Celexa and Bipolar Disorder
Bipolar disorder, or manic depression, is a mental illness that manifests itself as mood swings or mood cycling
between depressed, manic, or normal moods. There are two types of bipolar disorder. The first type, sometimes
called raging bipolar, manifests itself as almost constant mild mania, with periods of sever mania alternating with
depression. Mixed episodes where the patient displays both manic and depressive symptoms at the same time can also
occur with this type of bipolar disorder.
The second type, sometimes called rapid cycling bipolar, manifests itself as almost constant depression, with
alternating periods of mania and severe depression that can often last a few hours or a few days before cycling to
the next episode.
Depression symptoms include oversleeping, extreme sadness, feelings of worthlessness or despair, irritability,
anger, and withdrawl. Manic symptoms include sleeplessness, increased energy levels, distractibility, racing
thoughts, obsessive behaviors, and extreme happiness.
There are many treatment options for bipolar disorder. Most patients with bipolar disorder require a combination
of medication and therapy or counseling for successful treatment of symptoms. However, minor cases of bipolar
disorder may not require medication, but may require instead cognitive behavioral therapy. There are some cases,
such as in patients with a history of drug abuse, where medication may be recommended but is not a viable treatment
option. These cases typically also use cognitive behavioral therapy to assist patients in coping with their
illness.
Celexa is an anti-depressant, commonly used with bipolar patients. Celexa, or citalopram, is a serotonin
reuptake inhibitor, or SSRI. This family of medications has the effect of balancing serotonin levels in the brain,
which are thought to be responsible for mood stabilization.
Celexa is most successful as a treatment for unipolar depression and bipolar disorder type two patients. This is
because it is an anti-depressant. Serotonin, the chemical in the brain that balances moods and particularly
controls strong emotions, often presents imbalances in the form of depression. Celexa corrects these imbalances,
giving the patient relief from depression.
Celexa is most successful as a treatment for bipolar disorder type one patients when used in combination with a
mood stabilizer. As an anti-depressant, Celexa alone causes bipolar disorder type one patients to swing into a
manic episode. Used in combination with a mood stabilizer or anti-psychotic, however, can allow for a balance of
moods to take place, ending rapid or raging mood cycling.
Celexa has several possible minor side effects when used for treatment of bipolar disorder. Common side effects
include drowsiness, cotton mouth, nausea, and trouble sleeping. Less common side effects include abdominal pain,
anxiety, gas, headache, heartburn, increased sweating, pain in muscles or joints, increases or decreases in weight,
weakness, and vomiting. If these side effects persist or become unbearable, you should contact your doctor.
Celexa can also have several possible major side effects when used for treatment of bipolar disorder. Common
major side effects include a decrease in sexual desire or ability. Less common major side effects include
agitation, confusion, blurred vision, fever, increase in urinal frequency, lack of emotion, decreased memory, skin
rashes, and trouble breathing. If you experience any of these side effects you should contact your doctor
immediately.
Friends, family and patients with bipolar disorder should keep in mind that even when using anti-depressants
such as Celexa, suicide, suicide threats, and suicide attempts can still occur. Always be aware of the signs that
can lead to suicide so that medical treatment can be found before an attempt is made.
Bipolar disorder should, in all cases, be treated with a combination of Celexa, or other medications, in
conjunction with therapy or counseling. Bipolar disorder patients are encouraged to take active part in their
treatment plans. Additionally bipolar patients should not attempt to self medicate or treat symptoms with
medication alone. If you show symptoms of bipolar disorder, you should contact your doctor about Celexa and other
treatment options.
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