Treatment FAQ

reasons why people wont receive treatment for dipolar disorder

by Dr. Jovany Harvey IV Published 2 years ago Updated 2 years ago

People refuse treatment for many reasons. As I mentioned, one of them is fear of treatment and fear of the unknown but there are other reasons too, such as: Fear of doctors

The reasons include unpleasant side effects, difficulty in remembering to take the medications, fear of addiction, and preference for an alternative treatment.May 19, 2021

Full Answer

Why do some people not want to be treated for bipolar?

Possible reasons include when the person: Has difficulty accepting that they have bipolar disorder or need treatment. Does not wish to be connected with the stigma sometimes linked to bipolar disorder. Enjoys hypomania or mania and does not want to treat them.

What happens when bipolar patients don't take medications as prescribed?

HealthDay Reporter WEDNESDAY, May 19, 2021 (HealthDay News) -- Not taking prescribed medications can lead to relapse, hospitalization and increased risk of suicide for people with bipolar disorder, yet many who have this condition do not take their medicines as prescribed.

Why don’t people with depression get treatment?

15 Reasons Why People With Depression Don’t Get Treatment 1 Had no transportation or treatment too far (5.8 percent). 2 Didn’t want others to find out (6.5 percent). 3 Health insurance didn’t cover it (6.5 percent). 4 Concern about effect on job (8.1 percent). 5 Didn’t think I needed it at that time (8.6 percent). 6 ... (more items)

Why don’t people go to treatment?

Not having reliable transportation, child care issues and appointments for treatment that conflict with work or school schedules can also prevent someone from engaging in treatment. Any one of these factors which delay or prevent appropriate care can be very difficult to overcome.

What is a common reason for people with bipolar disorder to not take medication?

People with bipolar disorder may not take their medication because of side effects, fear of addiction and a preference for alternative treatment – according to research from Norfolk and Suffolk NHS Foundation Trust (NSFT) and the University of East Anglia (UEA).

What are the barriers to bipolar disorder?

Obstacles of Bipolar Disorder Low energy, manic episodes, moodiness, reckless urges, sudden irritability, and hopelessness are just a few emotional obstacles experienced throughout the day. More symptoms include: Unpredictable mood swings. Inability to complete tasks.

Why is it difficult to treat bipolar disorder?

So why is bipolar disorder so difficult to treat? Because effective psychiatric and psychosocial adjustments are truly difficult to put into practice. We should all have enormous respect for the challenges faced by young individuals trying their best to live with bipolar disorder.

Is treatment necessary for bipolar disorder?

Bipolar disorder requires lifelong treatment with medications, even during periods when you feel better. People who skip maintenance treatment are at high risk of a relapse of symptoms or having minor mood changes turn into full-blown mania or depression. Day treatment programs.

Do bipolar people struggle?

Bipolar disorder can be a lifelong struggle. The more you learn about the condition, the easier it'll be to offer support. People with bipolar disorder cannot control their emotions or moods. Remember, bipolar disorder isn't a sign of weakness.

What are the demands of daily life that may influence symptoms of bipolar disorder?

In this post, we'll look at how bipolar affects a person's everyday life in these eight key areas:Mood Regulation.Relationships.Work.Hobbies.Sleep.Eating.Drug and Alcohol Use.Physical Activity.

What challenges do psychologists face in treating bipolar disorder?

Challenges Psychiatrists Face in Treating Patients With Bipolar DisorderDiagnosing Correctly. ... Breaking the News. ... Finding the Right Treatment Plan. ... Handling Nonadherent Patients. ... Managing the Aftermath of Patient Suicide. ... Tip #1: Take Care of Your Own Mental Health. ... Tip #2: Take Care of Your Physical Health.More items...•

What happens if you don't treat bipolar?

When left untreated, the symptoms of Bipolar Disorder will often increase in severity and may lead to suicide; there is a high suicide rate for people with the disorder. When treated, it's possible to control the symptoms of Bipolar Disorder and enjoy a more stable and fulfilling life.

Why does it take so long to get a diagnosis of bipolar disorder and how could time to diagnosis be shortened?

