Treatment FAQ

what is treatment bipolar disorder

by Anna Hammes Published 2 years ago Updated 2 years ago
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Medication

  • The goal of maintenance treatment is to prevent future manic or depressive episodes.
  • Because of the relapsing and remitting nature of bipolar I disorder, maintenance treatment is indicated after the first manic episode.
  • The focus of maintenance treatment is long-term medication management, psychotherapy, and lifestyle changes.

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Therapy

After hospitalization it can be very difficult to feel like you can get well. Most individuals, with proper treatment, do go on to live full and productive lives. Find more information about general wellness in the Getting Well and Staying Well section.

Which type of therapy is best for treating bipolar disorder?

Natural remedies for treating bipolar disorder

  • Lifestyle changes. Counseling, cognitive behavioral therapy (CBT), and a range of lifestyle changes can help people with bipolar disorder to manage their symptoms and improve their overall quality of life.
  • Alternative remedies. ...
  • Clinical support and treatment. ...
  • Takeaway. ...

What can I expect after bipolar disorder treatment?

The most effective treatment for bipolar disorder is a mood stabilizing agent. These medications even out the troughs and the peaks of mood swings to keep you on a more even keel. Other treatments may include antipsychotics or antidepressants.

How to treat bipolar disorder naturally without drugs?

What medication do you take for bipolar disorder?

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What is the best treatment for bipolar?

The most effective treatment for bipolar disorder is a combination of medication and psychotherapy. Most people take more than one drug, like a mood-stabilizing drug and an antipsychotic or antidepressant.

What is the first treatment for bipolar disorder?

Medication is the key to stabilizing bipolar disorder. Initial treatment of mania consists of lithium or valproic acid (Depakene). If the patient is psychotic, a neuroleptic medication is also given. Long-acting benzodiazepines may be used for treating agitation.

Can bipolar be treated or cured?

There is no cure for bipolar disorder, but through behavior therapy and the right combination of mood stabilizers and other bipolar medicines, most people with bipolar disorder can live normal, productive lives and control the illness.

What are two treatment options for bipolar disorder?

In addition to medication for bipolar disorder, other treatment approaches include:Psychotherapy. ... Substance abuse treatment. ... Treatment programs. ... Self-management strategies.

What are 5 signs of bipolar?

Symptoms - Bipolar disorderfeeling sad, hopeless or irritable most of the time.lacking energy.difficulty concentrating and remembering things.loss of interest in everyday activities.feelings of emptiness or worthlessness.feelings of guilt and despair.feeling pessimistic about everything.self-doubt.More items...

What is the main cause of bipolar disorder?

Experts believe bipolar disorder is partly caused by an underlying problem with specific brain circuits and the functioning of brain chemicals called neurotransmitters. Three brain chemicals -- norepinephrine (noradrenaline), serotonin, and dopamine -- are involved in both brain and bodily functions.

Can you recover from bipolar?

Bipolar disorder is not curable, but there are many treatments and strategies that a person can use to manage their symptoms. Without treatment, bipolar disorder may cause unusual mood episodes. People with the condition may alternate between high periods, called manic episodes, and low periods, or depressive episodes.

Can a bipolar person live a normal life?

Bipolar disorder -- or manic depression, as it is also still sometimes called -- has no known cure. It is a chronic health condition that requires lifetime management. Plenty of people with this condition do well; they have families and jobs and live normal lives.

Is bipolar disorder serious?

Bipolar disorder is a serious mental illness that causes unusual shifts in mood, ranging from extreme highs (mania) to lows (depression).

How successful is bipolar treatment?

Although there is no cure for bipolar disorder, it is a highly treatable disease. According to the National Advisory Mental Health Council, the treatment success rate for bipolar disorder is a remarkable 80 percent.

Do you need medication for bipolar?

Treatment options for bipolar disorder Most people with bipolar disorder can be treated using a combination of different treatments. These can include 1 or more of the following: medicine to prevent episodes of mania and depression – these are known as mood stabilisers, and you take them every day on a long-term basis.

