Sign and symptoms of clinical depression and bipolar disorder (manic-depressive illness)

Dear Friends,

Thanks for stopping by this Mission 4 Monday post.

I am thankful to God that I can continue to serve Him through this blog.

One of the missions of my blog is to share with others God's goodness and mercies to me in managing clinical depression and bipolar disorder, as well as to share resources that will benefit a person with a mood disorder and information for their family and loved ones.

There is still a wide misunderstanding about depression in our society and even among Christians. Many still mistakenly think that all depression is due to a weakness in a person's character or a lack of faith in God. But in reality depression is complex (read more on The Complexity of Depression).

There is a form of depression which is clinical and due to changes in the brain or body in which a person is not able to think or function as per normal. There is also a form of mental illness or mood disorder in which a person alternate between 2 extreme mood swings ie mania and clinical depression.

What are the signs and symptoms of clinical depression or bipolar disorder (manic-depressive illness)?

How can one differentiate between spiritual depression and clinical depression or bipolar depression?

Clinical depression and bipolar depression are real medical conditions that can be treated. Different from the normal ups and downs that everyone goes through, the symptoms are severe.

The following is an excerpt taken from an article on the website of National Institute of Mental Health (NIMH). (NIMH said "NIMH publications are in the public domain and may be reproduced or copied without the permission from the National Institute of Mental Health (NIMH). NIMH encourages you to reproduce them and use them in your efforts to improve public health. Citation of the National Institute of Mental Health as a source is appreciated.")

Introduction
Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in a person's mood, energy, and ability to function. Different from the normal ups and downs that everyone goes through, the symptoms of bipolar disorder are severe. They can result in damaged relationships, poor job or school performance, and even suicide. But there is good news: bipolar disorder can be treated, and people with this illness can lead full and productive lives.

What Are the Symptoms of Bipolar Disorder?
Bipolar disorder causes dramatic mood swings—from overly "high" and/or irritable to sad and hopeless, and then back again, often with periods of normal mood in between. Severe changes in energy and behavior go along with these changes in mood. The periods of highs and lows are called episodes of mania and depression.

Signs and symptoms of mania (or a manic episode) include:
• Increased energy, activity, and restlessness
• Excessively "high," overly good, euphoric mood
• Extreme irritability
• Racing thoughts and talking very fast, jumping from one idea to another
• Distractibility, can't concentrate well
• Little sleep needed
• Unrealistic beliefs in one's abilities and powers
• Poor judgment
• Spending sprees
• A lasting period of behavior that is different from usual
• Increased sexual drive
• Abuse of drugs, particularly cocaine, alcohol, and sleeping medications
• Provocative, intrusive, or aggressive behavior
• Denial that anything is wrong

A manic episode is diagnosed if elevated mood occurs with three or more of the other symptoms most of the day, nearly every day, for 1 week or longer. If the mood is irritable, four additional symptoms must be present.

Signs and symptoms of depression (or a depressive episode) include:
• Lasting sad, anxious, or empty mood
• Feelings of hopelessness or pessimism
• Feelings of guilt, worthlessness, or helplessness
• Loss of interest or pleasure in activities once enjoyed, including sex
• Decreased energy, a feeling of fatigue or of being "slowed down"
• Difficulty concentrating, remembering, making decisions
• Restlessness or irritability
• Sleeping too much, or can't sleep
• Change in appetite and/or unintended weight loss or gain
• Chronic pain or other persistent bodily symptoms that are not caused by physical illness or injury
• Thoughts of death or suicide, or suicide attempts

A depressive episode is diagnosed if five or more of these symptoms last most of the day, nearly every day, for a period of 2 weeks or longer.

A mild to moderate level of mania is called hypomania. Hypomania may feel good to the person who experiences it and may even be associated with good functioning and enhanced productivity. Thus even when family and friends learn to recognize the mood swings as possible bipolar disorder, the person may deny that anything is wrong. Without proper treatment, however, hypomania can become severe mania in some people or can switch into depression.

