Doctor insights on:
How To Treat People Who Suffered Bipolar Disorder
Excellent prognosis: Accurate diagnosis is the fundamental first step. A specialist in the treatment of depression and bipolar illness would be best to make the diagnosis. That would be a psychiatrist.. Depending on the phase of illness - depression, irritability or mania -medications are selected accordingly . Psychotherapy (counseling) is important. ...Read moreSee 1 more doctor answer
Though depression is not required for diagnosis most people have both manic and depressive episodes and may have mixed episodes with features of both. Length of episodes vary, but are separated by "normal" periods of emotion and behavior. See my answers to similar ...Read more
Not good candidates.: People with antisocial personalities do not learn from their previous mistakes and therapy does not work. They do understand that for a criminal behavior, they have to be legally responsible. They have no remorse and they are sorry only that they got caught. ...Read more
See a psychiatrist: You may need drug treatment under supervision of a psychiatrist. ...Read more
Narcissistic PD: Treating narcissistic pd requires intensive, long-term psychotherapy with an experienced therapist. These people usually don't seek treatment until marital or work relationship problems cause enough distress to force the issue. They are exquisitely sensitive to slights or criticism, and intense shame and scathing rage can disrupt the therapeutic relationship. The therapist walks a thin line. ...Read moreSee 2 more doctor answers
Tough to treat: It is hard to treat any personality disorder because it is ingrained in the person's sense of self. Usually they do not think there is anything wrong with them and do not seek treatment unless someone else forces them to. If they also avoid social interactions they will try to avoid therapists, too. If they feel any discomfort with their behavior, that is where to try to help them. ...Read more
Professional Only: Treatment is strictly left to the professionals. A nonprofessional has no business in even attempting any treatment whatsoever. ...Read more
Bipolar disorder: If you do have to explain it to people, the best way is to tell the truth, which is: my mood may change without any specific reasons. I may feel depressed for a while, and then i may feel unusually happy and "up" for no particular reason. I may say things which do not make much sense, and some people may even feel annoyed by my overtalkativeness. ...Read moreSee 1 more doctor answer
Therapy: Sometimes medication is used and can be helpful. Another approach might be psychotherapy. This can help adjust thought patterns and coping skills and work through painful issues contributing to mood fluctuations. Exercise, healthy dietary habits, proper sleep patterns and healthy relationships are also helpful. Cyclothymia needs to be addressed so one can have the most happy life possible. ...Read more
Psychosis likely: Schizoaffective disorder is a "halfway" diagnosis between schizophrenia and a major mood disorder, eg., major depression or bipolar disorder. An antipsychotic is generally needed to control psychotic symptoms, and sometimes, though not always, will treat the mood disorder as well. (usually antidepressant or mood stabilizers are needed too.) psychosis often persists for long periods if untreated. ...Read more
Psychotherapists: Many psychotherapists are specifically interested in working with personality disorders and develop a special expertise in this area. Given how prevalent npd is, however, most therapists work with individuals with this diagnosis, or definitely traits of it... ...Read moreSee 1 more doctor answer
You may know that: Bipolar disorder manifests in extreme mood swings between depression and mania/hyperactivity. Some folks are more hyper and some more depressed. The cycle can be very quick or span over days. A licensed mental health professional can diagnose and treat you. It's best to go to someone who has a lot of experience w/this. Your family doc can refer you. Peace and good health. Education helps. ...Read more
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