MANIAKAL-DEPRESSIVE PSYCHOSIS - a mental illness characterized by the periodic development of depressive and manic attacks, after the disappearance of which (“light gap”), mental health is fully restored. The ratio of depressive and manic attacks can be very different, the course of the disease is possible in the form of, for example, periodic depression or mania only. The duration of attacks ranges from several days and weeks to several months and even years. The duration of the "bright intervals" also varies from several days to several years. Some patients have a certain seasonality of the disease.
Severe seizures often begin at the age of 40; it is possible, however, to find out that in the past there were shallow and short periodically arising conditions with increased or decreased mood. The course of the disease in the form of such mild affective disorders is a mild form of manic-depressive psychosis and is called cyclothymia.
Manic and especially depressive attacks are constantly accompanied by a variety of somatic disorders. So, depressive attacks can manifest themselves in a variety of somatic and autonomic disorders, for example, attacks of sweating, chilliness, numbness of the extremities, palpitations, heart pain, lack of appetite, constipation.
Treatment of any phase of manic-depressive psychosis should be carried out in a psychiatric hospital. With a pronounced state of mania or depression, hospitalization should be carried out immediately, accompanied by a medical assistant. In cases of typically occurring depression, antidepressants are used; with agitated depression, antidepressants are combined with antipsychotics; in protracted cases resort to electroshock therapy; in manic conditions, antipsychotics and lithium preparations are prescribed (under the control of its content in the blood).