What are the objectives of psychosocial interventions for bipolar disorder?

Common objectives of psychosocial interventions for bipolar disorder. Improve ability to identify and intervene early with warning signs of recurrences. Increase acceptance of the illness. Enhance adherence with drug regimens. Enhance ability to cope with environmental stressors associated with symptoms.

What drugs were used to treat manic recurrence?

manic recurrence. Open in a separate window. Treatment of mania. The pioneering trials of lithium and chlorpromazine were done in the 1970s and were followed by a focus on antiepileptics (eg, valproate and carbamazepine) in the 1980s and 1990s.

How can depression be enhanced?

Long-term maintenance and possibly acute stabilisation of depression can be enhanced by the combination of psychosocial treatments with drugs. The development of future treatments should consider both the neurobiological and psychosocial mechanisms underlying the disorder.

Is quetiapine effective for depression?

Antipsychotic drugs are effective in the acute treatment of mania; their efficacy in the treatment of depression is variable with the clearest evidence for quetiapine.

Do bipolar patients respond to treatment?

Up to a third of patients with bipolar disorder do not respond to treatments in naturalistic studies;4,5,7these figures probably underestimate the proportion of treatment-resistant patients with depression in clinical practice.

What is the treatment for bipolar disorder?

Bipolar disorder is treated with three main classes of medication: mood stabilizers, antipsychotics, and, while their safety and effectiveness for the condition are sometimes controversial, antidepressants. Typically, treatment entails a combination of at least one mood-stabilizing drug and/or atypical antipsychotic, plus psychotherapy.

How to help someone with bipolar disorder?

If someone you live with has bipolar disorder, maintain a calm environment, particularly when that person is in a manic phase. Keep to regular routines for daily activities -- sleeping, eating, and exercise. Adequate sleep is very important in preventing the onset of episodes. Avoid excessive stimulation.

What is the most important thing to know about bipolar?

IMPORTANT! Help and Support. In the manic phase of bipolar disorder, patients may engage in risky activities, such as fast driving or certain risky sports. They should be monitored and prevented from taking chances, especially in a car.

What is the name of the drug that is used to treat schizophrenia?

Haloperidol ( Haldol Decanoate) or other newer antipsychotic medications, such as aripiprazole ( Abilify ), asenapine ( Saphris ), olanzapine ( Zyprexa, Zyprexa Relprevv, and Zyprexa Zydis ) or risperidone ( Risperdal ), are often given to patients as an alternative to lithium or divalproex.

What is the best medication for bipolar?

The antipsychotic quetiapine ( Seroquel) is approved to treat bipolar I or II depression .

What are the different types of depression?

The newer types of nonpharmocological treatments of depression are: 1 VNS (Vagus or Vagal Nerve Stimulation) involves implantation of a device that sends electrical signals to the vagus nerve in order to treat depression. 2 TMS (Transcranial Magnetic Stimulation) is a procedure which involves the use of an electromagnetic coil to create electrical currents and stimulate nerve cells in the mood centers of the brain as a treatment for depression. 3 Light therapy has proved effective as an additional treatment when bipolar disorder has a connection to seasonal affective disorder. For those people who usually become depressed in winter, sitting for 20 minutes to 30 minutes a day in front of a special light box with a full-spectrum light can help treat depression.

What is the best antiepileptic drug for depression?

Lamotrigine ( Lamictal), another antiepileptic drug, has been shown to have value for preventing depression and, to a lesser degree, manias or hypomanias. Other antiepileptic drugs, such as gabapentin ( Neurontin), oxcarbazepine ( Trileptal ), or topiramate ( Topamax ), are regarded as experimental treatments that sometimes have value ...

What is the treatment for bipolar disorder?

Treatment for bipolar disorder aims to reduce the severity and number of episodes of depression and mania to allow as normal a life as possible.

How to know if you have bipolar disorder?

Learning to recognise triggers. If you have bipolar disorder, you can learn to recognise the warning signs of an approaching episode of mania or depression. A community mental health worker, such as a psychiatric nurse, may be able to help you identify your early signs of relapse from your history.

