Friday, October 29, 2010

Some People Should Seek Help

In response to my post of yesterday, I was informed of a prominent National Socialist leader who experienced something like I did yesterday, except it was much more vile and disgusting. I will not use any names, nor will I describe the revolting thing that was done, but I know who the leader is, who the perpetrator is, and what was done. I just don't feel it's appropriate to give all the gory details, because that's not the purpose of this post.

The person who did this thing obviously has psychological problems. He really needs to seek professional help. Now I know many in our community see psychologists and psychiatrists as nothing but ZOGbots who want to brainwash people into what the government says is an acceptable way of thinking, and psych medications as a means of turning free thinkers into mental zombies. But here's the thing. Mental illness is a real thing. And there is more than just the sane, and the insane who belong in institutions. There are stages of mental illness in between the normal, and wackos in sanitariums.

One of the most common disorders, and one of the easiest to treat is called Bipolar Disorder. The following article from Wikipedia explains what it is, and how it can be treated. Moreover, it say that those who suffer from this illness can lead normal lives with the proper treatment.

Signs and symptoms

Bipolar disorder is a condition in which people experience abnormally elevated (manic or hypomanic) and, in many cases, abnormally depressed states for periods of time in a way that interferes with functioning. Bipolar disorder has been estimated to afflict more than 5 million Americans—about 1 out of every 45 adults.[4] It is equally prevalent in men and women and is found across all cultures and ethnic groups.[5] Not everyone's symptoms are the same, and there is no simple physiological test to confirm the disorder. Bipolar disorder can appear to be unipolar depression. Diagnosing bipolar disorder is often difficult, even for mental health professionals. What distinguishes bipolar disorder from unipolar depression is that the affected person experiences states of mania and depression. Often bipolar is inconsistent among patients because some people feel depressed more often than not and experience little mania whereas others experience predominantly manic symptoms.

Management

Main article: Treatment of bipolar disorder

There are a number of pharmacological and psychotherapeutic techniques used to treat Bipolar Disorder. Individuals may use self-help and pursue a personal recovery journey.

Hospitalization may be required especially with the manic episodes present in bipolar I. This can be voluntary or (if mental health legislation allows and varying state-to-state regulations in the USA) involuntary (called civil or involuntary commitment). Long-term inpatient stays are now less common due to deinstitutionalization, although can still occur.[97] Following (or in lieu of) a hospital admission, support services available can include drop-in centers, visits from members of a community mental health team or Assertive Community Treatment team, supported employment and patient-led support groups, intensive outpatient programs. These are sometimes referred to partial-inpatient programs.[98]


Psychosocial

Psychotherapy is aimed at alleviating core symptoms, recognizing episode triggers, reducing negative expressed emotion in relationships, recognizing prodromal symptoms before full-blown recurrence, and, practicing the factors that lead to maintenance of remission[99] Cognitive behavioural therapy, family-focused therapy, and psychoeducation have the most evidence for efficacy in regard to relapse prevention, while interpersonal and social rhythm therapy and cognitive-behavioural therapy appear the most effective in regard to residual depressive symptoms. Most studies have been based only on bipolar I, however, and treatment during the acute phase can be a particular challenge.[100] Some clinicians emphasize the need to talk with individuals experiencing mania, to develop a therapeutic alliance in support of recovery.[101]

Medication

Sodium valproate is a common mood stabilizer

The mainstay of treatment is a mood stabilizer medication such as lithium carbonate or lamotrigine.[102][103] Lamotrigine has been found to be best for preventing depressions, while lithium is the only drug proven to reduce suicide in bipolar patients. These two drugs comprise several unrelated compounds which have been shown to be effective in preventing relapses of manic, or in the one case, depressive episodes. The first known and "gold standard" mood stabilizer is lithium,[104] while almost as widely used is sodium valproate,[105] also used as an anticonvulsant. Other anticonvulsants used in bipolar disorder include carbamazepine, reportedly more effective in rapid cycling bipolar disorder, and lamotrigine, which is the first anticonvulsant shown to be of benefit in bipolar depression.[106]

Treatment of the agitation in acute manic episodes has often required the use of antipsychotic medications, such as chlorpromazine and the atypical antipsychotics quetiapine and olanzapine. More recently, olanzapine and quetiapine have been approved as effective monotherapy for the maintenance of bipolar disorder.[107] A head-to-head randomized control trial in 2005 has also shown olanzapine monotherapy to be as effective and safe as lithium in prophylaxis.[108]

