There is no other test to diagnose ascites. Bipolar disorder can sometimes be mistakenly diagnosed with depression.
Many laboratory tests usually result normally in individuals with bipolar disorder. Among the laboratory examinations, urine analysis or blood alcohol level are among the tests that can be requested in cases where substance-related mood changes are suspected.
The thyroid gland is effective in regulating many functions of the body by secreting various hormones. Under-functioning of the thyroid gland and insufficiency of its hormones is defined as hypothyroidism, and in this case, cognitive functions may be negatively affected and depressive symptoms may occur. Since thyroid gland diseases such as hypothyroidism and hyperthyroidism can cause changes in the mood of people similar to bipolar disorder, it may be necessary to examine thyroid function tests in cases where these disorders are suspected.
The blood levels of the drugs used for current treatment can be examined in people who have previously been diagnosed with bipolar disorder and have applied to health institutions with similar symptoms.
A number of criteria determined by the diagnostic and statistical guide (DSM) of psychiatric disorders are used in the evaluation of patients who are referred to physicians with complaints of bipolar disorder. These criteria vary depending on whether the person is in a manic, hypomania or depressive episode and the difference in symptoms occurring during these periods.
Diagnostic criteria for hypomania are generally similar to those for manic episode. Unlike the manic episode, the symptoms do not significantly affect the social life of these people is an important distinction point.
During intense depressive episodes, it is diagnostically valuable if five or more of the following criteria continue for at least 2 weeks and the person’s social life is affected by these symptoms. Diagnostic criteria for depressive episodes:
During bipolar disorder, the symptoms related to mood changes can be difficult to diagnose because of the wide variety. In childhood and adolescence, when symptoms progress differently than adults, the diagnosis of bipolar disorder can be more difficult. One of the problems in the diagnosis of bipolar disorder in children is that attention deficit and hyperactivity disorder (ADHD), which is a relatively common problem in this age group, and bipolar disorder symptoms are similar.
Without proper diagnosis and treatment, bipolar disorder is generally a disorder that tends to get worse. An increase in the intensity and frequency of attacks may occur in people who do not receive treatment. For this reason, recognition of the initial symptoms, correct diagnosis and treatment are important issues. There are many warning signs for the onset of attacks in bipolar disorder:
The main factor that determines the treatment approach of bipolar disorder is whether the patient is in mania, hypomania or depressive episodes. Various factors can be effective in determining both drug and psychological treatment interventions. Concomitant psychiatric or other medical conditions, past treatments and patient response to this treatment can be considered among these factors.
Psychotherapy techniques are vital treatment practices for bipolar disorder and can be performed individually, with a family or with a group of patients.