Sometimes, severe episodes of mania or depression include symptoms of psychosis (or psychotic symptoms). Common psychotic symptoms are hallucinations (hearing, seeing, or otherwise sensing the presence of things not actually there) and delusions (false, strongly held beliefs not influenced by logical reasoning or explained by a person's usual cultural concepts). Psychotic symptoms in bipolar disorder tend to reflect the extreme mood state at the time. For example, delusions of grandiosity, such as believing one is the President or has special powers or wealth, may occur during mania; delusions of guilt or worthlessness, such as believing that one is ruined and penniless or has committed some terrible crime, may appear during depression. People with bipolar disorder who have these symptoms are sometimes incorrectly diagnosed as having schizophrenia, another severe mental illness. It may be helpful to think of the various mood states in bipolar disorder as a spectrum or continuous range. At one end is severe depression, above which is moderate depression and then mild low mood, which many people call "the blues" when it is short-lived but is termed "dysthymia" when it is chronic. Then there is normal or balanced mood, above which comes hypomania (mild to moderate mania), and then severe mania.

In some people, however, symptoms of mania and depression may occur together in what is called a mixed bipolar state. Symptoms of a mixed state often include agitation, trouble sleeping, significant change in appetite, psychosis, and suicidal thinking. A person may have a very sad, hopeless mood while at the same time feeling extremely energized. (read the full article)

(Note: This blog is for me to share my experiences and information I have found, or resources I have found useful. This is not a place for self-diagnosis. But if you recognize some of these signs and symptoms in yourself or your loved ones or friends, you/they may need medical attention, please consult the medical physician.)

I hope to share more from this article and other resources on the diagnosis and treatment of depression and bipolar disorder (manic-depressive illness).

If you are keen to read more, you can also read my previous posts:

About depression, bipolar disorder (manic-depressive illness) and mental illness or mood disorders:
1. About bipolar disorder (manic-depressive illness)
2. Myths and Facts on Mental Illness
3. Treatment of bipolar disorder
4. Various pamphlets and articles on bipolar disorder for sufferer and carer

For friends and carers:
1. Helping someone with mood disorder
2. Family and Friends' Guide to Recovery from Depression and Bipolar Disorder
3. How Carers and Friends can help

Other recent related posts:

1. Trust during rough times
2. Finding meaning in a life with bipolar disorder
3. Mental illness (depression, bipolar disorder, etc) is an illness like any other
4. Video on "Depression - A Stubborn Darkness"

For more Mission 4 Monday posts, visit Peggy.

Thanks again for stopping by! Thanks for all your prayers and encouragements!

Take care and God bless :)

Praise ye the Lord for it is good (Scottish Metrical Psalms - Psalm 147)

Dear Friends,

Thanks for stopping by my Fearfully Fabulous Friday and Then Sing My Souls Saturday.

For Fearfully Fabulous Friday I am sharing this wonderful verses from Psalm 147 and a very encouraging commentary from Matthew Henry on these verses:

Psalm 147:1-11

1 Praise ye the LORD: for it is good to sing praises unto our God; for it is pleasant; and praise is comely.
2 The LORD doth build up Jerusalem: he gathereth together the outcasts of Israel.
3 He healeth the broken in heart, and bindeth up their wounds.
4 He telleth the number of the stars; he calleth them all by their names.
5 Great is our Lord, and of great power: his understanding is infinite.
6 The LORD lifteth up the meek: he casteth the wicked down to the ground.
7 Sing unto the LORD with thanksgiving; sing praise upon the harp unto our God:
8 Who covereth the heaven with clouds, who prepareth rain for the earth, who maketh grass to grow upon the mountains.
9 He giveth to the beast his food, and to the young ravens which cry.
10 He delighteth not in the strength of the horse: he taketh not pleasure in the legs of a man.
11 The LORD taketh pleasure in them that fear him, in those that hope in his mercy.

The following is an excerpt taken from Matthew Henry's Commentary:

Psalm 147:1-11

Here,

I. The duty of praise is recommended to us.

II. God is recommended to us as the proper object of our most exalted and enlarged praises, upon several accounts.

1. The care he takes of his chosen people, Psalm 147:2. The Lord builds up Jerusalem. The gospel-church, the Jerusalem that is from above, is of this building (the church and all who truly trusted in the Lord Jesus Christ is the spiritual Jerusalem). He founded it by the preaching of his gospel; he adds to it daily such as shall be saved, and so increases it. He gathers His people by giving them repentance and bringing them again into the communion of saints.

