Polish (PL)German (DE)English (EN)
Consulting and order service: +48 512 999 218
0

Living with affective disorders - how to find balance?

10 grudnia 2025
Mood-related affective disorders are classified in ICD-10 under codes F30–F39 and in ICD-11 in the category 6A60–6A8Z. They are among the most commonly diagnosed mental health issues in modern society. Their impact on daily functioning can be profound, as they affect mood, thinking, motivation, and interpersonal relationships. Although public awareness of mood disorders is increasing, those affected still unfortunately face widespread misunderstanding, which adds to their suffering.

Affective disorders are a wide group of conditions that share significant mood changes as their common feature. These include, among others, depression, bipolar disorder, and cyclothymia, as well as several others. Each of these conditions has its own unique course, but together they form a distinct spectrum that affects millions of people worldwide.

Psychologist Mateusz Nesterok emphasizes that reliable education about mental disorders is the first step toward effectively supporting patients. He also points out that awareness, empathy, and knowledge are not only tools for professionals but should also be resources for every individual who wants to understand their loved ones or themselves better.

The specifics of affective disorders

Affective disorders are a category of mental illnesses whose main symptom is mood disturbance. This may involve a significant lowering or elevation of mood that goes beyond the normal range. They belong to the group of mood disorders, and their diagnosis is based on classifications such as DSM-5 or ICD-11.

Mateusz Nesterok emphasizes that affective disorders are not just episodes of low mood or brief periods of euphoria. They are long-lasting and recurring conditions that strongly impact quality of life – including the ability to work, maintain relationships, and manage daily responsibilities.

Within the category of affective disorders, there are several specific conditions, including depression, dysthymia, bipolar disorder, and cyclothymia, as well as other mixed syndromes. They differ mainly in their course, duration, and symptom severity, which is crucial for diagnosis.

The development of affective disorders is influenced by various genetic, neurobiological, environmental, and psychological factors. A common feature of all forms of affective disorders is an imbalance of neurotransmitters, particularly serotonin, dopamine, and norepinephrine, as well as characteristic cognitive and emotional changes.

Depression - more than just sadness

Depression is not just sadness but a deeply rooted mental disorder that affects the functioning of the entire body. It is characterized by low mood and loss of interest, as well as sleep and appetite disturbances. Often, it is accompanied by feelings of hopelessness and worthlessness, along with difficulties in concentration.

Mateusz Nesterok points out that one of the most destructive aspects of depression is its invisibility. This is especially true for high-functioning depression, which is becoming increasingly common. High-functioning depression is a form of affective disorder that can go unnoticed both by the person's environment and by the affected individual themselves.

People with high-functioning depression often achieve professional success, remain socially active, and appear healthy. At the same time, they struggle with chronic sadness, emotional emptiness, lack of motivation, and persistent fatigue, which they mask with their functioning. This delays diagnosis and treatment, which is why it is essential to be particularly attentive to such cases. This type of depression requires an even more holistic approach, including lifestyle support.

To make a diagnosis of depression, its symptoms must persist for at least two weeks and significantly impact daily functioning. Depression can also present in various forms – from mild episodes to severe episodes with psychotic symptoms.

Effective treatment of depression is based on pharmacological therapy and psychotherapy, but also on psychosocial interventions. Lifestyle factors such as sleep, physical activity, and diet are equally important. Additionally, social support plays a crucial role that cannot be overstated.

Bipolar disorder - life in extremes

The commonly occurring bipolar disorder is a condition characterized by alternating episodes of depression and mania or hypomania. This means that a person may experience periods of extreme high energy and elevated mood, followed by episodes of severe depression, in an alternating pattern.

The psychologist at ONSEN® highlights the diagnostic challenges associated with bipolar disorder. Many individuals are treated for depression for years without the manic or hypomanic episodes being recognized, as these can be less frequent, shorter, and harder to detect.

It is also important to distinguish between the two types of bipolar disorder. Type I involves full-blown manic and depressive episodes, which are generally easier to identify. Type II, on the other hand, is characterized by a milder form of elevated mood known as hypomania. Both types of bipolar disorder have a significant impact on the patient’s life, including their social relationships, professional activity, and physical health.

The treatment of bipolar disorder is based on the use of mood stabilizers (mainly lithium salts or lamotrigine), often supplemented with antipsychotic medication. Psychotherapy, conducted by a qualified psychologist, is also an important component. Additionally, patient and family education plays a key role in increasing awareness of the symptoms. It is also important to avoid triggering factors to minimize the risk of relapses.

Other affective disorders - dysthymia and cyclothymia

Less common is dysthymia, a chronic mood disorder. It is also referred to as persistent depression, as it is characterized by long-lasting and moderate low mood, which has a less severe impact on daily functioning. People with dysthymia often describe their lives as constantly gray and joyless, though not as intensely overwhelming as in major depression. However, it is important to note that dysthymia can last for years, significantly reducing quality of life.

