Psychological Treatments For Bipolar Disorder
In between episodes of mania or hypomania and depression, cognitive behavioral or psychotherapy treatments can help. Psychotherapy usually takes place in sessions of one hour over periods of several months.
Cognitive behavioral therapy
Cognitive behavioral therapy is a form of talking therapy that focuses on how thoughts and beliefs affect feelings and behavior. CBT teaches participants coping skills to recognize and deal with problems.
For people with bipolar disorder, CBT can help improve awareness of behavior, compliance with treatment plans and day-to-day coping skills. When used alongside medication, a study of 19 randomized control trials found that CBT is effective in reducing the relapse rate and the severity of symptoms.
Learning to recognize signs of moods swinging out of control is an important step in managing bipolar disorder. Recognizing early signs can lead to intervention and prevent full episodes of mania and depression, and avoid potential hospitalization.
Keeping a mood diary is helpful to track long-term mood changes, as well as possible triggers.
Other forms of psychotherapy for bipolar disorder
Psychoeducation can help by providing more information about bipolar disorder to the person with the condition, as well as their family and friends.
Led by a therapist, group psychoeducation brings together people with similar experiences to share knowledge about how bipolar disorder can affect behavior and how to manage symptoms.
Information For Family Carers And Friends
How can I get support?
You can speak to your GP. You should be given your own assessment through NHS mental health services to work out what effect your caring role is having on your health. And what support you need. Such as practical support and emergency support.
These are some other options for you:
- Join a carers service
- Join a carers support group
- Ask your local authority for a carers assessment
- Read about the condition
- Apply for welfare benefits for carers
Rethink Mental Illness run carers support groups in some areas. You can also search for groups on the Carers Trust website:
- Rethink Mental Illness: www.rethink.org/about-us/our-support-groups
- Carers Trust: www.carers.org/search/network-partners;
How can I support the person I care for?
You might find it easier to support someone with bipolar disorder if you understand their symptoms, treatment and self-management skills.
You should be aware of what you can do if you are worried about their mental state. It can be helpful to know contact information for their mental health team or GP.
You could find out from your relative if they have a crisis plan. You could help your relative to make a crisis plan if they dont have one.
As a carer you should be involved in decisions about care planning. But you dont have a legal right to this. The medical team should encourage the person that you care for to allow information to be shared with you.
You can find out more information about:
Comorbidity Of Bipolar Affective Disorders In Alcohol Use Disorder Patients
Among mental health disorders, BD has probably the highest risk of having a second, comorbid DSM -IV axis I disorder . Epidemiological data from the US report life-time prevalence rates of up to 90% for comorbidities in BD , with 62.3% for AUD followed by cannabis , cocaine and opioids . The already cited WHO census across 11 countries showed a mean SUD life time comorbidity with BD of 36.6% with a large variation between countries . A meta-analysis including nine national surveys conducted between 1990 and 2015 revealed a mean prevalence of 24% for AUD and of 33% for any SUD except nicotine . Analyzing SUD and bipolar comorbidity in clinical settings, the same group reports the highest prevalence for AUD followed by cannabis use and any other illicit drug use . Cannabis ranking second after AUD has also been confirmed in other studies . Similar rates of SUD were also reported in the Systematic Treatment Enhancement Program Bipolar Disorders study including 3,750 Bipolar I or II patients .
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Dealing With These Bipolar Thoughts
People with bipolar disorder are constantly trying to figure out what a normal and reasonable thought process and reaction would be in any given situation. Were constantly trying to overcome how our bipolar brain naturally thinks in order to have healthy interactions and healthy relationships. Were constantly trying to deal with the extremeness of our thoughts internally so we dont thrust them on the external world.
And this is beyond difficult. Trying to defeat the way a bipolar brain thinks is nigh-on impossible. Dealing with bipolar thoughts is a full-time gig and an exhausting one at that. But it is important. Because if we dont moderate our own thoughts and deal with them appropriately, we cant hope to have healthy relationships with others. And if that happens then all those pesky catastrophes we worried needlessly about will have come true.
Treating Alcohol Use Disorder And Bipolar Disorder
Someone who has both a drinking problem and a diagnosis of bipolar disorder can benefit from dual diagnosis treatment. This involves the integration of mental health treatment with drug and alcohol rehabilitation. The first step is going to alcohol detox.