2. The comforts he has laid up for true penitents, Psalm 147:3. They are broken in heart, and wounded, humbled, and troubled, for sin, inwardly pained at the remembrance of it, as a man is that is sorely wounded. Their very hearts are not only pricked, but rent, under the sense of the dishonour they have done to God and the injury they have done to themselves by sin. To those whom God heals with the consolations of his Spirit he speaks peace, assures them that their sins are pardoned and that he is reconciled to them, and so makes them easy, pours the balm of Gilead into the bleeding wounds, and then binds them up, and makes them to rejoice.

3. The sovereign dominion he has over the lights of heaven, Psalm 147:4, Psalm 147:5. The stars are innumerable, many of them being scarcely discernible with the naked eye, and yet he counts them, and knows the exact number of them, for they are all the work of his hands and the instruments of his providence.

4. The pleasure he takes in humbling the proud and exalting those of low degree (Psalm 147:6): The Lord lifts up the meek, who abase themselves before him, and whom men trample on; but the wicked, who conduct themselves insolently towards God and scornfully towards all mankind, who lift up themselves in pride and folly, he casteth down to the ground, sometimes by very humbling providences in this world, at furthest in the day when their faces shall be filled with everlasting shame.

5. The provision he makes for the inferior creatures. Though he is so great as to command the stars, he is so good as not to forget even the fowls, Psalm 147:8, Psalm 147:9. Observe in what method he feeds man and beast.

(1.) He covereth the heaven with clouds, which darken the air and intercept the beams of the sun, and yet in them he prepareth that rain for the earth which is necessary to its fruitfulness. Clouds look melancholy, and yet without them we could have no rain and consequently no fruit. Thus afflictions, for the present, look black, and dark, and unpleasant, and we are in heaviness because of them, as sometimes when the sky is overcast it makes us dull; but they are necessary, for from these clouds of affliction come those showers that make the harvest to yield the peaceable fruits of righteousness (Hebrew 12:11), which should help to reconcile us to them. Observe the necessary dependence which the earth has upon the heavens, which directs us on earth to depend on God in heaven. All the rain with which the earth is watered is of God's preparing.

(2.) By the rain which distils on the earth he makes grass to grow upon the mountains, even the high mountains, which man neither takes care of nor reaps the benefit of. The mountains, which are not watered with the springs and rivers, as the valleys are, are yet watered so that they are not barren.

(3.) This grass he gives to the beast for his food, the beast of the mountains which runs wild, which man makes no provision for. And even the young ravens, which, being forsaken by their old ones, cry, are heard by him, and ways are found to feed them, so that they are kept from perishing in the nest.

6. The complacency he takes in his people, Psalm 147:10, Psalm 147:11. In times when great things are doing, and there are great expectations of the success of them, it concerns us to know (since the issue proceeds from the Lord) whom, and what, God will delight to honour and crown with victory. It is not the strength of armies, but the strength of grace, that God is pleased to own.

(1.) Not the strength of armies - not in the cavalry, for he delighteth not in the strength of the horse, the war-horse, noted for his courage (Job 39:19,. etc.) - nor in the infantry, for he taketh no pleasure in the legs of a man; he does not mean the swiftness of them for flight, to quit the field, but the steadiness of them for charging, to stand the ground.

But, (2.) God is pleased to own the strength of grace. A serious and suitable regard to God is that which is, in the sight of God, of great price in such a case. The Lord accepts and takes pleasure in those that fear him and that hope in his mercy.

Observe, [1.] A holy fear of God and hope in God not only may consist, but must concur. In the same heart, at the same time, there must be both a reverence of his majesty and a complacency in his goodness, both a believing dread of his wrath and a believing expectation of his favour; not that we must hang in suspense between hope and fear, but we must act under the gracious influences of hope and fear. Our fear must save our hope from swelling into presumption, and our hope must save our fear from sinking into despair; thus must we take our work before us.

