Cognitive Impairment and Functional Disability in Bipolar Disorder - How Can We Optimize Outcomes?

[@justgina2031]

I am Bi-Polar, diagnosed in my early 20's. I am now 38, so I have seen LOTS of doctors. You gave me more actual information in a 27min Video than all my doctors combined have over the years. I usually get a limited evaluation, no empathy, the same old take your meds and move one OR I get that very optimistic doctor that has a "game changer medication." I like their enthusiasm but I've yet to have a miracle drug or drug cocktail that stays effective long term. I don't know many people like me but unless I want to take the meds that take away any joy I might have in life, I just stay in the cycle and hold on tight. The hardest part of explaining my disease is that it's not disease you can see, nor do I get to pick when it decides to perk its little head and destroy everything around me; friends, family, finances, job, everything. When I use the term destroy, that's exactly what I mean. Thanks for letting me vent and thank you for the video.

[@rickredmond9847]

I am a graduate student in clinical social work who was recently concurrently diagnosed with Bipolar 1 and ADHD. I am in treatment but still significantly challenged by cognitive deficits. This lecture/video is not only extremely helpful, resourceful and informative but also and equally fascinating and compelling. Thank you!

[@Christ_Is_Life10-10]

Good for you for acknowledging cognitive deficits so that you can get appropriate treatment. Stigma is a huge problem. I was diagnosed with adult bipolar 2 and ADHD. My functioning declined over time and can no longer work a full caseloads. Setting limits on caseloads in agency’s is almost impossible to negotiate. I work part time in a remote Telehealth position which has worked for me. It is humbling because of the lower income but without good mental health there could be limited options if symptoms become more severe.

[@georgina5025]

My husband of over 30 years aged 76 was diagnosed with Bipolar 2 six weeks ago after his first ever episode of hypomania. I understand it is highly unusual to be diagnosed with Bipolar at his age. He has a history of depression and ADHD and has been treated with antidepressents for over 30 years. When he presented with hypomania his GP stopped his antidepressants and then his psychiatrist commenced him on Olanzapine and his dose has been adjusted. He is a normal weight, metabolically healthy, does not drink alcohol and has been avoiding sugar and caffeine. I have also avoided sugar in my diet for over a year and my inflamatory marker is now normal. I believe avoiding sugar, processed food and seed oils reduces inflammation and I am hopeful this will be a factor in limiting further cognitive decline as we age. All we can do is reduce the risk factors and be compliant with his medication. Loved your talk, helped me understand the subtypes of Bipolar, very informative.

[@Luna1917a]

As a bipolar patient I thank you 🙏 for trying to understand us and helping the medical community and our family and friends accept us and help. ❤.

[@lambd01d]

I have bipolar, am currently working and my mood is mostly stable. My IQ is fine and my intellectual abilities are better than most people (I passed some very tough proofreading exams a few years ago and have no problems understanding technical medical papers due to my biology degree). However, my current job involves manual labour and I'm struggling to concentrate, I find it hard to understand what people are saying, I am easily distracted and my short term memory is poor. What I find particularly distressing is that people treat me like I'm stupid and that can drive my mood symptoms.

[@marinieves9717]

Sounds like my case, bipolar 2 plus ADHD

[@lolasimmons9152]

Hi there. I too have bipolar type 2 and ADHD. My short term memory is getting worse and I go blank when people ask me questions. My sister in law makes me feel stupid because I say wrong things or don't understand what she is saying. Talk to your doctor.

[@camellia8625]

This is an incredibly helpful video

[@moyagreene9590]

This was an excellent and highly informative presentation and thank you for pursuing this research. We still have so much to learn about bipolar disorder.. sadly bipolar 2 seems to be the poor cousin in research community. What your work demonstrates is that bipolar patients are quite different and taking your sub- grouping approach is very important to the design of appropriate treatments.

[@ryanbergman1]

Thank you, this helped me understand and validate so many experiences i have with my own bipolar symptoms. Seriously,Thank you:)

[@NightofFungi]

This video helped me a lot. I feel like I have managed to move myself most of the way from the suboptimal category to being more intact and reducing substance use has been instrumental in getting back to a more healthy and resilient state.

[@nyamuochpaul4279]

YOU 🪨 THANK YOU GOD BLESS

[@apurvvanapalli5757]

I've bipolar 1. Thankyou. This is reassuring

[@tawndawg20]

Thank you, joy n light

[@JeffreyWilliams-dr7qe]

Zyprexa! Risperidone! Seroquel! More please!

[@heisenberg6830]

Thank you very much for this very insightful video !

[@cybercab]

How have I never heard this before?? I’m going to look up more on subtypes of BD. Thank you. 🙏

[@cybercab]

Very curious to know what the greatest risk subtype is.

