Treatment FAQ

how to writea treatment plan for someone who has bipolar and alcohol abuse

by Dr. Stacy Prosacco Published 3 years ago Updated 2 years ago
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You will want to tell the person how their drinking has affected you. Be specific about the person's behavior. For example, you can say: "When you [specific behavior], I feel [feeling]." You will also want to tell the person that you aren't willing to continue the relationship unless they get treatment.

Full Answer

What are the treatments for bipolar and alcohol addiction?

Talk therapy, education, and support are other treatments that can help those with bipolar and alcohol disorders. Talk therapy, like cognitive behavioral therapy, can help a person identify any negative or unhelpful thoughts and find new and healthier ways to look at the problems.

Do you have a bipolar disorder treatment plan?

Each person diagnosed with bipolar disorder has their own personal treatment plan. Whether you formally acknowledge it or not, you have a plan. It is based on action, inaction, or somewhere in between. I actively participate in managing my bipolar disorder every day.

What makes a good alcohol abuse treatment plan?

A good alcohol abuse treatment plan is based on identifiable goals. While the ultimate goal is to build a balanced life in sobriety and to quit abusing alcohol, this can be broken down into smaller goals. These smaller goals can be used to measure progress in treatment.

Are there support groups for people with bipolar disorder and alcoholism?

There can be specific support groups, like 12 step groups, for individuals with a mental illness like bipolar disorder and alcoholism. While mania in bipolar disorder can leave a person feeling invulnerable, their body and minds are breaking down from the illness and will likely end up in the hospital, where they can get help.

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What is a typical treatment plan for bipolar disorder?

The primary treatments for bipolar disorder include medications and psychological counseling (psychotherapy) to control symptoms, and also may include education and support groups.

Does alcohol make things worse for someone with bipolar disorder?

Alcohol is known to intensify bipolar disorder due to its sedating effects. It acts similarly to some medications, risking feelings of depression with each swig of alcohol. Alcohol also greatly increases the severity of mania, which many who suffer from bipolar find extremely pleasurable.

How can loved ones best provide support for someone with bipolar disorder?

In fact, simply being a good listener is one of the best things you can do for someone with bipolar disorder, especially when they want to talk to you about the challenges they're facing. Offering your acceptance and understanding can go a long way in helping that person feel more comfortable with their condition.

How do you help someone who is struggling with bipolar?

Seek support. Dealing with a loved one's mental illness can be painful and isolating. Make sure you're getting the emotional support you need to cope. Talk to someone you trust about what you're going through. It can also help to get your own therapy or join a support group.

Can alcoholism cause hypomania?

Hypomanic episodes People who abuse alcohol also commonly display feelings of shame, which can cause a hypomanic episode to deteriorate into extreme depression.

Do alcoholics have mental health issues?

Alcohol problems and mental ill-health are closely linked. Research shows people who drink a lot of alcohol are more likely to develop mental health problems. It's also true that people with severe mental ill-health are more likely to have alcohol problems.

What should you not say to someone with bipolar?

30 Things Not To Say To Those With Bipolar Disorder“Everyone has something.”“You don't know what goes on behind closed doors.”“You always look for an excuse.”“How are you managing?” (And other loaded questions).“Be nice.”“Calm down.”“I'm not very happy with you right now.”“Why can't you just be happy?”More items...

How do you calm a manic episode?

How to Calm a Manic EpisodeMaintain a regular sleep schedule.Avoid alcohol and drugs.Manage stress with relaxation techniques.Adhere to your meds.Exercise daily.Avoid setting unrealistic goals.Continue with therapy.

How do you stop a manic episode?

Managing a manic episodeMaintain a stable sleep pattern. ... Stay on a daily routine. ... Set realistic goals. ... Do not use alcohol or illegal drugs. ... Get help from family and friends. ... Reduce stress at home and at work. ... Keep track of your mood every day. ... Continue treatment.

What do you text a bipolar person?

Some of the best words of encouragement include:This is a medical illness and it is not your fault.I am here. ... You and your life are important to me.You're not alone.Tell me how I can help.I might not know how you feel, but I'm here to support you.More items...•

How do you get a bipolar person to commit?

If you want your loved one admitted to inpatient care, but he or she won't go voluntarily, you could call his or her doctor and inquire about getting a commitment order. “Also, if you see the person with bipolar disorder is breaking down or deteriorating mentally, you could call 911,” Dr. Macaluso says.

What are the 5 types of bipolar disorder?

