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.
With : With input from your psychiatrist, you could consider use of melatonin at a starting dose of 3mg per night. Please speak with your psychiatrist about taking any over the counter medications or any herbal or supplemental remedies. ...Read more
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 more
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 more
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 more
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 more
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 more
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 more
What do you advise if I'm on treatment for bipolar disorder for last 4 years. now on 1.valprid cr 500(sodium valporate & valporic?
IT DEPENDS: Are you doing well on the valproate? ...Read more
Is tegretol still a viable treatment for bipolar disorder..I've been on 600mg for 3 years but seems to be losing effectiveness.
Yes: Tegretol is still used to treat manic depressive disorder. If treatment is ineffective a blood level should be drawn to ensure the dose is therapeutic. If the dose is therapeutic then consideration should be given to changing medication or identifying other factors that are negatively affecting treatment outcome. ...Read more
Recommend: Working with a child psychiatrist. Psychiatric medications are often required. Individual therapy (ie. Cognitive behavioratherapy or psychotherapy) and family therapy are usually indicated. Group therapy may be benificial and inpatient psychiatric treatment may be needed in some cases. ...Read more
There is some research on high dose fish oil for treatment of bipolar disorder. There are also natural products with a proprietary formulation of a vitamins and minerals.
Here's a useful article on web md reviewing supplements: http://www.Webmd.Com/bipolar-disorder/guide/bipolar-disorder-supplements
recommend: get definitive control with conventional meds first, then investigate natural. ...Read more
Does bipolar NOS usually require medical treatment or is it a very mild form of bipolar disorder that normally requires no medication?
No: I agree with Dr. Tansky's response indicating that the designation NOS has nothing to do with the seriousness of the illness and that medication may still be required. ...Read more
Yes: It is a very good medication for maintenance treatment. ...Read more
Lithium: Lithium is still the best treatment for bipolar disorder. Unfortunately it has many side effects. Valproic acid (depakote) has been more commonly used over the past 20 years, because it has fewer side effects. More recently, Lamotrigine (lamictal) has proven very effective, but is not usually first-line due to a rare but potentially serious rash. ...Read more
Treatment Options: Bipolar disorder Tx Meds fall into classes of mood stabilizers (Lithium/ anticonvulsants like valproic acid, divalproex or lamotrigine) & atypical antipsychotics (Quetiapine, aripiprazole, olanzapine or risperidone). Schizophrenia is treated with antipsychotics.Other tx: psychoeducation, cognitive behavioral therapy, psychotherapy & family or group therapy. ...Read more
Depression versus BPD: I don't know what you're currently taking. I can only tell you what the approved treatments for bipolar depression are. They are, symbyax, (fluoxetine and olanzapine) seroquel xl and latuda, with the latter 2 being approved with or without lithium or depakote. Non approved medications that are often used include lithium, lamictal, wellbutrin with lithium or depakote, and antidepressants which can carry the risk of throwing the patient into mixed mood states, agitated depression, mania, or rapid cycling.Hope this helps and best wishes for a happy and healthy holiday season. ...Read more
Which is the difference of treatment between a borderline personality disorder and a bipolar disorder?
Bipolar vs BPD: The mainstay of treatment in bipolar disorder is mood stabilizing medications, plus supportive and/or cognitive behavioral therapy. People generally function well between episodes. Borderline pd, is ongoing. Primary treatment for borderline pd is long-term insight-oriented psychotherapy, along with dialectical behavioral therapy for skills training. Meds are sometimes (not always) used. ...Read more
My brother is 28, he has borderline IQ and has Bipolar disorder from 20 years old. What is best psychological treatment for him?
Therapy: I would suggest basic behavioral therapy.Get a more detailed answer ›
No Evidence: There is no known evidence of this type of link. ...Read more
Diagnosed with Bipolar Disorder Stage 1 with manic depresion few years ago and had a 3 months treatment, but now i'm totally on my own, is it ok?
How do you feel?: If it's been a few years then, the person to ask for an opinion as to how you're doing "on your own" would be YOURSELF or your family/friends. How do you think you're doing or how does your family think you're doing since not being on any medication? If you'd like to schedule a consult to talk about things you may write me at: www.healthtap.com/drsaghafi Use PDXFNR to set up appointment. ...Read more
Depends: States have civil commitment laws that govern involuntary psychiatric treatment if specific legal criteria are meet. Absent this treatment can't be forced. ...Read more
What is the best way to find an expert psycho-pharmacologist to treat treatment resistance depression in bipolar disorder?
Try Psychology Today: If you are looking for a psycho-pharmacologist, take a look at psychology today's website. There are profiles of psychiatrist & psychologists from around the country including a description of their specialties. Many have their profiles certified by the website. ...Read more