The main goal of treatment is to:
- Make the episodes less frequent and severe
- Help you function well and enjoy your life at home and at work
- Prevent self-injury and suicide
Medicines are a key part of treating bipolar disorder. Most often, the first medicines used are called mood stabilizers. They help you avoid mood swings and extreme changes in activity and energy levels.
With medicines, you may begin to feel better. For some, symptoms of mania may feel good. Or side effects from the medicines may occur. As a result, you may be tempted to stop taking your medicine or change the way you are taking them. But stopping your medicines or taking them in the wrong way can cause symptoms to come back or become much worse. DO NOT stop taking or change the dosages of your medicines. Talk with your provider first, if you have questions about your medicines.
Ask family members or friends to help you take medicines the right way. This means taking the right dose at the right time. They can also help make sure that episodes of mania and depression are treated as soon as possible.
If mood stabilizers do not help, your provider may suggest other medicines, such as antipsychotics or antidepressants.
You will need regular visits with a psychiatrist to talk about your medicines and their possible side effects. Blood tests are often needed too.
Electroconvulsive therapy (ECT) may be used to treat the manic or depressive phase if it does not respond to medicine.
People who are in the middle of a severe manic or depressive episode may need to stay in a hospital until they are stable and their behavior is under control.
SUPPORT PROGRAMS AND TALK THERAPY
Joining a support group may help you and your loved ones. Involving family members and caregivers in your treatment may help reduce the chance of symptoms returning.
Important skills you may learn at such programs include how to:
- Cope with symptoms that continue even while you are taking medicines
- Get enough sleep and stay away from recreational drugs
- Take medicines correctly and manage side effects
- Watch for the return of symptoms, and know what to do when they return
- Find out what triggers the episodes and avoid these triggers
Talk therapy with a mental health provider may be helpful for people with bipolar disorder.