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I work with parents and partners of those with bipolar disorder.

In the majority of situations, people who are in a strong dysphoric manic episode can be dangerous, aggressive and violent. Many men go to jail because of this behavior when they actually need psychiatric help.

People, both men and women who are mild mannered and kind when well, get super human strength along with the aggression- ripping a sink out of the wall- punching through windows- throwing chairs and other dangerous behavior are not uncommon.

I have violent thoughts when the dysphoric mania is raging.An anxious mood may shift into an excited mood with a simple change of perspective, and a depressed mood may shift into a happier one upon hearing pleasing news.Moods are typically transient things that shift from moment to moment or day to day, but they can be prolonged states as well which color the whole psychic life for long periods of time.On the other hand, there is a legitimate need for psychiatrists to identify and manage what risk of violence does exist in their patients.Research that examines how and why violence occurs in the mentally ill is necessary for psychiatrists to determine as accurately as possible which patients are prone to violence and to manage their care accordingly.

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