After receiving a diagnosis of bipolar disorder, patients and their families will have to navigate the murky waters of treatment. Many disorders have very straightforward treatments available, but bipolar disorder treatment may require many attempts before medications are correctly balanced. Bipolar disorder is more difficult to treat than some chemical imbalances because of its mercurial nature. It is not uncommon for a set of medications to work well for years and then cease to be effective with no warning. Often treatment will require a multi-pronged approach of medication, talk therapy, and activities. When possible, it's best to have family or friends involved in the treatment plans to provide support and insight - it isn't always possible for a person suffering from bipolar disorder to see their situation clearly.
Bipolar is best treated by a licensed psychiatrist due to its complex nature. They will know best which medications work for the demographic and personal symptoms of the patient. The goal is to have the fewest medications with the smallest physical footprint. Fortunately, many advances in neuroscience have enabled doctors to better understand the inner workings of the brain in the last ten years. This has allowed for better applications of medications with far fewer toxic side effects than in the past. To achieve the best balance of medications, the patient may find themselves visiting the psychiatrist frequently in the early days of treatment. Because the early stages of treatment can be trying and disheartening at times, it is important for the patient to have a strong network of support.
Doctors have found great success in the use of anti-seizure medications to help stabilize mood swings for patients suffering from bipolar disorder. Psychiatrists will usually try to steer clear of antidepressants due to their ability to trigger a manic episode, although sometimes they are necessary for the specific situation. If a bipolar patient is taking an antidepressant, they should be closely monitored to avoid a manic episode blossoming into a psychotic break. Many bipolar patients have also found relief using antipsychotic medications. These medications will inhibit the possibility of a manic or psychotic episode, but should be used with care over long periods. Sometimes it's necessary for a patient to take a "medication vacation" to give the body a break from the medications. This should first be discussed with their attending psychiatrist, and only undertaken when proper support is available. After the predetermined period of being medication free is over, medications may be reintroduced slowly to determine if the same level is needed.
As with all things, knowledge is power. Patients diagnosed with Bipolar Disorder, and their families, should read as much as they can on possible treatment and maintenance options. This will empower them to make the best decisions on each step of their journey.