People with bipolar disorder may experience severe alcohol withdrawal symptoms when they stop drinking. For this reason, nobody should attempt to detox from alcohol alone. Instead, medications can be prescribed at a detox facility to help manage the symptoms and ensure a safe detox process. Since bipolar disorder and alcoholism are so complex, patients should attend a residential treatment program after completing detox.
During residential treatment, dual diagnosis patients will participate in a variety of different treatment therapies to address their individual needs. These include:
- Cognitive-behavioral therapy
- Relapse prevention
- Trauma therapy
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Treatment Options For Bipolar Disorder And Alcohol Use
Alcohol abuse and bipolar disorder are two conditions that are lifelong. While they are complex and impact every area of a personâs life, most mental illnesses and alcohol addiction are treatable conditions. Medication is one of the primary treatment methods for bipolar disorder, especially when it comes to easing alcohol withdrawal symptoms, and some of the medication has the added benefit of lowering alcohol consumption as well. Lamotrigine and alcohol in bipolar disorder have been studied, and when taking the drug, it is reported that alcohol cravings are lower and the amount of alcohol consumed is less as well. On the right medication, mood swings are regulated, and the mania and depression are held off.
Talk therapy, education, and support are other treatments that can help those with bipolar and alcohol disorders. Talk therapy, like cognitive behavioral therapy, can help a person identify any negative or unhelpful thoughts and find new and healthier ways to look at the problems. Education is a major component of treatment for mental illness and alcohol abuse, as it is vital for anyone with both conditions to know what the risks are, how to stay healthy, and how to keep to balanced routine and lifestyle that limits the risk of mood swings. Support groups are also beneficial and common with it comes to alcoholism. There can be specific support groups, like 12 step groups, for individuals with a mental illness like bipolar disorder and alcoholism.
Bipolar Disorder In Children And Teenagers
Usually, symptoms of bipolar disorder first appear in teens around the ages of 15 to 19, though signs can be seen in younger children.
The symptoms for mania, hypomania and depression in bipolar disorder are similar to those in adults, although children and teens may behave more erratically. Moods may change more rapidly than in adults, and children may express mania and hypomania as temper tantrums and physical aggression.
See our resource on signs of bipolar disorder for more information about bipolar disorder in children, teenagers and young adults.
The American Academy of Child and Adolescent Psychiatry urges caution in looking for signs of bipolar disorder in toddlers and children under six years old.
If you think that a child in your care might have a health condition, try using the Ada app to find out more about their symptoms.
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Understanding Recognizing Symptoms Of Bipolar Disorder
Never forget that the person with bipolar disorder does not have control of his or her mood state. Those of us who do not suffer from a mood disorder sometimes expect mood-disorder patients to be able to exert the same control over their emotions and behavior that we ourselves are able to. When we sense that we are letting our emotions get the better of us and we want to exert some control over them, we tell ourselves things like “Snap out of it,” “Get a hold of yourself,” “Pull yourself out of it.” We are taught that self-control is a sign of maturity and self-discipline. We are indoctrinated to think of people who don’t control their emotions very well as being immature, lazy, self-indulgent, or foolish. But you can only exert self-control if the control mechanisms are working properly, and in people with mood disorders, they are not.
People with mood disorders cannot “snap out of it,” much as they would like to . Telling a depressed person things like “pull yourself out of it” is cruel and may, in fact, reinforce the feelings of worthlessness, guilt, and failure already present as symptoms of the illness. Telling a manic person to “slow down and get a hold of yourself” is simply wishful thinking; that person is like a tractor-trailer careening down a mountain highway with no brakes.
Bipolar Anger: A Source Of Embarrassment
Many with bipolar disorder don’t discuss the anger problems that are associated with the moodswings of mania and depression. Why? Because they’re embarrassed that they can’t control it. In an article for BP Hope Magazine, HealthyPlace bipolar consumer expert and mental health author, Julie Fast, describes her battle with anger and bipolar:
“There are many people in jail because of their anger and bipolar behavior. Children who threaten their parents, women who punch a co-worker, or men who pick fights with strangers are common among people who have this illness. We dont discuss it much, because so many people are embarrassed by what they have done. All my life, Ive lived with the embarrassment of mood swings. Indeed, bipolar affects my moods in so many ways that its hard to keep track of what is real and what is caused by faulty wiring in my brain.
In addition to the symptoms of bipolar, there are drugs, including various steroids, that are notorious for causing anger. But no matter what causes the bipolar person to be angry, the question is: How do you deal with a person who’s bipolar and angry?
