History of bipolar disorder - wikipedia History of bipolar disorder Cyclical variations in moods and energy levels have been recorded at least as far back as several thousand years. The words `` melancholia '' ( an old word for depression ) and `` mania '' have their etymologies in Ancient Greek. The word melancholia is derived from melas / μελας, meaning `` black '', and chole / χολη, meaning `` bile '' or `` gall '', indicative of the term 's origins in pre-Hippocratic humoral theories. A man known as Aretaeus of Cappadocia has the first records of analyzing the symptoms of depression and mania in the 1st century of Greece. There is documentation that explains how bath salts were used to calm those with manic symptoms and also help those who are dealing with depression. Even today, lithium is used as a treatment to bipolar disorder which is significant because lithium could have been an ingredient in the Greek bath salt. Centuries passed and very little was studied or discovered. It was n't until the mid-19th century that a French psychiatrist by the name of Jean - Pierre Falret wrote an article describing `` circular insanity '' and this is believed to be the first recorded diagnosis of bipolar disorder. Years later, in the early 1900s, Emil Kraepelin, a German psychiatrist, analyzed the influence of biology on mental disorders, including bipolar disorder. His studies are still used as the basis of classification of mental disorders today. Contents 1 The linguistic origins of mania in relation to bipolar disorder 2 Relationship between mania and melancholia 3 Origin of bipolar disorder as a mental illness 3.1 Distinction between manic - depression involving psychotic states and that which does not involve psychosis 4 Initial treatment options 5 Progression from manic - depressive `` reaction '' to manic - depressive `` illness '' 6 Current classification of bipolar disorder 7 See also 8 Citations 9 References 10 Further reading The linguistic origins of mania in relation to bipolar disorder The linguistic origins of mania, however, are not so clear - cut. Several etymologies are proposed by the Roman physician Caelius Aurelianus, including the Greek word `` '' ania ``, meaning to produce great mental anguish, and `` manos '', meaning relaxed or loose, which would contextually approximate to an excessive relaxing of the mind or soul. There are at least five other candidates, and part of the confusion surrounding the exact etymology of the word mania is its varied usage in the pre-Hippocratic poetry and mythologies. Relationship between mania and melancholia The idea of a relationship between mania and melancholia can be traced back to at least the 2nd century AD. Soranus of Ephesus ( 98 -- 177 AD ) described mania and melancholia as distinct diseases with separate etiologies ; however, he acknowledged that `` many others consider melancholia a form of the disease of mania ''. The earliest written descriptions of a relationship between mania and melancholia are attributed to Aretaeus of Cappadocia. Aretaeus was an eclectic medical philosopher who lived in Alexandria somewhere between 30 and 150 AD. Aretaeus is recognized as having authored most of the surviving texts referring to a unified concept of manic - depressive illness, viewing both melancholia and mania as having a common origin in `` black bile ''. Origin of bipolar disorder as a mental illness A clear understanding of bipolar disorder as a mental illness was recognized by early Chinese authors. The encyclopedist Gao Lian ( c. 1583 ) describes the malady in his Eight Treatises on the Nurturing of Life ( Ts'un - sheng pa - chien ). The basis of the current conceptualisation of manic - depressive illness can be traced back to the 1850s ; on January 31, 1854, Jules Baillarger described to the French Imperial Academy of Medicine a biphasic mental illness causing recurrent oscillations between mania and depression, which he termed folie à double forme ( ' dual - form insanity ' ). Two weeks later, on February 14, 1854, Jean - Pierre Falret presented a description to the Academy on what was essentially the same disorder, and designated folie circulaire ( ' circular insanity ' ) by him. The two bitterly disputed as to who had been the first to conceptualise the condition. These concepts were developed by the German psychiatrist Emil Kraepelin ( 1856 -- 1926 ), who, using Kahlbaum 's concept of cyclothymia, categorized and studied the natural course of untreated bipolar patients. He coined the term manic depressive psychosis, after noting that periods of acute illness, manic or depressive, were generally punctuated by relatively symptom - free intervals where the patient was able to function normally. Distinction between manic - depression involving psychotic states and that which does not involve psychosis The first diagnostic distinction