[2.] We must hope in God's mercy, his general mercy, even when we cannot find a particular promise to stay ourselves upon. A humble confidence in the goodness of God's nature is very pleasing to him, as that which turns to the glory of that attribute in which he most glories. Every man of honour loves to be trusted.

Thank and praise God that He has called us to Himself and place us in the church which is the body of Christ that we can worship Him, grow in Him and enjoy His love through the fellowship of His people. As we converse one with another and recount God's goodness and mercies to us, we shall find many reasons to praise the Lord!

God heals us when sin broke us by sending His only begotten Son, our Lord Jesus Christ to die for us on the cross and wash away all our sins. He reconciled us to Himself and bless us with every spiritual blessings and provide also for our temporal needs. Though in this life, we have our portions of ups and downs, being sinners saved by grace and still living in a fallen and imperfect world, God is showering His love and mercies to us daily that we may know His love and know that He is working all things for our good (Romans 8:28).

Thus afflictions, for the present, look black, and dark, and unpleasant, and we are in heaviness because of them, as sometimes when the sky is overcast it makes us dull; but they are necessary, for from these clouds of affliction come those showers that make the harvest to yield the peaceable fruits of righteousness (Hebrew 12:11), which should help to reconcile us to them.

For which cause we faint not; but though our outward man perish, yet the inward man is renewed day by day. For our light affliction, which is but for a moment, worketh for us a far more exceeding and eternal weight of glory; While we look not at the things which are seen, but at the things which are not seen: for the things which are seen are temporal; but the things which are not seen are eternal.
2 Corinthians 4:16-18

For Then Sing My Souls Saturday I am sharing this video on Psalm 147:1-11 posted on Youtube:

Psalm 147:1-11

1 Praise ye the Lord; for it is good
praise to our God to sing:
For it is pleasant, and to praise
it is a comely thing.

2 God doth build up Jerusalem;
and he it is alone
That the dispersed of Israel
doth gather into one.

3 Those that are broken in their heart,
and grievèd in their minds,
He healeth, and their painful wounds
he tenderly up-binds.

4 He counts the number of the stars;
he names them ev'ry one.
5 Great is our Lord, and of great pow'r;
his wisdom search can none.

6 The Lord lifts up the meek; and casts
the wicked to the ground.
7 Sing to the Lord, and give him thanks;
on harp his praises sound;

8 Who covereth the heav'n with clouds,
who for the earth below
Prepareth rain, who maketh grass
upon the mountains grow.

9 He gives the beast his food, he feeds
the ravens young that cry.
10 His pleasure not in horses' strength,
nor in man's legs, doth lie.

11 But in all those that do him fear
the Lord doth pleasure take;
In those that to his mercy do
by hope themselves betake.

May God enable us to sing praises unto Him daily as we remember and experience His goodness and mercies.

Thanks for stopping by. Hope you have a blessed weekend!

For more participants of Fearfully Fabulous Friday, do visit Jill.

For more participants of Then Sing My Souls Saturday, do visit Amy Wyatt.

My grace is sufficient for you

Dear Friends,

Thank you for stopping by my Word-Filled Wednesday (WFW) and Thankful Thursday (TT) post. I am combining these 2 in order to share the same picture and verse for WFW with my TT friends.





(My brother took this lovely photo at Muriwai Beach, Western Auckland, New Zealand.)

And he said unto me, My grace is sufficient for thee:
for my strength is made perfect in weakness.
Most gladly therefore will I rather glory in my infirmities,
that the power of Christ may rest upon me.
2 Corinthians 12:9

♥ Thank God that He has promised in His Word that His grace is sufficient for us! As we face many challenges daily, we can take comfort in the assurance that God will give us grace to go through them. Are you overwhelmed today by your circumstances or challenges or difficulties? May God's precious promise encourage and strengthen your heart as you press on in His strength!

♥ I thank God that He has granted me much grace and strength in these recent weeks of many challenges. As I recover from my relapse of my illness, I am facing much challenges of pacing myself moderately while coping with family, church, work, blogging and other commitments. Thank God that day by day I am learning that His grace is sufficient for me. Though I am weak, He is strong and His strength is made perfect in my weaknesses!

