治疗。错误把双相诊断为单相抑郁的病人可能只拿到抗抑郁药而没有情绪稳定剂。这可引发躁狂并恶化整个病情。 ● 不正确、不适当或偏颇的治疗。错误把双相诊断为单相抑郁的病人可能只拿到抗抑郁药而没有情绪稳定剂。这可引发躁狂并恶化整个病情。
我两次躁相发作都是和氟西汀有关，还有一次是擅自停药 我第一次躁狂是由于受到外界刺激，第二次是由于服用博乐欣（当时感觉比较正常后就停了药，医生也没有嘱过我要不要停，但他根本也没有警告过我有躁狂的可能呀，我倒怀疑他知不知道双相。绝对的偏颇治疗！沈阳的一家知名医院），再接下来就是几乎每年一次的轮回 我第一次躁狂是由于受到外界刺激，第二次是由于服用博乐欣（当时感觉比较正常后就停了药，医生也没有嘱过我要不要停，但他根本也没有警告过我有躁狂的可能呀，我倒怀疑他知不知道双相。绝对的偏颇治疗！沈阳的一家知 ...
malnu 发表于 06-2-23 18:26 http://www.sunofus.org/bbs/images/common/back.gif你很聪明停药了，我们听庸医的话没停药，躁的厉害了
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