People with bipolar disorder have high and low moods, and when they are manic, they especially want to express themselves, such as talking and singing to themselves. Some psychologists have studied the phenomenon of their love of singing, and believe that “whether they love to sing” should be included as a standard issue in the diagnosis of bipolar disorder. Over the years, Dr. Lin Yingzun, a senior consultant psychiatrist at Singapore Central Hospital, has constantly observed that bipolar patients have a tendency to sing and even dance in front of doctors. To prove it, he did a study ten years ago when he was still in the College of Mental Health to investigate which of the two groups of patients suffering from bipolar disorder (bipolar) and schizophrenia (schizophrenia) loved singing more. This report was kept in his file folder until October of this year when it was published in Annals, a local medical monthly. In this study, the two groups had similar proportions of men and women, average age and musical background, but more of the bipolar patients would sing karaoke. In the survey, the researchers asked the patients, “Have you been singing more recently?” “Just a little more?” “A lot more than before?” “Would you like to sing a song now?” The survey was conducted by a group of patients who were asked to sing more recently and were given the freedom to do so. It is worth noting that the surveyed bipolar patients were in the manic phase, not the depressive phase, and they also excluded patients with schizoaffective disorder, which has both bipolar and schizoid characteristics. The results showed that 69% of the surveyed bipolar patients reported that they sang more than before before their last hospitalization, while only 22% of the surveyed schizoaffective patients had this tendency. In addition, 48% of the 23 hospitalized patients with bipolar disorder were willing to sing on the spot in front of the researcher, one of whom sang on his own without being asked, and two of whom sang so much that the researcher had to ask them to pause and the remaining nine to stop on their own. In contrast, only 28 percent of patients hospitalized with schizophrenia were willing to sing live. Those with bipolar disorder who were more willing to sing were also more talkative. Bipolar disorder is a type of psychosis in which the patient has a bipolar affective disorder, being unusually excited during the manic phase and particularly depressed during the depressive phase, or a combination of both. About 1% of the local population suffers from bipolar disorder, and patients need to take mood stabilizers and antidepressants for a long time. Patients with schizophrenia, on the other hand, do not necessarily experience elevated or manic moods. It only takes three questions to see what’s going on,” Lin said in an interview, adding that common guidelines used by psychologists, such as the U.S.-published Diagnostic and Statistical Manual of Mental Disorders, do not include “singing” as a standard test, and few have studied the phenomenon specifically. It only takes three simple questions to see what’s going on,” he said. But we also need to find out from the family what the patient’s normal state is, because some people are naturally more extroverted. The same patient who is treated and has his or her mood under control may not want to sing in front of you.” A number of celebrities have allegedly had bipolar disorder, such as American harmonicist Kim Carey (Jim Carey) and rock star Madonna. And Hong Kong singer Eason Chan also revealed in public that he has bipolar disorder when he gave a concert this year. Lin Yingzun said patients are more creative and active in their thoughts during the manic phase, even thinking that they are responsible for something important or different. However, other psychiatrists believe that patients with bipolar disorder may not all love to sing, depending on their personal habits and personalities. Other doctors: patients may not all love to sing Dr. Wang Qicheng said, “They will do what they usually love to do, which may be love to talk, love to spend money, love to play mahjong or love to eat, in addition to singing.” He has met bipolar patients who insist they have a high IQ and come to him for an intelligence test. Dr. Li Jia Ming also does not ask patients if they love to sing, because this is not a significant diagnostic criterion for bipolar disorder, and besides, there is not enough research to support it. He said the latest version of the Diagnostic and Statistical Manual of Mental Disorders also does not include singing or not. While patients with bipolar disorder may also experience hallucinations like schizophrenia, typically characterized by flaring moods when manic, uninhibited, extraordinary self-identification and appearing familiar with strangers, Lee said he also believes a good way to find out is to check with family members. “Perhaps checking with family members to see if the patient has been singing more recently would be a better way to determine if he is going through a manic phase.