Quote From: liatsunami I think one of the largest misconceptions that society has about this disease is that it has various levels and two major types, and one that goes hand in hand with the dignosis of schizoprenia. The first type of bipolar is "bi polar without psychotic episodes" (Type1). The second is "bi-polar with psychotic episodes" (Type 2). The third is "bipolar with psychotic episodes and symptoms of schizoprenia". In the media we often see Type 2 and schizoprenia being portrayed, rather than Type1.
Most of of the people diagnosed as Bi-Polar are not dangerous to others, they are more dangerous to themselves. While some have reoccuring thoughts of killing people or hurting people, most do not act on them. In fact most people experiencing these thoughts tend to be very upset by them. Usually the highly dangerous people with mental illlness are the ones with anti-social personality disorder or attatchment disorders. or severe dementia.
The paranoid behavior of some bipolar patients is most likely an idicator of paranoid schizoprenia, and should be looked into accordingly.
Most people with Type 1 can live relatively normal lives, some even without medication. Type 2 is more difficult to control, but with the proper treatment and medication and supervision of the condition, those afflicted with it can lead productive lives. It is most difficult for schizophrenics with bi-polar disorder to function because the medications only even out the mood, and decrease psychotic episodes(which occur during the ACTIVE PHASE), they do not deal with syptoms of the PASSIVE PHASE.
For their own safety some people should be institutionalized, but the need for this is very rare.
I think it warrants clarification that the Types you are describing are subcategories within Type I - manic-depression. Within Type I, there are subcategories that include psychosis, scizophrenia, etc.
Type II is actually a milder form of Type I and does not include psychosis or scizophrenia, etc.
Type III is a mixed state and I believe there is a Type IV.....