>>BRUCE HAMILTON: KANYE WEST IS RUNNING FOR PRESIDENT AND DURING A SPEECH HE MADE SOME
FAIRLY OUTLANDISH COMMENTS AND
TENDERED SOME FAIRLY WELL
OUT OF TOUCH SOCIAL MEDIA
MESSAGES AND IT PART OF THE
QUESTION. HIS MENTAL HEALTH.
LAST WEEK HIS WIFE KIM
KARDASHIAN POSTED A STATEMENT
ON INSTAGRAM ASKING FANS FOR
COMPASSION AS SHE ADDRESSED
WEST BIPOLAR
DISORDER DIAGNOSIS. AND SHE
WROTE IN PART ANYONE WHO HAS
THIS OR HAS A LOVED ONE IN
THEIR LIFE WHO DOES KNOWS HOW
INCREDIBLY COMPLICATED AND
PAINFUL IT IS
TO UNDERSTAND AND WAS CITED
TALK ABOUT GIVING GRACE TO THE
ISSUE OF MENTAL HEALTH AS A
WHOLE HOWEVER, WE SHOULD ALSO
GIVE IT TO THE INDIVIDUALS WHO
ARE LIVING WITH IT IN TIMES
WHEN THEY NEED IT THE MOST
JOINING ME NOW IN THE MORNING
SHOW TO
TALK ABOUT WHAT IT MEANS TO
LIVE WITH BIPOLAR DISORDER
DOCTOR MEHRA KERSHAW BOARD
CERTIFIED PSYCHIATRIST WITH
MEMORIAL HOSPITAL APPRECIATE
YOU BEING HERE.
TALK ABOUT BIPOLAR DISORDER
THERE ARE DIFFERENT TYPES
OF THE DISORDER. SO LET’S START
WITH SOME BASIC DEFINITIONS.
>> REALLY WE HAVE BIPOLAR
DISORDER AND BIPOLAR 2 DISORDER
SO BIPOLAR DISORDER IS SORT OF
THE MOST EXTREME FORM WHERE
SOMEONE MIGHT END UP
HOSPITALIZED WHERE
THEY HAVE MANIC EPISODES THAT
ARE SO BEYOND THEIR CONTROL
THAT THERE QUITE DYSFUNCTIONAL
IT MIGHT BE PARANOID.
SUSPICIOUS OF THINGS GOING ON
AROUND
THEM DELUSIONAL AND THAT’S
REALLY THE EXTREME FORM THEY
MIGHT ALSO HAVE BECAUSE HE
CALLED BIPOLAR MEETING
2 POLAR OPPOSITES IN TERMS OF
THEIR MOOD SO THEY MIGHT GO
FROM MANIC STATE A VERY
DEPRESSED STATE. THEY CAN BE
VERY IMPULSIVE THEY MIGHT
BECOME SUICIDAL THE OTHER TYPE
OF THE BIPOLAR 2 DISORDER WHICH
IS A MORE FUNCTIONAL TYPE OF
BIPOLAR DISORDER WHERE
YOU MIGHT AVOID HOSPITALIZATION
AND MAYBE OPERATED WHAT WE CALL
A HYPO MANIC STATE WHERE YOU’RE
VERY PRODUCTIVE. YOU DON’T NEED
AS
MUCH SLEEP. VERY MAYBE A LITTLE
GRANDIOSE BUT NOT SO FAR
OUTSIDE THE
NORM THAT YOU REQUIRE SERIOUS
MENTAL HEALTH INTERVENTIONS AS
I UNDERSTAND IT PEOPLE CAN LIVE
PRETTY MUCH SYMPTOM-FREE IN A.