to be made between manic - depression involving psychotic states, and that which does not involve psychosis, came from Carl Gustav Jung in 1903. Jung 's distinction is today referred to in the DSM - IV as that between ' bipolar I ' ( mania involving possible psychotic episodes ) and ' bipolar II ' ( hypomania without psychosis ). In his paper Jung introduced the non-psychotic version of the illness with the introductory statement, `` I would like to publish a number of cases whose peculiarity consists in chronic hypomanic behaviour '' where `` it is not a question of real mania at all but of a hypomanic state which can not be regarded as psychotic ''. Jung illustrated the non-psychotic variation with 5 case histories, each involving hypomanic behaviour, occasional bouts of depression, and mixed mood states, which involved personal and interpersonal upheaval for each patient. Initial treatment options After World War II, John Cade, an Australian psychiatrist, was investigating the effects of various compounds on veteran patients with manic depressive psychosis. In 1949, Cade discovered that lithium carbonate could be used as a successful treatment of manic depressive psychosis. Because there was a fear that table salt substitutes could lead to toxicity or death, Cade 's findings did not immediately lead to treatments. In the 1950s, U.S. hospitals began experimenting with lithium on their patients. By the mid-60s, reports started appearing in the medical literature regarding lithium 's effectiveness. The U.S. Food and Drug Administration did not approve of lithium 's use until 1970. Progression from manic - depressive `` reaction '' to manic - depressive `` illness '' The term `` manic - depressive reaction '' appeared in the first American Psychiatric Association Diagnostic Manual in 1952, influenced by the legacy of Adolf Meyer who had introduced the paradigm illness as a reaction of biogenetic factors to psychological and social influences. Subclassification of bipolar disorder was first proposed by German psychiatrist Karl Leonhard in 1957 ; he was also the first to introduce the terms bipolar ( for those with mania ) and unipolar ( for those with depressive episodes only ). In 1968, both the newly revised classification systems ICD - 8 and DSM - II termed the condition `` manic - depressive illness '' as biological thinking came to the fore. Current classification of bipolar disorder The current nosology, bipolar disorder, became popular only recently, and some individuals prefer the older term because it provides a better description of a continually changing multi-dimensional illness. Empirical and theoretical work on bipolar disorder has throughout history `` seesawed '' between psychological and biological ways of understanding. Despite the work of Kraepelin ( 1921 ) emphasizing the psychosocial context, conceptions of bipolar disorder as a genetically based illness dominated the 20th century. Since the 1990s, however, there has been a resurgence of interest and research into the role of psychosocial processes. See also Bipolar disorder Citations Jump up ^ Liddell, Henry George and Robert Scott ( 1980 ). A Greek - English Lexicon ( Abridged Edition ). United Kingdom : Oxford University Press. ISBN 0 - 19 - 910207 - 4. ^ Jump up to : Krans & Cherney 2016. Jump up ^ Lithium : historical information. ( 2016 ). Retrieved February 13, 2017, from https://www.webelements.com/lithium/history.html ^ Jump up to : Angst & Marneros 2001. Jump up ^ Marneros, Andreas ; Goodwin, Frederick K. ( 2005 ). `` Bipolar disorders beyond major depression and euphoric mania '' ( PDF ). Bipolar disorders : Mixed states, rapid cycling and atypical forms. Cambridge. ISBN 9780521835176. Retrieved 1 January 2018. Jump up ^ Mondimore 2005, p. 49. Jump up ^ Roccatagliata 1986. ^ Jump up to : Akiskal 1996. Jump up ^ Marneros 2001. Jump up ^ `` Refined Pleasures in the Study : Treasures and Curios from Traditional Study ''. Archived from the original on September 28, 2007. Jump up ^ Pichot 2004. Jump up ^ Sedler & Dessain 1983. Jump up ^ Millon, Theordore ( 1996 ). Disorders of Personality : DSM - IV - TM and Beyond. New York : John Wiley and Sons. p. 290. ISBN 0 - 471 - 01186 - X. Jump up ^ Kraepelin, Emil ( 1921 ). Manic - depressive Insanity and Paranoia. ISBN 0 - 405 - 07441 - 7. ^ Jump up to : Thompson, J. ( 2012 ) A Jungian Approach to Bipolar Disorder, Soul Books Jump up ^ Jung 1970. Jump up ^ Jung 1970, p. 109 - 111. Jump up ^ Cade JF ( September 1949 ). `` Lithium salts in the treatment of psychotic excitement '' ( PDF ). Med. J. Aust. 2 ( 10 ) : 349 -- 52. PMID 18142718. Jump up ^ Mitchell PB, Hadzi - Pavlovic D ( 2000 ). `` Lithium treatment for bipolar disorder '' ( PDF ). Bull. World Health Organ. 