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Особенность — смена двух фаз: мании и депрессии [1](https://voronezh.sovamed.ru/zabolevaniya/bipolyarnoe-rasstroystvo/). От того, в какой фазе пребывает человек в настоящий момент, зависят его поведение, мышление и трудоспособность [1](https://voronezh.sovamed.ru/zabolevaniya/bipolyarnoe-rasstroystvo/). В периоды ремиссий типичная симптоматика заболевания исчезает [1](https://voronezh.sovamed.ru/zabolevaniya/bipolyarnoe-rasstroystvo/). \n\n**Выделяют несколько типов БАР** [3](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-bipolyarnoe-rasstroystvo--priznaki--diagnostika-i-sovremennye-podkhody/): \n* **Биполярное расстройство I типа** — тяжёлые маниакальные и депрессивные эпизоды часто меняют друг друга [4](https://www.smclinic.ru/diseases/bipolyarnoe-rasstroystvo/). \n* **Биполярное расстройство II типа** — маниакальность выражена меньше (гипомания), её на смену приходит непродолжительная депрессия [4](https://www.smclinic.ru/diseases/bipolyarnoe-rasstroystvo/). \n* **Циклотимическое расстройство** — длительно существующее, но малозаметное изменение настроения [4](https://www.smclinic.ru/diseases/bipolyarnoe-rasstroystvo/).\n\n\n\n## Симптомы\n**Проявления маниакальной фазы**: приподнятое или раздражительное настроение, гиперактивность, снижение потребности во сне, импульсивные действия, грандиозные идеи [12](https://citilab.ru/articles/bipolyarnoe-rasstroystvo/). \n**Проявления депрессивной фазы**: подавленное настроение, потеря интереса, усталость, суицидальные мысли, соматические симптомы [12](https://citilab.ru/articles/bipolyarnoe-rasstroystvo/). \n\nЭти состояния могут чередоваться с разной частотой и продолжительностью [5](https://www.smclinic-ryazan.ru/about/diseases/bipolyarnoe-rasstroystvo/). Между эпизодами мании и депрессии у человека может быть период нормального настроения (эутимия) [5](https://www.smclinic-ryazan.ru/about/diseases/bipolyarnoe-rasstroystvo/).\n\n## Причины\n**Причины возникновения биполярного расстройства точно не установлены** [2](https://www.who.int/ru/news-room/fact-sheets/detail/bipolar-disorder)[8](https://www.emcmos.ru/disease/bipolyarnoe-affektivnoe-rasstroystvo/). Некоторые факторы, которые могут повысить риск: \n* **Генетическая предрасположенность** — наличие биполярного расстройства у близких родственников (родителей, братьев, сестёр) повышает риск его развития [5](https://www.smclinic-ryazan.ru/about/diseases/bipolyarnoe-rasstroystvo/)[7](https://fragmed.ru/bipolyarnoe-rasstroystvo/). \n* **Нарушения химических процессов в мозге** — дисбаланс нейротрансмиттеров (серотонина, дофамина и норадреналина), которые регулируют настроение, сон, аппетит [5](https://www.smclinic-ryazan.ru/about/diseases/bipolyarnoe-rasstroystvo/)[8](https://www.emcmos.ru/disease/bipolyarnoe-affektivnoe-rasstroystvo/). \n* **Психологические травмы** — трудные жизненные обстоятельства, особенно в детском или подростковом возрасте [5](https://www.smclinic-ryazan.ru/about/diseases/bipolyarnoe-rasstroystvo/).\n\n## Диагностика\n**Поставить точный диагноз может только психиатр** после детального обследования [4](https://www.smclinic.ru/diseases/bipolyarnoe-rasstroystvo/). Некоторые методы диагностики: \n* **Клиническое интервью** — подробный сбор анамнеза [12](https://citilab.ru/articles/bipolyarnoe-rasstroystvo/). \n* **Шкалы и опросники** — например, MDQ (Mood Disorder Questionnaire) — скрининг на маниакальные симптомы, HCL-32 — хорошо выявляет гипоманию [12](https://citilab.ru/articles/bipolyarnoe-rasstroystvo/). \n* **Наблюдение в динамике** — наблюдение за пациентом несколько месяцев, особенно при сомнительном анамнезе [12](https://citilab.ru/articles/bipolyarnoe-rasstroystvo/).\n\n## Лечение\n**Полностью вылечить биполярное расстройство невозможно**, но есть возможность эффективно управлять его симптомами [13](https://apteka.ru/blog/articles/psixologiya/bipolyarnoe-rasstroystvo-ili-ot-pechali-do-radosti/). Лечение может включать: \n* **Медикаментозную терапию** — назначение стабилизаторов настроения, антидепрессантов и антипсихотических препаратов [7](https://fragmed.ru/bipolyarnoe-rasstroystvo/)[13](https://apteka.ru/blog/articles/psixologiya/bipolyarnoe-rasstroystvo-ili-ot-pechali-do-radosti/). \n* **Психотерапию** — помогает научиться выявлять, предотвращать и лечить триггеры, ухудшающие состояние [13](https://apteka.ru/blog/articles/psixologiya/bipolyarnoe-rasstroystvo-ili-ot-pechali-do-radosti/). Например, когнитивно-поведенческая терапия включает разработку стратегий, позволяющих изменить отношение к своему состоянию и справиться с ним [13](https://apteka.ru/blog/articles/psixologiya/bipolyarnoe-rasstroystvo-ili-ot-pechali-do-radosti/). \n* **Изменение образа жизни** — рекомендуется здоровая диета, регулярная физическая активность, отказ от алкоголя и наркотиков [13](https://apteka.ru/blog/articles/psixologiya/bipolyarnoe-rasstroystvo-ili-ot-pechali-do-radosti/). \n\n**Важно регулярно посещать врача**, даже если симптомы биполярного расстройства ушли [4](https://www.smclinic.ru/diseases/bipolyarnoe-rasstroystvo/).","linksData":[{"sourceId":1,"url":"https://voronezh.sovamed.ru/zabolevaniya/bipolyarnoe-rasstroystvo/","shownUrl":"https://voronezh.sovamed.ru/zabolevaniya/bipolyarnoe-rasstroystvo/","title":"Биполярное расстройство: что это, симптомы, признаки, как лечить | Клиника «СОВА» Воронеж","shortUrl":"voronezh.sovamed.ru","isTranslated":false,"description":"","greenUrl":"voronezh.sovamed.ru"},{"sourceId":2,"url":"https://www.who.int/ru/news-room/fact-sheets/detail/bipolar-disorder","shownUrl":"https://www.who.int/ru/news-room/fact-sheets/detail/bipolar-disorder","title":"Биполярное расстройство","shortUrl":"who.int","isTranslated":false,"description":"","greenUrl":"who.int"},{"sourceId":3,"url":"https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-bipolyarnoe-rasstroystvo--priznaki--diagnostika-i-sovremennye-podkhody/","shownUrl":"https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-tebya-bipolyarnoe-rasstroystvo--priznaki--diagnostika-i-sovremennye-podkhody/","title":"Как понять, что у тебя биполярное расстройство - 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