[@einsibongo]

Ok, maybe I haven't scrolled far enough. What are the bullet points for recovery and maintenance of bipolar brains? Sleep Anti inflammatory (diet, ibuprofen?) More?

[@malgorzatamaher9700]

Well done!

[@yanan3681]

I'm just diagnosed bipolar 1 and I suffer from cognitive impairments when stable even though I'm not taking any medication yet. How much worse can I expect this to get? I'm so forgetful and clumsy at times and struggle holding a conversation.

[@NightofFungi]

Do you get enough exercise? My mental clarity and ability to remember things and function was greatly improved when I made daily exercise mandatory for myself. I am also diagnosed with Bipolar I. Hope this helps.

[@yanan3681]

@NightofFungi I work a manual job and lift weights in my spare time (when I'm not depressed obvs). Every bad episode I have especially if it's mixed seems to cause some long lasting damage to me. Knocks me about so bad.

[@syedirfanajmal]

​@@yanan3681try meditation, better sleep, better diet,a disciplined routine, sports, better relationships , stress management, journaling, yoga (for emottrauma, and therapy. Perhaps ask your doctor you should try different meds. Also give it time. Go easy on yourself and lower your expectations; atleast until get better. Be nice to yourself and allow yourself the freedom to be imperfect.

[@sandywhat2429]

What about cognitive decline from medications?

[@sicilyny5375]

How much do common meds we take effect these issues???

[@sandywhat2429]

@@sicilyny5375 A LOT I bet.

[@timwalkerquizmo2194]

I have suffered deterioration in verbal memory from being a long term user of Lithium going from being a national quiz contestant and contestant on Mastermind to struggling with recalling common names.

[@sandywhat2429]

@@timwalkerquizmo2194 Lots of drugs can do that. Are you on a benzo too? I'm sure you could probably recover. Are you off the medications?

[@laurakindlaura5602]

Getting off the meds is a very risky thing to do… the more episodes you have, the more often other episodes will happen, the worst they will be and the more meds you will need to be stable…. I’d rather side effects from medicine than loosing cognition because of too many hard to control episodes…

[@MaxWaldron]

Important sub groups based on outcome prognosis. Reductionism at work.

[@melissanichilo8176]

thank you.

[@RolandWelsch]

Thank you very informative, unfortunately the mic is not that good😊

[@sicilyny5375]

Is the inflammation from comorbidities, other illness like diabetes, IBD..etc??? Many BD have IBDs.( Overall research)

[@carnivoredownunder]

Carnivore diet(lions diet) gets rid of inflammation and has put people's bipolar symptoms into remission, when they go back to s.a.d. diet it comes back. New research says inflammation is the cause of most, if not all mental health conditions and apparently in 10 years or so most depression/anxiety meds will be anti inflammatory drugs, like the ones used for psoriasis

[@antonioortega2588]

My ex had a low grade fever (between 100.5 and 102) for like 10 weeks straight and was diagnosed with Bipolar 1 at age 26. This happened to her at age 28 and there was nothing that showed up on lab work and we couldn't make any rhyme or reason for the inflammation.

[@carmengloriagonzalez8238]

Brilliant lecture

[@aethylwulfeiii6502]

Psychiatric nosology of diagnosis is still completely pointless and is a hinderance to both research and treatment.

[@dianecleary1054]

Hâte it when my brain crashs and gos blank . I can't remember two thirds of my life . Then I morph into high functioning intellectuel ability .

[@JeffreyWilliams-dr7qe]

This as Great news for such tech savvy empathetic citizens of the world. The malignant stigma of mentals illness is in remission as we speak. Lets break for lunch shall we?

[@sicilyny5375]

Is this saying, Bipolar become schizophrenic???

[@bob15479]

No

[@spencerrucker5957]

Is there or has there ever been any correlation between bipolar disorder and the ability to noticeably increase or decrease the life of any battery powered device when in close contact with it

[@ModularMoose]

Yes. Also the observation that they slightly disrupt devices emitting/receiving Bluetooth signals.

[@catalystcomet]

There's absolutely no scientific standing to anything like this.

[@catalystcomet]

@@ModularMoose no they're absolutely is not! I cannot believe you're audacity, please provide the scholarly article or study that shows that those with bipolar disorder interrupt signals.

[@Spectre2434]

There are some white matter deficits , no ?

[@TheRareCriticalThinker]

I have an IQ of 128 (According to WAIS 4). I don’t have bipolar, but I have a lot of risk factors and worry about developing it. I hope I’d be in that “purple” subtype!

[@Mastergas-r7n]

❤❤