Bipolar disorder can be an elusive disorder for doctors to identify because the symptoms can vary widely and is often masked or exacerbated by other factors such as concurrent drug use or remission of symptoms. Stigma makes it even more difficult for people to get help.

How effective is treatment for bipolar disorder?

Treatment options for bipolar disorder Episodes of depression tend to last longer, often 6 to 12 months. But with effective treatment, episodes usually improve within about 3 months. Most people with bipolar disorder can be treated using a combination of different treatments.

Who is a famous person with bipolar disorder?

Mariah Carey Carey, 50, first revealed her diagnosis to People in 2018. “Until recently I lived in denial and isolation and in constant fear someone would expose me,” she said of dealing with the variant bipolar II disorder. “It was too heavy a burden to carry and I simply couldn't do that anymore.

How do you help a bipolar person who doesn't want help?

If someone you care about is struggling with this illness but doesn't want to get treatment, there are things you can do. Be supportive, listen, reason with your loved one, present a plan for treatment, and if necessary consider staging an intervention with the help of a mental health professional.

What to do if someone refuses to treat bipolar disorder?

Listen and observe. If the person refuses to treat their bipolar disorder, listen and observe to try and understand why they refuse. Possible reasons include when the person: Has difficulty accepting that they have bipolar disorder or need treatment. Does not wish to be connected with the stigma sometimes linked to bipolar disorder.

How to help someone with bipolar disorder?

Be patient, supportive, and when appropriate, encourage the person to seek treatment. Try to negotiate with them to get treatment if they develop symptoms. If the person does not want your help < Previous. Next > If the person refuses to take responsibility for managing their bipolar disorder.

What does it mean when someone is too ill to recognize they need treatment?

If the person is too ill to recognise they need treatment: It can help to develop an advance directive or plan with the person when they are relatively well about what treatment they prefer to receive when very ill ...

What to do when someone is finding it hard to function?

If they are finding it hard to function, offer to assist them to get treatment.

How might treatment help in terms of what is important to the person?

treatment might help to reduce symptoms the person finds unpleasant, make it easier for them to achieve a valued goal, or prevent negative consequences).

Why don't bipolar patients take their medications?

6 Reasons Bipolar Patients Don't Take Their Meds. WEDNESDAY, May 19, 2021 (HealthDay News) -- Not taking prescribed medications can lead to relapse, hospitalization and increased risk of suicide for people with bipolar disorder , yet many who have this condition do not take their medicines as prescribed. A new study examines why this happens, ...

Which national institute has more on bipolar disorder?

The U.S. National Institute of Mental Health has more on bipolar disorder.

Why are researchers developing a tool to identify people who struggle to take their medication and their individual reasons?

They hope it will help prescribers and patients work together and offer individualized support.

Why do people struggle with bipolar disorder?

When people don't understand bipolar disorder, including the way it can influence behavior and the impact that treatment can have, they may not believe that they really need to take their medications or continue their therapy.

What are the causes of bipolar treatment non-adherence?

Poor support from family members, a dysfunctional family atmosphere, criticism, and negative attitudes toward treatment have all been linked to bipolar treatment non-adherence. 5 

Why is cost important for bipolar?

Cost is often a significant barrier to treatment adherence in bipolar disorder. Studies have suggested that as many as half of all people with the condition do not receive appropriate treatment due to systemic issues such as lack of insurance or an inability to afford appropriate care. 4 

What are the beliefs about bipolar medication?

Beliefs About Medication. A person's attitudes and beliefs about their bipolar medication can often affect whether they are willing to stick to their doctor's recommendations. People who believe that their medications don't really help, for example, are far less likely to keep taking them.

What are the symptoms of bipolar mania?

Believing they are not effective. Fear of becoming dependent. Fear of being controlled or losing independence. Fear of side effects. Missing elevated moods associated with bipolar mania. Thinking symptoms are not severe enough to require medication. Such attitudes can be shaped in a variety of ways.

How many people with bipolar disorder stop adhering to treatment?

Ways to Improve Adherence. While treatments are available to help manage the symptoms of bipolar disorder, research suggests that around half of all people with the condition stop adhering to their treatment at some point. 1  It is not uncommon for people with chronic health conditions to stop adhering to their treatments to some degree.

