重点班里的学霸,竟然是个ldquo双

福建白癜风QQ交流群 http://www.xianmeng.net.cn/fengshang/xinchao/870.html

说起抑郁症很多人就算不了解

或多或少都会在新闻上看到

或者听别人说起

它被称为“世界上头号无形杀手”

但是很多人却不知道

抑郁症原来还有一个“孪生兄弟”

双相情感障碍

有些双相情感障碍的患者初次就诊，就被误诊为抑郁症。究竟双相情感障碍是什么疾病？

我们看视频详细了解一下

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“自从得了精神病，整个人都精神多了”

这是一句玩笑话，可不无道理，得了双相的人有抑郁的时期，也有躁狂或者轻躁狂的时期，在躁狂或者轻躁狂发作时，整个人精力充沛，每天只睡四个小时也不会觉得累，有很多天马行空的想法和计划，对什么事情都充满激情与兴趣，工作和学习效率非常高，平常做不来的事情，现在一下子就能解决了。

但是这种状态维持不长久，可能一个月后就会一下子掉到低谷，对生活失去热情，甚至会有轻生的想法，或在这两种状态里面快速切换。

真实案例：学霸中的学霸

琪琪（化名）15岁，今年初三，是省级重点中学里的重点班学生，成绩优异，一直名列前茅，全级排名前二十名，不止学习拔尖，琪琪（化名）还积极参加学校社团的各种活动，“感觉自己走路带风，想不断找人搭话聊天，感觉自己就是生活在镁光灯下的那个人”。

家长和老师万万没想到，这样阳光、活泼、优秀的孩子竟然会出问题，随着双相病情的进展，琪琪（化名）情绪掉到低谷，经常莫名地发脾气、暴跳如雷，并且开始出现各种躯体症状，比如失眠、早醒、睡眠质量差、幻听、耳鸣等，成绩也一落千丈，掉到全级多名。

双相与抑郁

它们是一对“孪生兄弟”，因为双相情感障碍有抑郁的时期，与抑郁症症状高度相似，有时甚至连专业医生也未必能分辨出来，因此临床上误诊率也比较高，一旦“双相”的病人被当做抑郁症来治疗，病人长期服用抗抑郁的药物，可能会对病情的康复带来困难，尤其是用药初期，可能会增加自杀的风险。

临床观察发现，青少年中抑郁症患者，实际上大部分是双相情感障碍的患者。

双相的治疗

药物治疗：

修复脑部受损的神经，让脑部相关控制情绪区域得到修复，恢复正常的功能。

心理治疗：

通过各种心理治疗方式，改正患者错误的认知，帮助其重新竖立正确的世界观、人生观、价值观。

电休克治疗：

对于一些严重的患者，比如自杀倾向严重，有重度幻觉幻听，行为无法自控者，可采用全麻下的电休克治疗。

休学与治病，我该选哪个？

不少家长认为，孩子学习要紧，不能放下学习去住院治病，只需要坚持一下熬过考试就好了，这种想法大错特错！

“我经常打比方跟病人说，就好比骨折一样，你骨折还没好，打着石膏、拄着拐杖去跟别人赛跑，第一你腿的骨折好不了，因为经常负重、运动，很可能还会造成二次骨折，这样病情就会不断反复，以后就很难彻底治愈了，第二你带病比赛，怎么可能跑得过那些没有骨折的正常人呢？到头来是两头不到岸，把一生的前途都毁了。”甘照宇主任说。

因此，得了“双相”的孩子，建议先休学，把病彻底治好了再回去上学，千万别为了一时的考试耽误了一生！

专家介绍

甘照宇

医院

精神心理科主任医师

记者\谢永琳

编辑\健康F君

编审\张小颖