What is the best medicine for mania?

Antipsychotic medicines. Antipsychotic medicines are sometimes prescribed to treat episodes of mania. They include: aripiprazole. olanzapine. quetiapine. risperidone. They may also be used as a long-term mood stabiliser. Quetiapine may also be used for long-term bipolar depression.

How long does depression last?

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. These can include 1 or more of the following:

How to deal with depression and improve relationships?

psychological treatment – such as talking therapies, which help you deal with depression and provide advice on how to improve relationships. lifestyle advice – such as doing regular exercise, planning activities you enjoy that give you a sense of achievement, and advice on improving your diet and getting more sleep.

What is the best treatment for depression?

cognitive behavioural therapy (CBT) – this is most useful when treating depression. family therapy – a type of talking therapy that focuses on family relationships (such as marriage) and encourages everyone within the family or relationship to work together to improve mental health.

Can you take bipolar medication while pregnant?

Pregnancy and bipolar medicines. One of the main problems is that the risks of taking bipolar medicines during pregnancy are not well understood. If you're pregnant and you have bipolar disorder, a written plan for your treatment should be developed as soon as possible.

What is the treatment for bipolar disorder?

Psychotherapy, or "talk" therapy, is an important part of treatment for bipolar disorder. Electroconvulsive therapy, also known as ECT or electroshock therapy, is a short-term treatment for severe manic or depressive episodes.

How to treat bipolar disorder while pregnant?

Therapy for Bipolar Disorder. Psychotherapy, or "talk" therapy, is an important part of treatment for bipolar disorder.

How do tricyclic antidepressants work?

Tricyclic Antidepressants. Tricyclic antidepressants work by increasing activity of the brain chemicals serotonin and norepinephrine , which scientists believe play a role in brain circuits that regulate mood. However, these drugs sometimes increase the risk of mania. Antipsychotic Medications.

What is the most commonly used antidepressant for bipolar disorder?

Monoamine oxidase inhibitors are an extremely potent class of antidepressants that treat depression by preventing the breakdown of serotonin, dopamine, and norepinephrine in the brain. Lithium (Eskalith, Lithobid) is one of the most widely used and studied medications for treating bipolar disorder.

What is lithium used for?

Lithium (Eskalith, Lithobid) is one of the most widely used and studied medications for treating bipolar disorder. Treatment for Bipolar Depression. While depression episodes are far more common than manias and have a tremendous effect on the lives of patients, there are only a few established treatments for bipolar depression.

How do doctors treat mania?

Doctors often treat the mania symptoms with one set of drugs, and use other drugs to treat depression. Certain drugs are also used for "maintenance" -- to maintain a steady mood over time.

Do antipsychotics cause mania?

However, these drugs sometimes increase the risk of mania. Antipsychotic medications are used as a short-term treatment for bipolar disorder to control psychotic symptoms such as hallucinations, delusions, or mania symptoms. Anticonvulsants work by calming hyperactivity in the brain.

How to help someone with bipolar disorder?

Proper diagnosis and treatment can help people with bipolar disorder lead healthy and active lives. Talking with a doctor or other licensed health care provider is the first step. The health care provider can complete a physical exam and order necessary medical tests to rule out other conditions. The health care provider may then conduct a mental health evaluation or provide a referral to a trained mental health care provider, such as a psychiatrist, psychologist, or clinical social worker who has experience in diagnosing and treating bipolar disorder.

Why is it important to take a medical history of bipolar disorder?

Taking a careful medical history is essential to ensure that bipolar disorder is not mistaken for major depression. This is especially important when treating an initial episode of depression as antidepressant medications can trigger a manic episode in people who have an increased chance of having bipolar disorder.

What is ECT therapy?

Electroconvulsive Therapy (ECT): ECT is a brain stimulation procedure that can help people get relief from severe symptoms of bipolar disorder. With modern ECT, a person usually goes through a series of treatment sessions over several weeks. ECT is delivered under general anesthesia and is safe.