Why don't people understand their condition?

The reasons why people don't fully understand their condition can be due to a number of different things. They may not seek knowledge or their doctor may not effectively communicate what they need to know.

Why do black people have bipolar disorder?

The main reason Black people go untreated for bipolar disorder is due to a lack of trust in doctors and the cultural barrier between doctors and patients. Despite this, it’s important that Black people recognize the symptoms of bipolar disorder and understand the risk of leaving this condition untreated. Those who have been diagnosed with bipolar disorder should also understand the risk of not taking their prescribed medication. Not taking prescribed medications can lead to relapse, hospitalization and increased risk of suicide for people with bipolar disorder.

Is it safe to take medication without doctor's approval?

Although these symptoms may be understandably scary, it’s important you continue to take your medication. Stopping your medication without your doctor’s approval can be dangerous. If you are feeling good, that likely means the medication is working. So even when you are not experiencing any episodes, continue to take your medication unless otherwise instructed by your doctor.

Why do people not seek mental health care?

Let’s take a look at eight of the most common reasons that prevent people from obtaining needed mental health services: 1) Fear and shame. One of the most common reasons for not seeking help is fear and shame. People recognize the negative stigma and discrimination associated with having a mental illness and don’t want to be labeled “mentally ill” ...

Why do people believe they are inadequate?

Many people believe they are inadequate or a failure if they have to admit something is “wrong” with their mental health. Further, they believe they “should be able to handle things” on their own without assistance and that they must be weak or inferior to have to ask for help.

Why is it helpful to schedule an appointment with a mental health professional?

Alan, it's often helpful to schedule an appointment with a mental health professional to share these concerns and to get feedback about resources and other options. Hope things start to improve.

Why are some of the more hidden factors challenging?

Finally, many of the more “hidden” factors (fear, shame, inadequacy, limited awareness, and hopelessness) are challenging, because the person may function fairly well on the surface and can generally conceal their mental health concerns.

What are the barriers to mental health care?

8) Practical barriers. Another common barrier to mental health care is inability to pay for treatment due to financial hardship or lack of health insurance.

Why do people worry about telling a stranger about their problems?

Many express concern about “telling a stranger” about their problems. Additionally, they worry that their personal information won’t be kept confidential. Some people have become demoralized by their mental health issues and believe “nothing will help me” or “I’ll never get better.”.

What happens if you don't believe you are sick?

If someone truly believes they aren’t sick, they feel no need to seek or accept treatment. A person may acknowledge some mental health concerns but can lack full awareness of their significance or really don’t understand they have an actual illness.

Why do people refuse treatment?

People refuse treatment for many reasons. As I mentioned, one of them is fear of treatment and fear of the unknown but there are other reasons too, such as: 1 Fear of doctors 2 Lack of trust or belief in medical treatment 3 Fear of side effects 4 No wanting to lose the mania of bipolar disorder 5 Fear of labeling and stigma

How to help a patient who is scared of doctors?

You can help by researching what will happen in the appointment ahead of time. You can help by researching doctors in the area and finding the best one. You can help by facilitating and going to the appointment. You can help by supporting the patient’s wishes during the appointment. Doctors absolutely can be scary but what a patient really needs is someone on his side so that he doesn’t feel “out-gunned” by someone in a position of authority.

Do people need help for mental illness?

Well, then you might want to remind them of what the problems are and what treatment can do. People only need help for a mental illness once the mental illness becomes a problem in their lives like when a person loses a job, or does poorly in school, or destroys relationships and so on.

Can eating disorder intervention be used for addiction?

Interventions are typically used for people with addictions, but there is no reason why they can't be used for a person with an eating disorder. You can read more about an eating disorder intervention here: https://www.healthyplace.com/eating-disorders/articles/intervention-to-help-someone-with-…. I hope that helps.

Is mania good for you?

To Mental Health Policy Org: #N#You're right, mania can feel good to some. To others, however, it can become a paranoid nightmare (particular if the person is bipolar with psychotic features). I've just witnessed the latter, and the person is lucky to be alive and not in jail.#N#Regarding your mantra: “Listen, Empathize, Agree, and partner," this may apply to some, but beware of using this when someone is delusional. No reason to agree with someone whose comments defy reality. The best advice I've heard is to ignore, but don't argue with delusions stated.