78 ( 4 ) : 515 -- 7. PMC 2560742. PMID 10885179. Jump up ^ Goodwin & Jamison 1990, p. 60 -- 61. Jump up ^ Goodwin & Jamison 1990, p. 62. Jump up ^ Goodwin & Jamison 1990, p. 88. Jump up ^ Alloy, LB ; Abramson, LY ; Urosevic, S ; Walshaw, PD ; Nusslock, R ; Neeren, AM ( 2005 ). `` The psychosocial context of bipolar disorder : environmental, cognitive, and developmental risk factors ''. Clinical Psychology Review. 25 ( 8 ) : 1043 -- 75. doi : 10.1016 / j. cpr. 2005.06. 006. PMID 16140445. References Akiskal, H.S. ( 1996 ). `` The prevalent clinical spectrum of bipolar disorders : Beyond DSM - IV ''. Journal of clinical psychopharmacology. 16 ( 2 ) : 4S - 14S. Angst, Jules ; Marneros, Andreas ( 2001 ). `` Bipolarity from ancient to modern times : Conception, birth and rebirth ''. Journal of Affective Disorders. 67 ( 1 ) : 3 -- 19. doi : 10.1016 / s0165 - 0327 ( 01 ) 00429 - 3. ISSN 0165 - 0327. PMID 11869749. Goodwin, F.K. ; Jamison, K.R. ( 1990 ). Manic - depressive Illness. Oxford University Press. ISBN 978 - 0 - 19 - 503934 - 4. Jung, Carl G. ( 1970 ) ( 1903 ). `` On Manic mood disorder ''. In Read, H. ; Fordham, M. ; Adler, G. ; McGuire, W. Psychiatric Studies. The Collected Works of C.G. Jung. Vol. 1. Translated by Hull, R.F.C. ( 2nd ed. ). Routledge and Kegan Paul. Krans, B. ; Cherney, K. ( 28 January 2016 ). `` The History of Bipolar Disorder ''. Retrieved February 13, 2017. Marneros, Andreas ( 2001 ). `` Expanding the group of bipolar disorders ''. Journal of Affective Disorders. 62 ( 1 ) : 39 -- 44. doi : 10.1016 / s0165 - 0327 ( 00 ) 00349 - 9. ISSN 0165 - 0327. PMID 11172872. Mondimore, Francis M. ( 2005 ). `` Kraepelin and manic - depressive insanity : An historical perspective ''. International Review of Psychiatry. 17 ( 1 ) : 49 -- 52. doi : 10.1080 / 09540260500080534. ISSN 0954 - 0261. Pichot, P. ( 2004 ), `` Circular insanity, 150 years on '', Bulletin de l'Academie nationale de medecine ( in French ), 188 ( 2 ) : 275 -- 284, ISSN 0001 - 4079, PMID 15506718 Roccatagliata, G. ( 1986 ). `` Aretaeus of Cappadocia : The clinician of mania ''. A History of Ancient Psychiatry. p. 223 - 235. Sedler, M.J. ; Dessain, Eric C., eds. ( 1983 ). `` Falret 's discovery : the origin of the concept of bipolar affective illness. Translated by M.J. Sedler and Eric C. Dessain ''. American Journal of Psychiatry. 140 ( 9 ) : 1127 -- 1133. doi : 10.1176 / ajp. 140.9. 1127. ISSN 0002 - 953X. Further reading Angst, Jules ; Sellaro, Robert ( 2000 ). `` Historical perspectives and natural history of bipolar disorder '' ( PDF ). Biological Psychiatry. 48 ( 6 ) : 445 -- 457. doi : 10.1016 / s0006 - 3223 ( 00 ) 00909 - 4. ISSN 0006 - 3223. Retrieved 1 January 2018. Marneros, Andreas ( 2009 ). `` The history of bipolar disorders ''. In Zarate, Carlos A. ; Manji, Husseini K. Bipolar Depression : Molecular Neurobiology, Clinical Diagnosis and Pharmacotherapy. Basel : Birkhäuser Basel. doi : 10.1007 / 978 - 3 - 7643 - 8567 - 5_1. ISBN 978 - 3 - 7643 - 8566 - 8. Mood disorder ( F30 -- F39, 296 ) History Emil Kraepelin Karl Leonhard John Cade Mogens Schou Frederick K. Goodwin Kay Redfield Jamison Symptoms Hallucination Delusion Emotional dysregulation Anhedonia Dysphoria Suicidal ideation Mood swing sleep disorder Hypersomnia Insomnia Psychosis Racing thoughts Reduced affect display Depression ( differential diagnoses ) Spectrum Bipolar disorder Bipolar I Bipolar II Cyclothymia Bipolar NOS Depression ( Major depressive disorder Dysthymia Seasonal affective disorder Atypical depression Melancholic depression ) Schizoaffective disorder Mania Mixed affective state Hypomania Major depressive episode Rapid cycling Treatment Anticonvulsants Carbamazepine Lamotrigine Oxcarbazepine Valproate Sodium valproate Valproate semisodium Sympathomimetics, SSRIs & similar Dextroamphetamine Methylphenidate Bupropion Sertraline Fluoxetine Escitalopram Other mood stabilizers Antipsychotics Lithium Lithium carbonate Lithium citrate Lithium sulfate Atypical antipsychotics Non-pharmaceutical Clinical psychology Electroconvulsive therapy Involuntary commitment Light therapy Psychotherapy Transcranial magnetic stimulation Cognitive behavioral therapy Dialectical behavior therapy Retrieved from `` https://en.wikipedia.org/w/index.php?title=History_of_bipolar_disorder&oldid=854503773 '' Categories : Bipolar disorder Depression ( psychology ) Mood disorders History of psychiatry Hidden categories : All articles with unsourced statements Articles with unsourced statements from July 2007 CS1 French - language sources ( fr ) Talk Contents About Wikipedia Add links This page was last edited on 11 August 2018, at 20 : 52 ( UTC ). Text is available under the Creative Commons Attribution - ShareAlike License ; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia ® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. About Wikipedia

Question: when was bipolar disorder first recognized as a psychological disorder
Answer: German psychiatrist Karl Leonhard