Author: Michael Rayel
Source: articleage.com

How can we do with a bipolar disorder? In particular, as we order mania and depression associated with bipolar disorder treated? The treatment of these two clinical states is not the treatment of mania is same.The from their hardness and sharpness. For mild to moderate mania, mood stabilizers such as lithium are and valproic acid (valproate), or the quality of treatment and may be sufficient to contain the symptoms. Li began working after 10 to 14 days while valproic acid is about 7-10 days.Also recent studies the effects of atypical antipsychotics such as risperidone, olanzapine, quetiapine has shown, even if used only for the acute phase of bipolar disorder treatment. These drugs are relatively safe, but are not without side effects. Nausea, vomiting, tremors, dizziness, and in the early stages of treatment are often seen. The most serious side effects such as renal and thyroid problem from lithium, liver dysfunction and pancreatitis from valproic acid and an increased risk of diabetes and high cholesterol from atypical antipsychotics are uncommon. However, regular blood tests required, all abnormalities.For moderate to severe cases should be monitored, should be atypical antipsychotics such as quetiapine and risperidone was added to mood stabilizers during the acute phase. Once the disease has stabilized and the symptoms have subsided, then the atypical neuroleptics can be gradually tapered off. But the mood stabilizers should continue. Regardless of severity, patients usually do well on a combination of mood stabilizer and atypical antipsychotic during the acute phase.What is the treatment of bipolar depression? In general, the dosage should be optimized, the mood stabilizers should, "or if the patient does not to any other drug, a mood stabilizer such as lithium should be started. The physician must ensure that the drug maintains a level" therapeutic. "Otherwise, should the dose should be adjusted. should also be possible triggers, as was underlined at home does not help addressed.If these measures, “bipolar disorder”
, and the depression is so difficult, would make an antidepressant with the least risk to mania, such as bupropion, the mood stabilizer to be added. If the depression is resolved, then the anti-depressant may be gradually tapered off because its prolonged use can also be in the presence of mood stabilizer has yet to mania. When inducing drug is discontinued? bipolar patients should continue taking the drug for several months, even if they become commonplace. 's high rate of relapse common when medication is stopped early. Even for patients with multiple or difficult to treat episodes, they must take medication for years to complete, or even to prevent recurrence.Patients life, and their physicians should thoroughly discuss the risks and benefits of therapeutic intervention. Knowledge of the indications of the drug, side effects and prognosis, with or without treatment is a must.Furthermore, it is crucial that bipolar patients, individual psychotherapy, helping to address the many personal and, “bipolar disorder”
, psychosocial problems, should receive every day. As you know, drugs are not sufficient by themselves to work financial problems , marital conflicts, problems and abuse.In first glance, the combination of medication and psychotherapy is the best treatment for bipolar disorder.Copyright the 2004 Dr. Michael G. Rayel – author (First Aid to Mental Illness-Finalist, Reader's Choice Award preferably 2002) psychiatrist and inventor of Oikos Game: An Emotional Intelligence Game. For more information, visit http://www.oikosgame.com and http://www.soardime.com.