• Bipolar disorder is a complex and chronic illness.
• It produces major shifts in mood and energy.
• It impairs all areas of a person’s life, including
work, relationships and daily functioning.
• Fortunately, however, effective treatment exists,
and you can get better.
• The goal of treatment is not to cure the disorder
but rather to control the symptoms and the
course of the disorder.
The indications for inpatient treatment in a person
with bipolar disorder include the following:
• Danger to self
• Danger to others
• Total inability to function
• Total loss of control
Treatment for bipolar disorder can be divided
into 3 general categories:
Acute treatment: focuses on suppressing
Continuation treatment: Prevents a return of
symptoms during the same maniac or
Maintenance treatment: Prevents a recurrence
• Length of manic phases
(short in duration)
• Late age of onset
• Few thoughts of suicide
• Few psychotic symptoms
• Few medical problems
• Family H/O bipolar disorder
• Poor job history
• Substance abuse
• Psychotic features
• Depressive features
between periods of mania
• H/O attempts to end life
• Male sex
Mechanism of Action
• The most widely
accepted hypothesis is:
• Inhibition the
ing to higher levels of
Adverse drug reactions
• Most common side effect: Fine tremors
• Nausea & headache
• Dehydration and electrolyte imbalance
• Lithium induced diabetes insipidus and
• LITHIUM is a TERATOGEN(Ebstein’s anomaly)
• The risks of long-term medication use must
be weighed against the risk of relapse.
• Behavioral therapy. This focuses on behaviors
that decrease stress.
• Cognitive therapy. This type of approach
involves learning to identify and modify the
patterns of thinking that accompany mood
• Interpersonal therapy. This
involvesrelationships and aims to reduce
strains that the illness may place upon them.
• Social rhythm therapy. This helps you develop
and maintain daily routines.
Better understanding of the illness, share their
concerns, and learn how to best manage
Receive encouragement, learn coping skills, and
• Patient feels less isolated as a result
• Family members and friends may also benefit
from a support group