Clients with polarity problems are not uncommon in our work. Here it is important to understand with what polarity the client came “I don’t understand myself, sometimes I want completely opposite things” “My mood can change throughout the day from one end to the other. In the morning I am cheerful, but in the evening I am sad and sad. And it happens that this happens several times a day.” “I am a person of mood, but my mood is not at all under my control. I can be calm or even joyful, but if something doesn’t go my way, it causes such anger that I can’t come to my senses for a long time.” “I feel depressed and lonely. It's strange because I have nothing to complain about, by and large, and a couple of weeks ago I felt great: I was very energetic, I constantly wanted to do something, a lot of interests and thoughts in my head. And now I don’t want anything. And this happens to me from time to time, maybe once every 4 months or once every six months. And then, after a couple of months, it gets better again.” In the first case, the client’s conflicting desires do not indicate that his condition is dangerous. Of course, it will be extremely important how the client continues his phrase, but in 90% of cases, you will be faced with a normal conflict of a system of needs or values. This means that the psychologist’s task will be to return these systems to hierarchy. The task is usually simple, and the request is short-term. If such changes are without cause, and this is the first thing to find out, then we are probably dealing with something medical. Most often, the cause of such changes is a violation of the conductivity of brain vessels (this can easily be found in any person), hormonal imbalance (this is typical for teenagers), or a malfunction in the biochemistry of the brain itself (can also happen to anyone) Can a psychologist work with such clients? Of course, it can. Yes, it is worth informing the client that such and such doctors can help him with such symptoms, so we recommend contacting, for example, a neurologist. The direction of work in this case: the formation of emotional coping skills, as well as behavior control skills. The request may be long-term and short-term, depending on the detected reasons. In this case, we can assume the presence of physiological reasons, since such low resistance to affect is rarely formed only on a psychological foundation. However, psychological work on stress resistance and emotional control definitely should be, and this is the first thing we can start. It is impossible to predict whether such a request will be long-lasting, since at the initial stage there are too many “ifs.” Classic description of bipolar affective disorder (BAD) Seeing a psychiatrist is mandatory. Psychological work is multi-vector: accepting the disease, developing motivation for treatment (since it will be long-term), developing awareness skills, the ability to recognize symptoms in your life so as not to succumb to them. Of course, you will need many other skills to control emotions and behavior in order to improve the quality client's life. Maintenance therapy will likely be required. The duration of a psychologist’s work in this case is years. What cases have you worked with most often? Share ***❗️ Colleagues, I invite you to take a course in Educational Personal Therapy! You will learn to provide better services and receive an official OPPL certificate. To sign up for an online meeting-acquaintance (free), write a personal message