Is bipolar disorder considered an unsound mind?
Let us define unsound first. unsound mind means a mind is the one which does not distinguish right or wrong and unable to take sound decisions and thus a mind which makes the person irresponsible of his/her actions.
Bipolar disorder is a chronic (no cure) EPISODIC Disorder. Those episodes range between Mania and depression. In between those episodes the person is totally sound and normal because he or she should be totally back to his total self and he can manage a normal life. In the episodes themselves there is no one rule but on general full blown mania usually makes the person unaware of his/her actions and sound judgement would be disrupted. As the patient gets the proper treatment and he comes out of that episode, which could last between 1 week to few months, he /she will retain the normal executive brain functions.
- Inflated self-esteem or grandiosity
- Decreased need for sleep
- Increased talkativeness
- Racing thoughts
- Distracted easily
- Increase in goal-directed activity or psychomotor agitation
- Engaging in activities that hold the potential for painful consequences, e.g., unrestrained buying sprees
How do psychiatrists diagnose Bipolar Disorder
Type 1 is the big one ; results in the Patient suffer S from strong changes in mood for at least 4 days or more
2 states are the ones usually lead to the diagnosis ;
Mania : severe unreasonable euphoria or irritability, excessive energy and strength, feelings I no need to sleep and patient can really stay awake for days or very minimum sleep with the maintainance of their energy, talkativeness in a purposefull way. Racing ideas and plans with inability to focus on any of them. Impulsivity and loss of ability to weigh the risks/benefits of their actions so the person can take risky or wrong decisions such as selling a land or giving someone their car. Disinhibition which makes the person to does things that he/she has never done them before and will never do them at the times he/she is not ill. All actions and desires would be exaggerated like overspending or hypersexuality or over flirting. Inflated self esteem and so the person would be acting against their nature: the person would act like he is very important. personality or in relationship to somebody very importent or famous even if their nature is not arrogant. sometimes it leads to psychosis when a person loses connection I reality and believes he has a specino mission from God or that he is a king or a Prophit or has specin powers like talking to dead people or bring them alive.
To receive BD diagnosis the person needs at least 1 manic episode in their life. manic episodes are usually severe to a point the patient is out I control and specially the first episode it usually leads to hospitalization.
The other phase of the Disorder is Depression which contains the typical depressive symptoms.
Depression episode alone is not enough to receive BD diagnosis. However, I manic episode proven not due to drugs or medication induced or general medical condition such as hyperthyroidism IS ENOUGH to diagnose Bipolar affective Disorder type I.
Type 2 lacks the manic episodes and is predominated by depressive episodes. In between it can experience hypomania which is a nice productive period of time or more for at least 1 week.