Types of Bipolar Disorder

Types of Bipolar Disorder pic
Types of Bipolar Disorder
Image: WebMD.com

As a privately practicing psychiatrist, Dr. Lester Sandman focuses on anxiety and mood disorders that have resisted prior treatment. Lester Sandman, MD, has treated numerous patients with bipolar disorders.

The term “bipolar disorder” refers to a particular form of mental illness that is characterized by extreme highs and lows of mood. The severity of these moods and the frequency with which they alternate determines a patient’s specific diagnosis.

Bipolar I disorder involves at least one major depressive episode as well as one or more manic or mixed episode. Diagnostic standards define a mixed episode as the presence of both manic and depressive symptoms almost daily for a minimum of one week. Because of the severity of mania present in bipolar I, it stands out as the most severe of the bipolar disorders.

Bipolar II, by contrast, presents as at least one major depressive episode and one or more episodes of hypomania, a less severe form of elevated mood. The hypomania of bipolar II disorder interferes with functioning to a lesser degree than full mania and often evades the patient’s recognition. Upon further consideration, however, the patient may be able to remember periods of abnormally high energy, irritability, or changes in concentration ability.

Patients with less frequent episodes of hypomania and less severe periods of depression may be suffering from cyclothymia, which causes such fluctuations over the course of at least two years. This is a less severe form of bipolar disorder, while rapid-cycling bipolar disorder causes a minimum of four episodes of mania, hypomania, depression, or mixed episodes within a single year. Individuals who experience similar symptoms but whose presentation does not fit within a standard bipolar diagnosis may fall into the category of bipolar disorder not otherwise specified (NOS).

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drlestersandman

A licensed psychiatrist, Dr. Lester Sandman claims more than 20 years of experience in the treatment of patients coping with mood and anxiety disorders. Dr. Sandman was educated at the University of Washington, where he earned a Bachelor of Science in Mathematics and Psychology in 1974; and at Antioch University, where he received a Master of Arts in Psychology in 1977. After earning his medical degree from the Medical College of Wisconsin in 1986, Dr. Sandman completed an internship and residency in psychiatry at Walter Reed Army Medical Center in Washington, D.C. Following the completion of his of his Residency, Dr. Lester Sandman served as a Senior Teaching Fellow for the Department of Psychiatry at Uniformed Services University of the Health Sciences in Bethesda, Maryland, and as an Administrative Chief Resident at Walter Reed Medical Center. From 1989 to 1993, Dr. Sandman served as an Instructor for Uniformed Services University of the Health Sciences, teaching medical students, interns, and physician assistants at three hospitals. Over the course of his tenure with the military, Dr. Lester Sandman was recognized on several occasions for excellence and dedication above and beyond the call of duty. During Operations Desert Shield and Desert Storm, Dr. Sandman was deployed to Saudi Arabia as the 86th Evacuation Hospital’s Chief of Psychiatry Service. His support of the Army’s 18th Corps during the war earned him the Army Commendation Medal. While serving as the Chief of the Department of Psychiatry in Fort Campbell, Kentucky, Dr. Sandman received the Meritorious Service Medal for his implementation of programs that resulted in budgetary savings of $1 million. In addition, Dr. Lester Sandman was awarded an additional Army Commendation Medal for his work as the Chief of Inpatient Services for the Department of Psychiatry at Fitzsimons Army Medical Center in Aurora, Colorado. Dr. Sandman moved to the state of Washington in 1993, where he has lived since, and began his private practice in Bellevue. He also at various times worked for Social Security Disability Services, and Fairfax Hospital in Kirkland. Since 1998, Dr. Lester Sandman has devoted his time exclusively to his private practice, where he specializes in medication management for the treatment of mood and anxiety disorders in addition to providing consultations services for local primary-care physicians.

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