Mateusz Nesterok emphasizes that dysthymia often goes undiagnosed because individuals with this disorder learn to function relatively normally despite their chronic low mood. By masking their symptoms, such conditions are often mistakenly perceived by the public as personality traits.

Cyclothymia, on the other hand, is a mood disorder characterized by recurring episodes of hypomania and mild depression. While the symptoms are less severe than in bipolar disorder, they can still significantly affect daily life. People with cyclothymia experience phases of increased energy and optimism, followed by periods of sadness and lack of motivation.

Both dysthymia and cyclothymia require professional diagnosis and therapeutic support. Psychotherapy, especially the cognitive-behavioral approach, is effective in mood regulation and building emotional stability. It is also crucial to monitor symptoms and develop skills to cope with mood fluctuations.

Support and balance in daily life

Both people struggling with affective disorders and their loved ones need strategies to support mental health. The key factors are the acceptance of the diagnosis and consistent treatment, as well as developing the ability for self-observation. Emotional stability is influenced by a well-structured daily routine and physical activity, as well as proper sleep and a healthy diet.

Mateusz Nesterok emphasizes the importance of daily routines, which create predictability and a sense of security. He points out that these are essential for stabilizing mood. Even seemingly simple activities such as morning walks, breathing exercises, or mindfulness practices support the nervous system and strengthen mental resilience.

Another pillar of treatment is social support from family, friends, or therapeutic groups. Simply being there for the affected person, listening without judgment, offering help, and sharing difficult moments can have a therapeutic effect. Therefore, proper education about the disorder significantly improves the quality of this support.

Living with affective disorders does not have to mean giving up on a high quality of life—it is always worth striving for. With appropriate treatment, support, and understanding, it is possible to achieve balance. As Mateusz Nesterok emphasizes, it is knowledge, empathy, and patience that build a bridge between illness and everyday life.

We also encourage you to explore other articles on the best sleep and health blog, as well as the Encyclopedia of Healthy Sleep prepared by the ONSEN® team of specialists. For those who care about spine health, we recommend a set of spine exercises prepared by our physiotherapist.

FAQ: Affective disorders

What are affective disorders?

Affective disorders, also known as mood disorders, are a group of mental illnesses characterized by episodes of significant emotional changes. These may include depressive episodes, mania or hypomania, as well as chronically low mood, such as dysthymia or cyclothymia. They include unipolar depressive disorder and bipolar disorder (manic-depressive illness).

What helps with affective disorders?

Treatment for affective disorders is based on psychotherapy (most commonly cognitive-behavioral therapy), pharmacotherapy, and psychoeducation. For unipolar depression, antidepressants (SSRIs, SNRIs) are typically prescribed, whereas bipolar disorder is treated with mood stabilizers and antipsychotics. Family therapy, regular physical activity, healthy sleep, and education for relatives also play an important role.

What are the symptoms of affective disorders?

Affective disorders manifest through various emotional and physical symptoms. Depressive episodes are characterized by sadness, lack of energy, loss of interest, changes in appetite, sleep disturbances, difficulty concentrating, and even suicidal thoughts. Manic or hypomanic episodes, on the other hand, involve excessive activity, heightened emotions, impulsivity, reduced need for sleep, and risky decision-making. Seasonal Affective Disorder (SAD) presents with low mood, apathy, and lack of energy, particularly in autumn and winter.

Are affective disorders a mental illness?

Yes, affective disorders are recognized mental illnesses classified in ICD-10, ICD-11, and DSM-5. They include conditions such as mania, depression, dysthymia, and cyclothymia. These are serious disorders that require treatment and are influenced by biological, social, and psychological factors.

How can you help someone with affective disorders?

The best support is to show empathy and understanding - listening without judgment or minimizing their feelings. Encouraging psychiatric consultation and therapy, as well as helping to follow a treatment plan, are crucial. Family members can participate in psychoeducation, help establish healthy routines (sleep, exercise, diet), and watch for early signs of relapse. Presence, acceptance, and seeking psychotherapeutic support together can significantly improve the recovery process.

Share
Newsletter - stay up to date!
Without your consent, we cannot add your e-mail address to the ONSEN® newsletter subscriber base.
Thank you for joining the ONSEN® newsletter subscriber group!
Comments
There were errors in the form.
First name or nickname *
E-mail address (will not be visible)
Telephone number (will not be visible)
Comment *
Thank you for adding a comment!
Learn more about how to live and function in a healthy way...

Producer of the boldly perfect Osaka Air mattress, anatomical pillows, and ergonomic furniture. A leader in the European market.