Bipolar disorder is a mood disorder, and the Diagnostic and Statistical Manual of Mental Disorders currently lists five types: bipolar I, bipolar II, cyclothymic disorder, other specified bipolar and related disorders, and unspecified bipolar and related disorders.

What is bipolar disorder?

Up until 2013, APA included bipolar disorder under the category of mood disorders. Mood disorders are psychiatric/psychological disorders that primarily consist of dysfunctional states of an individual’s mood or their subjective emotional state. The term bipolar disorder was used to describe a specific set of disorders where there was a fluctuation between two poles of mood, mania, and depression.

What is affect in bipolar?

Affect refers to behaviors that an outsider observes that are used to infer the person’s emotional state. For instance, if you see an individual who is crying, you might infer the individual is sad. In bipolar disorder, the range of mood and affect alternates from feelings of depression to manic-like states.

What is the difference between bipolar I and bipolar II?

APA recognizes two primary types of bipolar disorder. Bipolar I disorder is diagnosed when an individual meets the diagnostic criteria for at least one full episode of mania. The person may, or may not, have had episodes of depression or hypomania. Bipolar II disorder is diagnosed when the individual has displayed at least one episode of hypomania.

Is bipolar disorder a psychotic disorder?

As research continued to progress regarding the potential causes and manifestations of bipolar disorder, researchers began to conceptualize bipolar disorder as a bridge between major depressive disorder (severe clinical depression) and the psychotic disorders, such as schizophrenia. Bipolar disorder and related conditions were seen as a sort ...

How many symptoms are there for depression?

Like mania, clinical depression is diagnosed by a set of behavioral criteria. An individual must the display at least five of 11 symptoms consistently over a two-week period, and one of the symptoms must include significant feelings of sadness or a significant loss of interest or the ability to experience pleasure.

Is bipolar disorder a singular diagnosis?

In the current classification system bipolar, disorder is not a singular diagnosis; instead, it is a term that describes several different but related psychological/psychiatric conditions. In general, bipolar disorder is a severe psychological/psychiatric disorder that consists of very specific variations in an individual’s mood and affect.

Is manic depressive the same as bipolar?

Even though some individuals attempt to explain that there are differences between the older term manic depression and the new term bipolar disorder, the diagnos is of manic depressive disorder is essentially the same diagnosis as the current conceptualization of bipolar disorder.

What is a treatment plan for bipolar disorder?

A treatment plan is a gameplan to help you manage your bipolar disorder. Each person diagnosed with bipolar disorder has their own personal treatment plan. Whether you formally acknowledge it or not, you have a plan. It is based on action, inaction, or somewhere in between. I actively participate in managing my bipolar disorder every day.

How to deal with bipolar disorder?

To deal with the daily onslaught of bipolar disorder, you need a strong arsenal to defend yourself. Many individuals maintain a routine and utilize various coping skills and strategies to get through the day. Sometimes, it is almost too difficult to make it through a day .

What is coping skills?

Coping skills are ways that you deal with the various symptoms of your bipolar disorder. The dictionary defines coping skills as, “Methods a person uses to deal with stressful situations.”

What is a treatment plan and a crisis plan?

A treatment plan and a crisis plan are designed to help you keep stable, healthy and to plan for any future bumps in the road. The crisis plan should take effect when you get sick and are in need of support. Do your best to continue your schedule of daily activities. No two plans will be the same.

What is a crisis plan?

A Crisis Plan. A crisis plan takes effect when you start to get sick such as getting manic/hypomanic or depressed. It is a good idea to have the name and contact information of your psychiatrist, therapist and other medical professionals treating you. Your crisis plan is an actual contingency plan.

How to help someone with bipolar?

Talk therapy, education, and support are other treatments that can help those with bipolar and alcohol disorders. Talk therapy, like cognitive behavioral therapy, can help a person identify any negative or unhelpful thoughts and find new and healthier ways to look at the problems. Education is a major component of treatment for mental illness ...

What is bipolar disorder?

Alcohol abuse and bipolar disorder are two destructive illnesses that disrupt the lives of those who suffer from them as alcohol and rape or other violent crimes often go hand in hand. It can have a terrible impact on their state of mind and physical well-being.

What are the two types of bipolar disorder?

There are two main types of bipolar disorder to be aware of: Type 1 disorder. The patient shows a mix of extremes; emotions exhibited are just like poles of the earth. It may be hard to diagnose this until the first manic episode happens, as it is essentially a major depressive disorder without that.

What is mania in psychology?