♥ I thank God that He has given me much grace to serve Him through blogging. I am in the midst of praying and making some changes to my blog. Due to the terrible stigma that is still associated with mental illness in my country, I have changed my photo to a new picture of a beach. This is to protect my privacy. As I am seeking ways to earn a living to support my mother and myself, I felt compel to make this change.

I have also created this new blog. If you notice, this is actually a new blog (http://morethanconquerors2008.blogspot.com/) with a copy of all my previous posts. I intend to post all my full posts on this blog from now onwards.

I will post short excerpts of my full posts on my original blog at http://www.lifewithbipolardisorder.blogspot.com/ for the benefit of my readers who are not able to read my full post. I realized that sometimes I post very long and my readers may not have the time to read my full post. So my excerpts will hopefully benefit these readers.

♥ I thank God for my family, church, friends and every one of you my blogging friends and visitors.

♥ I am thankful to God for the prayers and encouragements of so many of you! It is my joy and privilege to meet all of you through blogging! I am greatly blessed and encouraged by many of you. Thank you for your friendships!

May you find rest in God's love, mercies and sufficient grace in whatever you may go through today and every day :)

For more Word-Filled Wednesday participants, do visit Amy at The 160 Acre Woods. It will be a very blessed and encouraging experience for you.

For more participants of Thankful Thursday, do visit Iris at Sting My Heart.

Thank you for stopping by. Thanks for your encouragements. Hope you have a blessed day!

Recent posts:

Video on "Depression - A Stubborn Darkness" by Edward T Welch (M4M)

The Faithfulness of Divine Love because the Lord is my Shepherd (FFF & TSMSS)

Come unto me.... and I will give you rest (WFW & TT)

Depression and bipolar disorder are illnesses just like any other (M4M)

Amazing Grace (FFF & TSMSS)

Video on Depression

If you prefer to read a shorter version of this post, you can read excerpt from "Mission4Monday : Video on Depression".

Dear Friends,

Thanks for stopping by this Mission 4 Monday post.

I am thankful to God that I can continue to serve Him through this blog.

One of the missions of my blog is to share with others God's goodness and mercies to me in managing clinical depression and bipolar disorder, as well as to share resources that will benefit a person with a mood disorder and information for their family and loved ones.

Today, I like to share this video on "Depression - A Stubborn Darkness" by Edward T Welch posted on YouTube.

This short and moving video on depression sheds some light on depression and it's impact upon the sufferer and his loved ones.

Many mistakenly think that depression is purely of a spiritual nature and is due to a person's lack of trust in God. While others may treat those with depression and mental illness as if they are mad people. But in reality clinical depression is a very common mental illness due to chemical imbalance in our brain and relapses can be triggered off by various reasons. It is a medical condition that can be treated just like diabetes.

Too often Christians misunderstood that all depression are due to spiritual reasons or lack of faith in God. But there is a difference between spiritual depression and clinical depression. Spiritual depression may occur when we sinned against God or do not believe in Him or put our trust in Him. But clinical depression is very different and it is a real medical condition that can be treated and needs to be treated. It is different from the occasional "blues" or "depress" feeling that we get every now and then, which we get over quickly. Clinical depression is more severe and prolonged, and cannot be willed or wished away. Thank God that He has provided various medical and other means for us in this generation, so that we can be more functional.

If you are a Christian and you are suffering from prolonged clinical depression, you will likely have to cope with false guilt. I encourage you to read the messages of Dr David P Murray on "Depression and the Christian" and you will find much encouragement and help.

Clinical depression is a medical condition that can be treated. I hope you will seek help besides praying to God.

Know that you are not alone and we can find comfort in God and His Word while we await His restoration through His Words and the various means He has made available for us in this generation.

Hope this short video will bring some comfort to you if you or your loved ones are suffering from depression.

http://video.google.com/videoplay?docid=5825004682085410590



Other related posts:

1. Trust during rough times
2. Finding meaning in a life with bipolar disorder
3. Mental illness (depression, bipolar disorder, etc) is an illness like any other

For more Mission 4 Monday posts, visit Peggy.

Thanks again for stopping by! Thanks for all your prayers and encouragements!

Take care and God bless :)

If you prefer to read a shorter version of this post, you can read excerpt from "Video on Depression".