>>BRUCE HAMILTON: TYPICAL
BASELINE MOOD. BUT DURING A
MANIC OR DEPRESSIVE PHASE
THINGS CHANGE SO WHAT TRIGGERS
THAT CHANGE. WILL CERTAINLY STRESSFUL OF I EVENTS IN LIFE CAN TRIGGER A CHANGE I THINK
WITH KANYE WEST. HE CITES
THE DEATH OF HIS MOTHER IS
BEING US VERY STRESSFUL EVENT I
BELIEVE HE WAS ALSO IN A CAR
CRASH. A NUMBER OF YEARS AGO
THAT A
MANIC EPISODE. SO HE SEEMS TO
OPERATE AT A FAIRLY HIGH LEVEL
IN TERMS OF HIS FUNCTIONALITY
HE IS A
FAMOUS MUSICIAN, HE’S A VERY
WEALTHY GUY HE’S DONE A LOT IN
HIS LIFE BUT SOMETIMES THINGS
CAN GO OVER THE TOP TO WHERE
YOU ARE OUT OF CONTROL OF YOUR
EMOTIONS ARE VOLATILE YOU’RE
IMPULSIVE YOU’RE DOING THINGS
THAT YOU REALLY WOULD REGRET
AND THEY’RE VERY CONCERNING TO
THE ONES AROUND YOU WHO LOVE
YOU AND CARE ABOUT YOU.
>> ANY TELLING HOW LONG THESE
EPISODES
CAN LAST.
>>BRUCE HAMILTON: IT REALLY
VARIES DEPENDS ON THE
INTERVENTION THAT’S PROVIDED SO
A PERSON IN A MANIC EPISODE I
COULD LAST DAYS WEEKS OR IF
THEY’RE NOT TREATED, BUT WE
DO HAVE VERY EFFECTIVE WHETHER
IT’S MEDICATION
CERTAINLY CONTAINMENT AT A
LOCKED PSYCHIATRIC FACILITY
IS HELPFUL ELECTROCONVULSIVE
THERAPY VERY HELPFUL TREATMENT.
IT’S HARD TO GET PEOPLE WHO ARE
MANIC INTO TREATMENT THOUGH BECAUSE THEY OFTEN ENJOY THEIR MANIC PHASE. SO I THINK THAT’S
SOMETHING THAT
HIS WIFE KIM KARDASHIAN’S
PROBABLY STRUGGLING WITH AND
THAT THE REST OF THEIR FAMILY
IS TRYING TO GET A
PERSON WHO IS SO HIGH SO
ELEVATED AND DOESN’T HAVE
THE INSIGHT TO RECOGNIZE THAT
THERE’S A BIG PROBLEM
THAT THEY DON’T WANT THE HELP
THEY DON’T WANT THE TREATMENT
THEY WANT TO STAY
LIKE THAT. SO CAN BE VERY
FRUSTRATING FOR FAMILY MEMBERS.
SO HOW DO YOU REACH THOSE
PATIENTS IN A
MANIC PHASE. WELL OFF
UNFORTUNATELY DOES COME DOWN TO
AN INVOLUNTARY
COMMITMENT TO THE HOSPITAL SO
HERE IN FLORIDA BE OF COURSE OF
THE BAKER ACT
AND EVERY STATE AND COUNTRY
DOES HAVE THEIR OWN VERSION OF
THE BAKER ACT
TO DO VERY SLIGHTLY STATE TO
STATE FOR THE MOST PART THEY’RE
ALL 72. OUR COMMITMENTS AND
THAT’S A GREAT WAY TO GET A
PERSON IN THE DOOR
OF COURSE BEYOND THAT 72 HOURS
OF THE PERSON IS STILL SO ILL
THAT THEY CAN HE RELEASED INTO
THE COMMUNITY SAFELY THEN WE A
PSYCHIATRIST CAN PETITION A
COURT TO HAVE THEM COMMITTED
LONGER AND IT DOES JUST TAKE A
LOT TIME AND EFFORT TO WORK
WITH
THEIR FAMILIES AND WORK WITH
THE PATIENT TO TRY AND GET THEM
ON BOARD WITH RECOVERY IN
TREATMENT SO WHEN THEY’RE
EXPERIENCING THE ILLNESS WHEN
THEY’RE IN
THAT PHASE. THEY REALIZE THE
SEVERITY OF THE ILLNESS AND
WHEN THEY COME OUT THEY REALIZE
WHAT HAS HAPPENED.
>> WELL THERE I OFTEN ARE SO
MUCH IN THE WAY OF MEMORY
IMPAIRMENT SOMETIMES PEOPLE OR
SO DELUSIONAL
AND PARANOID. THAT THEY MIGHT
HAVE A LAPSE IN
MEMORY BUT. THEY CAN COME OUT
ON THE OTHER SIDE FEELING WELL,
IT’S JUST A MATTER OF AND HE