On August 5, Hong Kong singer Lo Kai-tong fell from the height of a mansion and committed suicide. On the same day, Lu Kaitong's family issued a statement telling about the troubles of bipolar disorder on Lu Kaitong for many years, and called on the public to pay attention to emotional illness, bravely face it, and actively seek help.
In recent years, the news that celebrities are plagued by depression has been frequent, so that people have more understanding of depression, but little is known about bipolar disorder. What kind of disease is bipolar disorder that took away the brilliant life of the talented girl Lu Kaitong?
The risk of suicide with bipolar disorder is among the highest in mental illness
Lu Kaitong once revealed in an interview that in the days when she was fighting bipolar disorder, she experienced hitting walls, pounding walls, being locked in a room alone for 3 days without eating, not sleeping all day and fainting... "There were two years when bipolar disorder was very serious, very desperate, and thought about giving up on herself. ”
After drug control, psychological counseling, and the company of her family, her condition gradually improved, and she won the award for best arranger at the 2017 Golden Melody Awards. I didn't expect her to end her life so unexpectedly.
In fact, bipolar disorder is not uncommon in our lives. Dr. Tan Zhonglin, director of the Department of Affective Disorders at Hangzhou Seventh Hospital, said that "bipolar disorder", also known as bipolar disorder, refers to a type of disease that has both manic and depressive episodes. An epidemiological survey of mental illness was conducted in Zhejiang Province, and it was found that 9 out of every 100 people met the symptom criteria for bipolar disorder (including depression and neurodepression). Because the patient's mood oscillates between the trough and the high, bipolar disorder is very easy to be misdiagnosed, with high recurrence rate, high disability rate, high mortality rate, low diagnosis rate, and low treatment rate.
Clinically, mania has both manic and depressive manifestations, and patients may have one-way or mixed episodes. During manic episodes, mild symptoms of high energy and exaggerated self-esteem are mild, but in severe cases, there will be runny thinking, reduced sleep, and some uncontrolled consumption, rash sex, or stupid business investment behavior. During a depressive episode, you will feel sad and empty, crying, less interest in activity or pleasure, appetite, sleep, thinking will change, and even repeated thoughts of death.
"Most people with bipolar disorder have had the peak experience of the hypomanic period, and it is difficult to accept their state during the depression period, which may be one of the reasons why the suicide rate of bipolar disorder is among the highest among various psychiatric disorders." Dr. Tan Zhonglin said.
Bipolar disorder is high in adolescent groups
Dr. Tan Zhonglin said that the cause of bipolar disorder is not well understood, but the tendency of genetic factors to give individuals the disease is obvious. Studies have shown that the risk of bipolar disorder in the offspring of patients with bipolar disorder is 9%, while the risk of the general population is 1%. One of the identical twins suffers from bipolar disorder, the other has a 60% cohosis rate, while the heterozygotic twins have a 12% cohosis rate. At the same time, the social environment is also a powerful incentive.
Lu Kaitong once described that there was a history of emotional illness in the family, experienced mild depression at the age of 17, and became an independent musician after moving away from home at the age of 18, but his income was limited, and his debut for ten years was far from enough to pay the down payment of the house. In 2013, Lu Kaitong was shortlisted for the Taiwan Golden Melody Award for the first time, and in the same year, he prepared his first solo large-scale concert, which was too stressful and emotional problems began to occur. Everything seems to be developing smoothly to the outside world, but in the bottom of her heart, emotional problems are always entangled, getting tighter and tighter, and more and more breathless.
"In the past, I had a lot of dissatisfaction and doubts about the world, I felt that why the world had so many disputes and sorrows, I felt that the world was not good for me, when I was a child, the family environment was not good, and the relationship between my parents was not good, so that my growth had psychological and spiritual defects, and my defects were all caused by my parents. I feel that the world owes me, that [everything] is caused by the world and society. Lu Kaitong once said so.
Dr. Tan Zhonglin admits that the diagnosis of mental illness is inherently difficult, and the most annoying thing about bipolar disorder is the delay in diagnosis and the high recurrence rate. The diagnosis of internal and surgical procedures is spoken by the data after the test, but patients in a manic state, faced with their obviously irrational behavior, will find N reasons to explain the necessity of doing so.
"Bipolar disorder is prone to high incidence in adolescent groups, and people in this age group are inherently emotionally unstable. Failure to treat it in time will make the condition worse and make life more difficult. "Initiating family therapy, relationship therapy and systematic care after an acute onset can be effective in controlling the disease." ”
Attention to suicidal tendencies in patients should be paid one month in advance
Dr. Tan Zhonglin said that early recognition, early diagnosis and positive treatment are the key to improving the efficacy of bipolar disorder. Some time ago, he received a junior girl. Since high school, she has suffered from bipolar disorder. In the time of preparing for the college entrance examination, she was extremely energetic, sleeping only three hours a day, and the college entrance examination was extraordinary. However, in the first year of college, there was obvious depression, and he once committed suicide by cutting his wrists, but fortunately he was found and saved by his roommate. During his junior year, he said in a message to his mother that he had fantasized about falling from a height or cutting his wrist, and he had also tried to commit suicide, but fortunately he woke up at the last moment or was found to stop it.
Dr. Tan Zhonglin believes that many patients who are plagued by emotional illness have suicidal tendencies or thoughts, and they all have precursors. "Attention to their possible suicide should be at least a month in advance, not a week or 24 hours." Dr. Tan Zhonglin said, "This girl was always paid attention to by her parents and classmates, so that no regrettable things happened." ”
At the beginning of this year, on the network variety show "Strange Flower Conference", a young girl shared her experience of suffering from and curing bipolar disorder, and this speech not only impressed the on-site judges including Gao Xiaosong, but also made the majority of netizens have a more emotional understanding of this disease. Dr. Tan Zhonglin believes that bipolar disorder, like diabetes and hypertension, is a disease that requires patients and their families to face up to it, and it is even more necessary to establish a long-term comprehensive treatment concept, including drug therapy, physical therapy, and professional and systematic psychological treatment.
"One of the daily manifestations of people with bipolar disorder is that it is easy to drink and smoke." He introduced that staying up late and insomnia is also one of the manifestations, and the destruction of the biological clock will make the disease worse. Therefore, in life, family members should give patients enough care, especially during the period of medication treatment, try to eliminate their alcoholism and smoking behavior, and create a good recovery environment for patients.
Bipolar disorder patients themselves should also be aware of their emotions, do not give up on themselves, let the disease develop, and should seek professional treatment as soon as possible.
It should be noted that patients who have recovered from drug treatment must do continuous psychotherapy after stopping the drug. Without psychotherapy, patients will remain in a state of mood swings after clinical cure, and the recurrence rate is extremely high.
(Daily Business Daily trainee reporter Feng Shuang correspondent Li Bin)
![Female singer Lu Kaitong fell from a building and died, suffering from bipolar disorder before her death: she wanted to commit suicide every day[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)