The mania is a very frantic and energetic period, with the person feeling overjoyed and unstoppable. The person with bipolar disorder will not be able to sleep which will eventually cause them to deteriorate and lose touch with reality eventually and become delusional.

Can bipolar disorder and alcoholism be recovered?

Recovery is possible for both alcoholism and bipolar disorder. It is thought of similarly for both diseases, the person understands what triggers a relapse, either in alcohol consumption or mood swings, and works to avoid those things that trigger or find new ways to manage the triggers, so they do not cause a relapse.

Can bipolar and alcohol mix?

The risk is so grave that it puts a person at five times the risk of developing alcoholism. With this risk, bipolar and alcohol cannot mix. Post alcohol depression is also a common thing that is a bad mix with a bipolar disorder. Caffeine is another drug that can cause problems with bipolar disorder.

Is alcohol a problem with bipolar disorder?

One major danger with alcohol and bipolar disorder is the chance of addiction. It is an unfortunate fact that having a mental illness puts you at significantly higher risk of developing alcoholism or other substance abuse issues like side effects of alcohol abuse. Another major problem with bipolar disorder and alcohol is the changes ...

Why do people with bipolar drink alcohol?

Medicine can be prescribed to reduce the uncontrollable state experienced, reducing the motivation to drink alcohol as a coping mechanism.

What is bipolar disorder?

Bipolar I Disorder is a very intense state of the illness. A mixed state of mind often occurs in this type of disorder with intense feelings of euphoria or excitement. Only this stage of happiness deteriorates as it is followed by extreme sadness and a bountiful sense of depression.

Does alcohol cause bipolar disorder?

Alcohol is known to intensify bipolar disorder due to its sedating effects. It acts similarly to some medications, risking feelings of depression with each swig of alcohol. Alcohol also greatly increases the severity of mania, which many who suffer from bipolar find extremely pleasurable.

Is bipolar mania a mania?

This disorder similarly causes elevated moods of joy, but never reach the high mania stages like Bipolar I Disorder. Instead, Bipolar II is typified by hypo-mania, where affected individuals may experience intense emotions but generally do not lose touch with reality.

Can bipolar disorder cause sadness?

Many people believe bipolar disorder references someone experiencing happiness one moment and sadness or anger the very next as if someone turned on a switch. This is far from the reality of bipolar disorder. Hopelessness or feeling lost can occur, fluctuating to intense feelings of happiness, or numbness.

Is cyclothymia a bipolar disorder?

Cyclothymia. Cyclothymia simply put, is a mild form of bipolar disorder. It still carries frequent up and down feelings but provides a more stable balance in feeling normal between these minor disruptive feelings.

Is alcohol good for bipolar?

The higher the high alcohol would bring, the lower the low a bipolar individuals mood would project onto daily life, yet for some it is all worth it. Alcohol eases the anxiety between the crazy feelings and the ups and downs bipolar disorder brings about.

What is treatment planning?

Treatment planning is a team effort between the patient and health specialist. Both parties work together to create a shared vision and set attainable goals and objectives.

What information do counselors fill out?

Patient information: At the top of the treatment plan, the counselor will fill in information such as the patient’s name, social security number, insurance details, and the date of the plan. Diagnostic summary: Next, the counselor will fill out a summary of the patient’s diagnosis and the duration of the diagnosis.

What is a goal in a patient's life?

Both parties work together to create a shared vision and set attainable goals and objectives. A goal is a general statement of what the patient wishes to accomplish. Examples of goals include: The patient will learn to cope with negative feelings without using substances.

What is objective in a patient?

An objective, on the other hand, is a specific skill a patient must learn to reach a goal. Objectives are measurable and give the patient clear directions on how to act.

What is the third section of a treatment plan?

Problems and goals: The third section of the treatment plan will include issues, goals, and a few measurable objectives. Each issue area will also include a time frame for reaching goals and completing objectives. Counselors should strive to have at least three goals.

What is the role of model and technique in a treatment plan?

Treatment plans provide structure patients need to change. Model and technique factors account for 15 percent of a change in therapy. Research shows that focus and structure are critical parts of positive therapy outcomes. Goal-setting as part of a treatment plan is beneficial in itself. Setting goals helps patients:

Do mental health professionals have to make treatment plans?

Although not all mental health professionals are required to produce treatment plans, it’s a beneficial practice for the patient. In this article, we’ll show you why treatment plans are essential and how to create treatment plans that will make a difference in your and your patient’s lives.

