Friday, April 1, 2011

Individuals can use self-help and personal recovery journey continues in bipolar depression treatment

BIPOLAR DEPRESSION TREATMENT


There are a number of pharmacological and psychotherapeutic techniques used in bipolar disorder treatment. Individuals can use self-help and personal recovery journey continues. Hospitalization can be necessary, in particular, is experiencing manic episodes in bipolar I. This could be voluntary or (if permitted by the law on mental health, and various states and regulation of the Government of the United States) (ie commitment, civil or involuntary) unintentional. long-term hospital stays are now less common due to deinstitutionalization, but can still occur. After (or instead of) the hospital support services can also drop centers, visits by members of the community mental health team or self-assured the treatment team, supported employment and patient-support groups led , intensive outpatient programs. These are sometimes referred to as partial hospitalization programs.

Psychosocial therapy

Psychotherapy is designed to relieve the core symptoms, recognizing episode triggers, reducing negative expressed emotion in relationships, recognizing prodromal symptoms before full relapse, and the practice of the factors that lead to the maintenance of remission cognitive behavioral, family-oriented, psycho-education and have the most evidence of effectiveness in preventing relapse, while therapy and interpersonal and social rhythm therapy, cognitive behavior seems to be more effective in terms of symptoms residual depressive. Most studies were based exclusively on bipolar I, however, treatment and during the acute phase may be a particular challenge. Some experts emphasize the need to talk to people experiencing mania to develop a therapeutic alliance to support recovery.

Medication

Everyone is different for treatment ,so finding the best appropriate medication or medication you may need some trial and error. It requires patience, because some medications used for eight weeks or more to have full effect. Generally, only one drug has been changed at some point, if the doctor can determine which drug works to relieve your symptoms with fewer side effects bothersome. It can take months or more, and medications may need to adjust according to your symptoms. The side effects better, you find the right medications and dosages that work for you and your body adjusts to the medication.

The mainstay of treatment is a medication mood stabilizer such as lithium carbonate or lamotrigine. Lamotrigine has proven to be the best for the prevention of depression, while lithium is the only drug shown to reduce suicide in bipolar patients. Both substances are multiple independent connections that have proved effective in preventing relapses of manic or in one case, depressive episodes. The first known and gold standard mood stabilizer is lithium, while almost as widely used is sodium valproate, also used as an anticonvulsant. Other anticonvulsants used in bipolar disorder include carbamazepine, reportedly more effective in rapid cycling bipolar disorder, and lamotrigine, which is the first anticonvulsant proved beneficial in bipolar depression.

Treatment of agitation in acute episodes  of manic depression is often necessary to use anti-psychotics, such as chlorpromazine and the atypical antipsychotics quetiapine and olanzapine. Recently, olanzapine and quetiapine, have been approved as effective monotherapy in the maintenance of bipolar disorder. Head to head randomized controlled trial in 2005 has also shown olanzapine to be just as effective and safe as lithium in prophylaxis.

The use of antidepressants in bipolar depression disorder had been debated, with some research based studies reporting worse outcome with their use to launch a manic or mixed hypomaaniseen period, especially if no mood stabilizer is used. However, most mood stabilizers is the inefficiency of depressive episodes. rapid cycling can be induced or aggravated by antidepressants, unless additional treatment with a mood stabilizer. A major study has shown that depression is bipolar disorder is responsible for anything better antidepressant with a mood as it is a mood stabilizer alone. Recent studies indicate that triacetyluridine may improve the symptoms of bipolar disorder. Clinical studies have shown that omega-3 fatty acids can have beneficial effects in bipolar disorder.

anticonvulsant topiramate is often prescribed as a mood. Off-label use when using for treatment of bipolar disorder. Unfortunately, its usefulness is likely to be low and the side effects, such as cognitive impairment reduce its effectiveness , When the drugs cause a reduction or complete remission of symptoms, it is important for someone to understand that bipolar disorder should continue taking the medicine. This can be difficult because effective treatment can result in a reduction of manic symptoms and / or medicine can be emotional blunting, or calming, making the person feel that they are suppressed, or that medicine is not working. Either way, the renewal is likely if the drug is discontinued.

Treatment in children and adolecscents

Children and adolescents with disorder of bipolar could be prescribed the same drugs as used adults.However, there is very little research on the safety and efficacy of medicines for children, a two-way, so management decisions are based on research. Treatments adults usually decided on an ad hoc case by case basis, depending on the specific symptoms, medication side effects and other factors. As with adults, ECT may be an option for young people with severe bipolar symptoms, or whose medication is not working. Most children diagnosed with bipolar disorder require counseling as part of initial treatment and to keep the symptoms and work returning.Psychotherapy school counselors and teachers - can help children develop coping skills, learning difficulties and solve social problems.It can also help strengthen family relationships and communication. Psychotherapy may also be necessary to solve the problems of substance abuse for older children with bipolar disorder generally.

No comments:

Post a Comment