Date:	2006-04-24 10:58
Subject:	Professor K. Jamison, Johns Hopkins University Psychiatry
Security:	Public
Mood:	blah

Mood disorders can be divided into two general types of illness.

1. Bipolar disorders (bipolar I, which indicates full blown mania and full
blown depression, and bipolar II in which there is mild mania and full
blown depression); these disorders are cycloythymic.

2. Depressive disorders. There are also other medical conditions and external
substances that can cause mood disorders. Unlike other mental disorders,
mania and manic depression occur about equally in males and females; the
overall occurrence of manic depression is lower than simply depression.


--Symptoms of Mood Disorders: changes in mood, anhedonism (no pleasure in life),
cognitive changes, sleep disorders and energy problems; weight and appetite changes.


--Other indications of a bona fide mood disorder: the severity and
duration of the symptoms. The guide for diagnosis is a period of at least
2 to 4 weeks of impairing behavioral and mood disruptions.

--Must rule out other causes of unusual behavior, such as medical
conditions, the side effects of medications, or alcohol and drug abuse.


The natural course of bipolar disorder depends on the age of onset. It is
an episodic/ cyclic disorder, often with interepisodic periods of
functionality.

The long term course usually involves worsening over time,
and often results in suicide attempts. There is also a seasonal variation
in mania and depression, linked to the biological effects of light;
during the winter bipolars tend to be depressive, and during summer they
tend to be manic.


IV. Major treatments for manic-depressive illness

1. lithium

2. anticonvuslives, such as sodium calproate, carbamayepine, clonayepan

3. formerly, electrocnvulsive therapy

4. psychotherapy

V. The connection of suicide to manic depression


Suicide is an important, but not the only, social and public health issue
involved in manic depressive disorder. The cumulative toll in suicides is
huge, especially in young people. Unfortunately, most often, suicidals
are suffering from disorders that can be treated.

Date:	2005-11-07 17:41
Subject:	brought to tears
Security:	Public
Mood:	sad

I'm crying.

Date:	2005-11-04 21:33
Subject:	Hurt
Security:	Public
Mood:	discontent
Music:	Nine inch nails, "hurt"

I hurt myself today
to see if I still feel
I focus on the pain
the only thing that's real
the needle tears a hole
the old familiar sting
try to kill it all away
but I remember everything

what have I become?
my sweetest friend
everyone I know
goes away in the end
you could have it all
my empire of dirt
I will let you down
I will make you hurt

I wear this crown of shit
upon my liar's chair
full of broken thoughts
I cannot repair
beneath the stains of time
the feeling disappear
you are someone else
I am still right here

what have I become?
my sweetest friend
everyone I know
goes away in the end

you could have it all
my empire of dirt
I will let you down
I will make you hurt
if I could start again
a million miles away
I would keep myself
I would find a way

Date:	2005-11-03 02:31
Subject:	and then what??
Security:	Public
Mood:	morose
Music:	mudvayne, death blooms

I can't stand being here. I think the only reason I don't just off myself is because I'm afraid of the fact that what's next could just be more of this if not worse. God, why the fuck am I here!

I hate it.
I hate it.
I hate it.

Fuck...