The Faithfulness of Divine Love because the Lord is my Shepherd

Dear Friends,

Thanks for stopping by my Fearfully Fabulous Friday and Then Sing My Souls Saturday.

For Fearfully Fabulous Friday I wish to share this encouraging portion from CH Spurgeon's devotional, Morning and Evening, February 28, Evening.

The Faithfulness of Divine Love

“The barrel of meal wasted not, neither did the cruse of oil fail, according to the word of the Lord, which he spake by Elijah.” 1 Kings 17:16

See the faithfulness of divine love. You observe that this woman had daily necessities.

She had herself and her son to feed in a time of famine; and now, in addition, the prophet Elijah was to be fed too. But though the need was threefold, yet the supply of meal wasted not, for she had a constant supply. Each day she made calls upon the barrel, but yet each day it remained the same.

You, dear reader, have daily necessities, and because they come so frequently, you are apt to fear that the barrel of meal will one day be empty, and the cruse of oil will fail you. Rest assured that, according to the Word of God, this shall not be the case. Each day, though it bring its trouble, shall bring its help; and though you should live to outnumber the years of Methuselah, and though your needs should be as many as the sands of the seashore, yet shall God’s grace and mercy last through all your necessities, and you shall never know a real lack.

For three long years, in this widow’s days, the heavens never saw a cloud, and the stars never wept a holy tear of dew upon the wicked earth: famine, and desolation, and death, made the land a howling wilderness, but this woman never was hungry, but always joyful in abundance.

So shall it be with you. You shall see the sinner’s hope perish, for he trusts his native strength; you shall see the proud Pharisee’s confidence totter, for he builds his hope upon the sand; you shall see even your own schemes blasted and withered, but you yourself shall find that your place of defence shall be the munition of rocks: “Your bread shall be given you, and your water shall be sure.”

Better have God for your guardian, than the Bank of England for your possession. You might spend the wealth of the Indies, but the infinite riches of God you can never exhaust.

In the midst of much economic uncertainties, natural disasters and afflicting illnesses, thank God that we can rest in the faithfulness of His Divine Love!


For Then Sing My Souls Saturday I am sharing this "The Lord is My Shepherd" video which is posted on YouTube. This is one of my favorite Psalm and I am reminded of it daily now. Thank God that the Lord Jesus Christ is our Shepherd and we shall not want/lack!

Psalm 23 (Scottish Metrical Psalter)

1 The Lord's my shepherd, I'll not want.
2 He makes me down to lie
In pastures green: he leadeth me
the quiet waters by.

3 My soul he doth restore again;
and me to walk doth make
Within the paths of righteousness,
ev'n for his own name's sake.

4 Yea, though I walk in death's dark vale,
yet will I fear none ill:
For thou art with me; and thy rod
and staff me comfort still.

5 My table thou hast furnished
in presence of my foes;
My head thou dost with oil anoint,
and my cup overflows.

6 Goodness and mercy all my life
shall surely follow me:
And in God's house for evermore
my dwelling-place shall be.

May the knowledge that the Lord is our Shepherd and He will provide for all our needs brings peace, comfort and assurance to us everyday as we look to Him, Who loved us and gave His life for us.

"Surely goodness and mercy shall follow me all the days of my life: and I will dwell in the house of the LORD for ever." Psalm 23:6

Thanks for stopping by. Hope you have a blessed weekend!

For more participants of Fearfully Fabulous Friday, do visit Jill.

For more participants of Then Sing My Souls Saturday, do visit Amy Wyatt.

Psalm 23
(King James Bible)

1 The LORD is my shepherd; I shall not want.
2 He maketh me to lie down in green pastures: he leadeth me beside the still waters.
3 He restoreth my soul: he leadeth me in the paths of righteousness for his name's sake.
4 Yea, though I walk through the valley of the shadow of death, I will fear no evil: for thou art with me; thy rod and thy staff they comfort me.
5 Thou preparest a table before me in the presence of mine enemies: thou anointest my head with oil; my cup runneth over.
6 Surely goodness and mercy shall follow me all the days of my life: and I will dwell in the house of the LORD for ever.