Doctor insights on:
Over The Counter Treatment For Bipolar Disorder
Are there any over-the-counter sleep aides that a person can take who has bipolar disorder and is having difficulty sleeping? Person takes lithium, benztropine, risperdal, clonazepam.
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
Yes: In fact, lithium is probably the best/most studied medication for the treatment of bipolar disorder. It is very effective in many but not all cases. It has been shown to be the most effective treatment for suicidality. It can be safe and effective, especially for bipolar i disorder or a manic episode. ...Read moreSee 2 more doctor answers
States differ: States differ in their laws for mental health treatment when the patient refuses it. Some have a civil commitment process that can be instituted if the person is dangerous to self or others, or is too ill to care for self. Check with your state psychiatric society -- they can tell you how such situations are handled locally. ...Read more
A second opinion: Is always okay. If you don't have confidence in your doctor or your treatment is not working, check with another doctor. If it is just that you don't like the diagnosis, talk to your doctor about that. Even then, a second opinion might help reassure you that the diagnosis and treatment are correct. Staying with medication and psychotherapy is usually essential for bipolar dis. ...Read moreSee 1 more doctor answer
Meds plus therapy: In my practice, i generally treat my bipolar patients with a combination of an antipsychotic medication plus a mood stabilizer. Both my experience and the clinical research indicates that in general, that combination of medications give the patient the best chance of sustainable stability and remission. Sometimes other medications help, such as sleep medicines or antidepressants. ...Read moreSee 2 more doctor answers
Medication/PsychT: Medication and psychotherapy both help with bipolar disorder in different ways. Medication will help with mood fluctuations and psychotherapy will help with symptom recognition and prevention as well as establishing routine/schedule, improving sleep, coping with the diagnosis of bipolar and looking for the triggers of mood swings. ...Read moreSee 2 more doctor answers
General question: This is a very general question, there are several types of bipolar disorder & treatment must be individualized. Generally, mood stabilizing medication is used to prevent severe mood episodes including manic episodes as in Bipolar I Disorder. However, psychotherapy to ensure success in medication treatment and life goals is important as well. Non compliance can be disastrous. ...Read moreSee 1 more doctor answer
It is more like: a second line treatment,but it has been used first line in certain people. A psychiatrist should prescribe it. Have you been on it before??? Did it work for you? ...Read more
Do you have any specific recommendations for dealing with the weight gain that results from treatment for bipolar disorder?
Good care works: Very few if any of my patients with bipolar disorder, or for that matter, any psychiatric illness, gain weight as a result of their treatment. There are no calories in the medications, and they do not cause cravings. Some patients fidget less and burn fewer calories, others eat quite a bit more than before, and some others stop exercising. Watch your food portions and restrict processed carbs. ...Read moreSee 2 more doctor answers
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