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Cyclic episodes of rage, depression, then happiness, turning to suspicion. Bipolar disorder?

Hi Dr. XXXX, I work at XXXX. I have a question regarding a relative who lives in XXXX. She has cyclic episodes of rage, depression and violence followed by happiness, normal behavior and pleasantness. She has poor sleep patterns and extreme suspicion/ paranoia . But when she is doing ok, she is a talented artist. Her behavior is progressively getting worse. A colleague of mine suggested that this seems like bipolar disorder . My sister is extremely unwilling to seek treatment and claims that nothing is wrong with her. What should we do? Thanks.
Asked On : Sat, 21 Jul 2012
Answers:  2 Views:  116
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Psychiatrist 's  Response
hi, although the history which you are describing looks like bipolar disorder, it could also be a personality disorder, especially cluster B personality , which has grown with her, it can be reduced with the help of cognitive bavavioral therapy, needs to consult a psychiatrist
Answered: Thu, 11 Oct 2012
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General & Family Physician Dr. Anand Sekar's  Response
Bipolar disease typically presents with episodes of depression,episodes of rage or excessive happiness with episodes of complete normalcy in between.If not treated early,the symptoms may become more severe.Consultation with psychiatrist is essential.
Answered: Mon, 27 Aug 2012
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