The use of antidepressants in bipolar disorder has been debated, with some studies reporting a worse outcome with their use triggering manic, hypomanic or mixed episodes, especially if no mood stabiliser is used. However, most mood stabilizers are of limited effectiveness in depressive episodes. Rapid cycling can be induced or made worse by antidepressants, unless there is adjunctive treatment with a mood stabilizer.[109][110] One large-scale study found that depression in bipolar disorder responds no better to an antidepressant with mood stabilizer than it does to a mood stabilizer alone.[111] Recent research indicates that triacetyluridine may potentially help improve symptoms of bipolar disorder.[112] Clinical studies have shown that Omega 3 fatty acids may have beneficial effects on bipolar disorder.[113][114][115]

Also, topiramate is an anticonvulsant often prescribed as a mood stabilizer. It is an off-label use when used to treat bipolar disorder. Unfortunately, its usefulness is likely minimal and side effects, such as significant cognitive impairment, undermine its efficacy (Kushner, et al. 2006 Bipolar Disorders 8; Chengappa, et al. 2006 J Clin Psych; 6).
When medication causes a reduction in symptoms or complete remission, it is important for someone with a bipolar disorder to understand they should continue to take the medicine. This can be complicated, as effective treatment may result in the reduction of manic symptoms and/or the medicine can be mood blunting or sedative, resulting in the person feeling they are stifled or that the medicine isn't working. Either way, relapse is likely to occur if the medicine is discontinued.


Prognosis

For many individuals with bipolar disorder a good prognosis results from good treatment, which, in turn, results from an accurate diagnosis. Because bipolar disorder can have a high rate of both under-diagnosis and misdiagnosis[citation needed], it is often difficult for individuals with the condition to receive timely and competent treatment.

Bipolar disorder can be a severely disabling medical condition. However, many individuals with bipolar disorder can live full and satisfying lives. Quite often, medication is needed to enable this. Persons with bipolar disorder may have periods of normal or near normal functioning between episodes.[116]

Ultimately one's prognosis depends on many factors, several of which are within the control of the individual. Such factors may include: the right medicines, with the right dose of each; comprehensive knowledge of the disease and its effects; a positive relationship with a competent medical doctor and therapist; and good physical health, which includes exercise, nutrition, and a regulated stress level.

There are obviously other factors that lead to a good prognosis as well, such as being very aware of small changes in one's energy, mood, sleep and eating behaviors, as well as having a plan in conjunction with one's doctor for how to manage subtle changes that might indicate the beginning of a mood swing. Some people find that keeping a log of their moods can assist them in predicting changes.[117]


If anyone reading this has many of the symptoms such as cronic irratibility, depression, over-excitement, heavy drinking, inability to keep a job, habitual violence, sleeping too much, inability to sleep, or any of the others described, you could be suffering from bipolar disorder.

Personally am leery of psychiatrists. However, your regular family doctor can prescribe any of the various medications used to control this condition. You many even be familiar with some of them: Prozac, Paxil, Depakote, Wellbuterin, and many others. I'm not a professional, but the only one that will turnyou into a mental zombie is Lithium. This should only be used when the condition is severe enough that institutionalisation is the only other alternative.

Back in the Sixties, the authorities tried to get Commander Rockwell committed on the grounds that anyone who is a Nazi has to be a nut and should be locked up. Nowadays, people cannot be institutionalised unless they are PROVEN to be a danger to themselves or others such as being arrested several times for violent offenses, or a suicide attempt. If any of you think you may be Bipolar, and have tried to commit suicide, do not under any circumstances admit it to a doctor. You can say you've thought about it, but never admit to trying it for obvious reasons.

Personally, I would try the self-help treatment. Most people don't need a headshrinker telling them they hate their mothers, so to speak. But medication may be necessary. It is nothing to be ashamed of. It's an illness every bit as real as diabetes or epilepsy. Talk to your regular doctor. Tell him you think you may need medication, but that you'd like to avoid severe mind altering drugs like Lithium. Ask him about the milder ones like Prozac. He can also provide medication to help you sleep if you need it, but usually once someone starts taking his psych meds regularly, the need for sleeping pills is usually unnecessary.

One of the biggest mistakes those who suffer from Bipolar Disorder make is they often stop taking their meds once they start feeling better. Never do this. It will cause a relapse. Bipolar Disorder cannot be cured at this time. It can only be controlled. Like a diabetic, you must take your medication as long as your doctor thinks it's necessary. It kind of sucks, but if you're depressed as hell one day, and the next day you're climbing the walls, if you're constantly getting into fights, or getting drunk on a daily basis, and you can't keep a job, is that a better way of life?

I'm not a doctor, but I believe the person I was talking about in the first two paragraphs is bipolar. A normal person wouldn't do something like that to someone just because he was angry at him. He should seek help
at once. Based upon the posts I've read on places like 'White Reference' and online forums, I know we've got many intelligent, well-balanced people in our movement. We also have many who are probably bipolar. For the good of themselves, their families, and our movement, I urge them to seek treatment as soon as possible.

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