I always kind of thought it was like Fibromyalgia: Something they know is there but can't quite put their finger on.
I concur. Everybody has their "break down" at least once in their lives but if you get labeled bi-polar you become a permanent ward of big pharma and Mental Health. Not only do you become a cash cow for pharma, you become a job justification for health bureaucrats.I know a few myself that are close to me, and my wife works for the health disctict in the mental health dept working directly with patients. I definetly know some people can really take wild swings but the use of the term and diagnosis has been broadened so wide that anyone at some point in life could be pegged as Bi-polar.
It's been a real cash cow for pharma in the past 20 years.
Food, sleep and cognative is the bulk of bi-polar treatment. If they don't understand what is happening bio-chemically, then the drugs perscribed are just fluff.
Bi-polar illness can be traced to heredity factors but those are smaller in number than the issues which seem to be caused by environment and/or development of cells within the brain. It is complex and highly individualistic in its treatment - exhausting for the sufferer and the family members (if they haven't given up help) and doesn't affect recovery without a trial of many drugs and behavior changes.It presents like a mad hatter for a person who has no idea whether Monday will be a frenzied screaming day - a regular day which passes well - or a day of unremitting depression and anger.Many families have to concede and place a sufferer under outside care - but that is in the extreme - and some fortunate people find the right combination of medications and are able to manage a life of normal days although challenged constantly.
A health beaucrat pays half the bills around here but she has little belief in the scope of the DSM-IV's inclusions for diagnosis.
SSRI's have created more alleged manics than any other substance or real life situation to date.