African American actress bipolar

Bipolar Disorder and African Americans: Mental Health America  August 14, 2012 – 08:50 am
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Every person, regardless of race or ethnicity, should seek help if they have a mental health problem or symptoms of a mental disorder.
-- David Satcher, M.D.
Former U.S. Surgeon General

An estimated 2.3 million Americans have bipolar disorder, also called manic-depressive illness. A person with bipolar disorder can go from feeling very, very high (called mania) to feeling very, very low (depression). With proper treatment, people can control these mood swings and lead fulfilling lives. While the rate of bipolar disorder is the same among African Americans as it is among other Americans, African Americans are less likely to receive a diagnosis and, therefore, treatment for this illness.

Most African Americans with bipolar disorder are going undiagnosed and untreated.

Several factors have contributed to African Americans not receiving help for bipolar disorder and other mental illnesses. Some of the reasons are:

  • A mistrust of health professionals, based in part on historically higher-than-average institutionalization of African Americans with mental illness; and on previous mistreatments, like such tragic events as the Tuskegee syphilis study.
  • Cultural barriers between many doctors and their patients.
  • Reliance on family and religious community, rather than mental health professionals, during times of emotional distress.
  • A tendency to talk about physical problems, rather than discuss mental symptoms, or to mask symptoms with substance abuse or other medical conditions.
  • Socioeconomic factors which can limit access to medical and mental health care. About 25 percent of African Americans do not have health insurance.
  • Continued misunderstanding and stigma about mental illness.

Signs of bipolar disorder

Bipolar disorder often starts in the teen years, but can emerge in later life. It is a potentially life-threatening illness that a person cannot handle alone. Tragically, one of five people with bipolar disorder commits suicide. The signs of bipolar disorder include:

  • Excessive energy, restlessness, racing thoughts and rapid talking
  • Denial that anything is wrong
  • Extremely happy feelings
  • Easily irritated
  • Needing little sleep
  • Unrealistic belief in one’s ability
  • Poor judgment
  • Sustained, unusual behavior
  • Increased sex drive
  • Substance abuse
  • Aggressive behavior
  • Paranoia
  • Poor appetite or eating too much
  • Trouble sleeping or sleeping too much
  • Nervousness and worry
  • Loss of interest in and withdrawal from usual activities
  • Feelings of sadness that don’t go away
  • Irritability or restlessness
  • Lack of energy
  • Feelings of sadness, worthlessness or guilt
  • Inability to think or concentrate
  • Repeated thoughts of death or suicide
  • Chronic pain or other physical problems that don’t respond to treatment
  • Increased risk-taking behavior, including reckless driving or substance abuse

No one knows for certain what causes bipolar disorder. But its causes may include:

Brain chemistry – There are chemical changes or imbalances in the brain during both extremes of behavior (mania and depression).

Genetics – Close relatives of people with bipolar disorder are 10 to 20 times more likely to get depression or bipolar disorder than other people.


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