Why bring someone without bipolar?

Bringing a person without the dreaded “bipolar” stamped across their forehead gives the doctor someone to listen to that they may be less prejudiced against. Basically, the two of you can team up on the doctor, and you’ll likely find additional strength just having the support there.

What to do if you don't know a doctor?

But if you have to see a doctor that you don’t know (or in some cases even if you do know the doctor), bring someone with you who can advocate for you. Nothing is worse than being alone and trying to justify why you are getting medical help to a doctor that isn’t listening. Bringing a person without the dreaded “bipolar” stamped across their forehead gives the doctor someone to listen to that they may be less prejudiced against. Basically, the two of you can team up on the doctor, and you’ll likely find additional strength just having the support there.

Do doctors believe in bipolar?

Oddly, doctors don’t even believe people with bipolar disorder about mental illness symptoms. For example, a person can be acutely, horrendously, agonizingly suicidal, and they won’t get admitted to the hospital because doctors don’t actually believe the person will do it, and beds are so scarce and insurance so difficult to navigate.

Is anxiety a prognosis for bipolar disorder?

(Although due to concerns about drug-seeking, people in an acute anxiety state might not even be able to get a prescription for most anxiolytic medications.) Untreated anxiety does worsen the prognosis of bipolar disorder, after all.

Can you tell a doctor you have bipolar?

Some people say not to tell doctors you have bipolar disorder, and I understand this idea. In fact, if I had to go to the Emergency Room for a migraine tomorrow, I would consider doing this. However, many times, if not most times, your bipolar disorder can interact either with the condition for which you are seeking help or with the treatment you may be prescribed, so hiding it is really at your own peril. I don’t suggest it. I particularly don’t suggest it when it means you have to outright lie. This will destroy any trust you may be able to develop if they find out (which is fairly likely in many scenarios).

Do doctors listen to bipolar patients?

Doctors often don’t listen to people with bipolar disorder or other mental illnesses. In fact, most people with bipolar disorder know, the instant a doctor sees “bipolar disorder” on your chart, you’re screwed. Now, don’t get me wrong, not every doctor is the same, and I have had some doctors treat me with the same care I suspect they would offer ...

Does anxiety affect bipolar?

Untreated anxiety does worsen the prognosis of bipolar disorder, after all. Plain prejudice — Yup, mental illness stigma can affect doctors too, and this can result in prejudice and discrimination against those with bipolar disorder. I suspect doctors think they are above that, but they certainly are not.

Why don't people get treatment for depression?

The list of 15 reasons and endorsement rate for each is presented below (ordered from lowest to highest, based on endorsement rate): 1. Had no transportation or treatment too far (5.8 percent) 2. Didn’t want others to find out (6.5 percent)

What is the most predictive factor for not getting treatment?

The most predictive factor for not getting treatment was suicidal ideation. People who had been seriously considering killing themselves (e.g., making suicide plans) were less likely to seek treatment.

What is a major depressive disorder?

Major depressive disorder is a mental disorder characterized by affective symptoms (e.g., depressed mood), cognitive symptoms (e.g., difficulty with concentration ), and somatic symptoms (e.g., appetite or weight changes). Not all depressed individuals who feel they require treatment for depression receive it.

What are the barriers to treatment?

Practical barriers include cost concerns (whether real or assumed), availability of transportation, not knowing where to go for treatment, etc. Psychological barriers include obstacles such as worries about stigmatization and doubts about the effectiveness of treatment.

What percentage of participants acknowledged the need for treatment, but received none of the sample?

Participants who acknowledged the need for treatment, but received none (30 percent of the sample), were provided a list of 15 potential justifications. They were asked: “Which of these statements explains why you did not get the mental health treatment or counseling you needed?”

What percentage of people didn't have time or too busy?

10. Didn’t have time/too busy (14.2 percent)

What percentage of people don't want others to find out?

2. Didn’t want others to find out (6.5 percent)

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