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