How long does a manic period last?

Less severe manic periods are known as hypomanic episodes. Bipolar I Disorder— defined by manic episodes that last at least 7 days, or by manic symptoms that are so severe that the person needs immediate hospital care. Usually, depressive episodes occur as well, typically lasting at least 2 weeks.

What are the symptoms of bipolar disorder?

Signs and Symptoms. People with bipolar disorder experience periods of unusually intense emotion, changes in sleep patterns and activity levels, and uncharacteristic behaviors —often without recognizing their likely harmful or undesirable effects. These distinct periods are called “mood episodes.”.

When does bipolar disorder start?

Bipolar disorder is typically diagnosed during late adolescence (teen years) or early adulthood. Occasionally, bipolar symptoms can appear in children. Bipolar disorder can also first appear during a woman’s pregnancy or following childbirth.

What is the purpose of psychotherapy?

Psychotherapy is a term for a variety of treatment techniques that aim to help a person identify and change troubling emotions, thoughts, and behaviors. It can provide support, education, and guidance to people with bipolar disorder and their families.

What is bipolar disorder?

Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities.

What to do if you have bipolar thoughts?

If you have thoughts of hurting yourself, call 911 or your local emergency number immediately, go to an emergency room, or confide in a trusted relative or friend .

What are the different types of bipolar disorder?

There are several types of bipolar and related disorders. They may include mania or hypomania and depression. Symptoms can cause unpredictable changes in mood and behavior, resulting in significant distress and difficulty in life. Bipolar I disorder.

How to prevent bipolar disorder from getting worse?

If you've been diagnosed with bipolar disorder, some strategies can help prevent minor symptoms from becoming full-blown episodes of mania or depression: Pay attention to warning signs. Addressing symptoms early on can prevent episodes from getting worse.

How often do mood swings occur?

Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any. Although bipolar disorder is a lifelong condition, ...

What are the symptoms of manic and hypomanic?

Both a manic and a hypomanic episode include three or more of these symptoms: Abnormally upbeat, jumpy or wired. Increased activity, energy or agitation. Exaggerated sense of well-being and self-confidence (euphoria)

Can mania cause a break from reality?

In some cases, mania may trigger a break from reality (psychosis). Bipolar II disorder. You've had at least one major depressive episode and at least one hypomanic episode, but you've never had a manic episode. Cyclothymic disorder. You've had at least two years — or one year in children and teenagers — of many periods of hypomania symptoms ...

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Abhimanyu Chandak
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Bipolar disorder lasts for a lifetime, with treatments aiming at managing the symptoms by psychotherapy and medication.
Medication

Mood stabilizers: Helps control extreme mood variations.

Carbamazepine . Lamotrigine . Valproate


Antipsychotic drugs: Help reduce symptoms of psychosis such as illusion, hallucination, etc.

Olanzapine . Quetiapine . Lurasidone . Cariprazine


Antidepressants: Helps stabilize the mood swings.

Sertraline . Fluoxetine . Citalopram . Desvenlafaxine . Duloxetine . Levomilnacipran . Venlafaxine


Antianxiety drugs: Reduces anxiousness.

Alprazolam . Clonazepam . Diazepam . Lorazepam . Oxazepam

Therapy

Psychotherapy:Interpersonal and social rhythm therapy, cognitive behavioral therapy, Psychoeducation and Family-focused therapy are used.

Electroconvulsive therapy (ECT):Passing mild electrical current to the brain to alter its chemistry and functioning. Usually given in severe cases.

Transcranial magnetic stimulation (TMS):Applying a magnetic field to the brain to alter its functions; still being tested. Usually given in severe cases.

Specialist to consult

Psychiatrist
Specializes in the branch of medicine concerned with the diagnosis and treatment of mental illness.

Coping and Support

  • To determine if you have bipolar disorder, your evaluation may include: 1. Physical exam.Your doctor may do a physical exam and lab tests to identify any medical problems that could be causing your symptoms. 2. Psychiatric assessment.Your doctor may refer you to a psychiatrist, …
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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