Bipolar Schizophrenia – Diagnosis, Symptoms and Medication

Bipolarity, most often begins in late adolescence or early adulthood. It is characterized by a disorder of mood with a succession of depressive phases, alternating with phases of exaltation, called manic episodes. 

These fluctuations can be so intense that they become unbearable for the person with bipolar disorder and those around them. Many symptoms can also appear during these acute phases: delusions, hallucinations, or disinhibition. 

The person, who also suffers from sleep and appetite problems, will tend to isolate himself and may have behavioral problems. There may also be repeated concentration problems and memory loss. These manifestations tend to disappear under treatment, limiting the frequency and ardency of episodes.

A person with bipolar disorder experiences his emotions with excessive ardency and sometimes has trouble managing them. For example, the person may experience the events of his daily life with deep sadness or a feeling of extreme happiness.

The frequency, duration, and ardency of these emotions can vary from person to person and affect the way each person thinks and acts. This may make it difficult for the person to fulfill their professional, family, and social obligations.



Diagnosis is based on clinicians’ observation of the patient’s behavior when the patient suffers from these symptoms. It is also based on symptoms reported by the patient’s entourage. The diagnostic criterion depends on duration, clinical signs, and symptoms.



  • A pleasant impression of tenfold energy, of creativity;
  • Ease in social exchanges;
  • A feeling of euphoria, of elation.
  • An exaggerated sense of power, greatness, or an increase in self-esteem, without a critical eye an increase in social, professional, or sexual activities, which sometimes become very intenseInvolvement in pleasing acts, but the consequences of which can be harmful.
  • Reducing sleep need and insomnia reduces sleep need and insomnia.
  • The person firmly believes something that is not true.
  • The patient hears or sees things that do not exist.
  • It may also have some typical symptoms like
  • A sadness, a sense of emptiness;
  • No interest in day-to-day life activities including those the person used to enjoy.


Including the above the patient should have any of the following:

  • Insomnia, or conversely, a need to sleep excessively;
  • Loss of appetite or weight, or on the contrary, a tendency to get fatter
  • Difficulties concentrating or making decisions
  • A feeling of living in slow motion, or the opposite, of having trouble “staying in place”;
  • A sense of non-validity



There are 2 ways. They are :

  • Psychotherapy
  • Drugs that should be taken life long.

Mental-behavioral therapy is generally effective. It led to change the difficulty in thoughts and behaviors of the person with the disease and replace them with ideas and reactions suitable to real life. 

It also helps the person to put in place coping strategies to get their balance back. Participating in a support group helps the person with the disease and those around term overcome the difficulties they are undergoing as a result of the disease.

Mood stabilizers and antidepressants are drugs that regain the brain’s mental and chemical balance which decreases the intensity of physical manifestation.

And that plays on Emotions, Memory, concentration.


Reason for bipolar

Although the causes of dysthymic schizophrenia are still unknown, there is a valid diagnosis of a heterogeneous group of individuals, some with severe forms of schizophrenia, and others with very severe forms of mood disorders. 

There are some indications that dysthymic schizophrenia is a psychotic disease. Different genes are thought to be the cause of this disease, interacting with different biological and environmental aspects. 

A clear association between drug use and disorderliness of the schizophrenia spectrum, including dysthymic schizophrenia, has been noted, but the cause-and-effect link remains difficult to prove, except in the case of cannabis, whose important role in the development of symptoms related to psychotic disorders, including dysthymic schizophrenia, has been shown.