What is the treatment for alcohol withdrawal?

Treatment may involve: Medically-assisted detox. Medications used to ease alcohol withdrawal symptoms. Treatment that addresses any co-occurring mental health issues or comorbid disorders. Behavioral therapies to understand what led to addiction and how to alter certain behaviors.

What is treatment planning?

Treatment planning requires a full assessment of an individual’s substance use history and their patterns of use from the time they first started using to the present. This includes which drug (s) have been used, the reasons for use, and a family history of alcohol and drug abuse.

What is the goal of treatment?

Treatment should accomplish the following goals: Help the individual to be a productive member of society, of their family, and their work. Help the individual stop using drugs and/or alcohol. Help the individual remain sober.

What is the best treatment for bipolar disorder?

Bipolar disorder is treatable with a combination of medication and therapy. Medications. Mood stabilizers, antipsychotics, and antidepressants can help manage mood swings and other symptoms. It is important to understand the benefits and risks of medications.

What is bipolar disorder?

Bipolar disorder is a serious mental illness that causes unusual shifts in mood, ranging from extreme highs (mania) to lows (depression). On This Page: Types of Bipolar Disorder. Signs and Symptoms.

What is the difference between bipolar and manic?

Each type of bipolar disorder includes periods of highs and lows. The major difference between forms of the disorder is how extreme the mood swings are and how long they last . In all types, there are periods between manic or depressive episodes when symptoms lessen or people feel stable.

How does therapy help with manic episodes?

Therapy helps people accept their disorder , recognize the warning signs of a manic or depressive episode, develop coping skills for handling stress, and stick with a medication schedule. Therapy also improves communication and relationships among families. Long-term, continuous treatment.

How to contact SAMHSA?

Use SAMHSA’s Behavioral Treatment Services Locator to locate a new program or call SAMHSA’s National Helpline at 1-800-662-HELP (4357) or TTY 1-800-487-4889 for 24 hour, free, and confidential information and treatment referral.

Can you find bipolar treatment in SAMHSA?

SAMHSA Can Help You Find It. Effective treatments for bipolar disorder are available in your area. The earlier that you begin treatment, the greater likelihood of a better outcome. For confidential and anonymous help finding a specialty program near you, visit SAMHSA’s Early Serious Mental Illness Treatment Locator.

When do people get bipolar?

Most people are diagnosed with bipolar disorder in their teens or twenties. However, it can occur at any age. People are at a higher risk if they have a family history of bipolar disorder, experienced a traumatic event, and/or misused drugs or alcohol.

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What Is A Treatment Plan?

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A treatment plan is essentially your map to recovery. It outlines the therapies you will participate in and the actions you will take to achieve sobriety and to build a new life that is free from alcohol abuse. Your treatment plan will specify your strengths and areas where you struggle. This will help to identify where you need additional help. In...
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Getting Started

  • You can start the creation of an alcohol abuse treatment plan on your own. You can bring this draft with you to treatment or have your therapist review it.
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Creating A Treatment Plan For An Alcohol Use Disorder

  • Creating a treatment plan will involve working with your therapist to find the right therapies for your needs. Each treatment plan is unique, and there is no single treatment plan that works for every person. Instead, an individualized treatment plan can help address your specific needs through treatment. Your therapist may guide you through a biopsychosocial assessment, which is a list of questions designed to determine your biological, p…
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Goals Versus Objecteves

  • Goals and objectives sound like synonyms, but they are actually two separate but related components of a treatment plan. Goals are large, broad achievements that serve to direct your treatment plan. A goal may not be a tangible, measurable achievement. Instead, it’s a general target you want for your treatment progress or for your life. For instance, most alcoholism treatment programs involve the goal to free yourself of active addiction throu…
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Components of A Treatment Plan

  • Your treatment team will heavily advise you on the components of your ideal treatment plan. These therapies should be included to help you recover from alcohol abuse. Examples include: Detox. If you have a severe alcohol abuse issue, you are likely physically dependent on alcohol. Attempting to stop drinking on your own is dangerous. You will experience uncomfortable withdrawal symptoms. In rare instances, people can develop delirium tremen…
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A Personalized Approach

  • Most alcohol abuse treatment plans will include these core elements. Additional elements may be added, and in some instances, some of these items may not be appropriate for everyone. Alcohol use disorders can come with a variety of co-occurring problems, complications, and underlying causes that make each person unique. Because alcohol addiction is a complex disease, there is no treatment plan that works for every person. According to the …
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