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The Psychology Of Emotions And Being Angry While Drunk
Everyone is familiar with the stereotype of the angry drunk. Unfortunately, this is often not just a stereotype. Although its not the norm, there are plenty of times when alcohol leads to being angry. In many cases, this anger is accompanied by verbal or physical aggression. Sometimes an individual may drink to alleviate their anger only to become more agitated after a few drinks. Handling an angry drunk can be painful, difficult, and scary. Problem drinking may even lead to events of domestic violence. You deserve to live a life free of the stress and anxiety caused by uncontrolled violence and you shouldnt have to suffer the consequences of their actions. The relationships we have in life are important, and we want to see our loved ones healthy and happy. You can get there in this article, well discuss how.
There are various factors involved in an;angry drunk. The most common factor is an overall aggressive personality. This is because alcohol lowers your inhibitions. Someone who tends to be aggressive and antagonistic toward others when sober is much more susceptible to having these traits magnified when under the influence of alcohol.
However, this health news only begins to explain the inner workings of an angry drunkard. Alcohol tends to interfere with cognitive functional abilities. Therefore, this makes it more difficult for an intoxicated person to consider their options and solve problems in constructive, effective ways.
Become Angry/sad/sublimely Happy In The Span Of Ten Minutes
Everyone could be diagnosed with a case of diet Bipolar disorder when theyre wasted because alcohol has a tendency to take you on an emotional rollercoaster. One minute youre drowning in a sea of happiness and the next youre just drowning. Youre crying in some bodega to the owner about how no one will ever love you and buying some Cheez-Its wondering how this could have happened. Four hours ago, you were a sober prize taking your first shot and excited about the night ahead. Now youre confiding to Pepe about your deepest darkest secrets and asking if he has any weed. Alcohol can punk you like that. It will be like, Im going to take you on a funny crazy ride and then drop you off on the corner of Darkness and Tears. Bye! Personally, Ive only gotten dark drunk twice and both times revolved around someone elses penis. Drinking to make yourself feel better is probably the worst idea imaginable because itll just magnify what you were feeling sober. The next day, youll feel physically sick and full of regret on top of your depression. No.
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Bipolar And Delusions: What Are They What Are They Like Who Gets Them
Delusions in bipolar disorder are common. It depends on where you draw the line as to how many people actually get them. What I can say for sure is that the majority of people with bipolar disorder do experience psychosis, and delusions are commonly a part of that. Here is what we know about delusions in bipolar disorder.
The Three Symptoms Below Represent The Side Of Bipolar Disorder We All Know Is There But Rarely Want To Let The Public Know Exists
I know how important it is to protect the reputation of bipolar disorder in the general public. We dont want people thinking we are dangerous, scary, crazy people who cant be trusted. But I do feel we need to own up to the fact that certain mood swings DO cause the behaviors we want to sweep under the carpet. The three symptoms below represent the side of bipolar disorder we all know is there but rarely want to let the public know exists. This is only an opinion, of course, but Im truly interested to know if you feel the same.
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What If Im Not Happy With My Treatment
If you arent happy with your treatment you can:
- talk to your doctor about your treatment options,
- ask for a second opinion,
- get an advocate to help you speak to your doctor,
- contact Patient Advice and Liaison Service , or
- make a complaint.
There is more information about these options below.
How can I speak to my doctor about my treatment options?
You can speak to your doctor about your treatment. Explain why you arent happy with it. You could ask what other treatments you could try.
Tell your doctor if there is a type of treatment that you would like to try. Doctors should listen to your preference. If you arent given this treatment, ask your doctor to explain why it isnt suitable for you.
Whats a second opinion?
A second opinion means that you would like a different doctor to give their opinion about what treatment you should have. You can also ask for a second opinion if you disagree with your diagnosis.
You dont have a right to a second opinion. But your doctor should listen to your reason for wanting a second opinion.
What is advocacy?
An advocate is independent from the mental health service. They are free to use. They can be useful if you find it difficult to get your views heard.
There are different types of advocates available. Community advocates can support you to get a health professional to listen to your concerns. And help you to get the treatment that you would like. NHS complaints advocates can help you if you want to complain about the NHS.
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Whats A Person With Bipolar Like
When someone is managing their bipolar disorder well, they likely wont appear any different from anyone else. If theyre in a manic episode you might notice they talk fast, switch topics continually, have grandiose plans or ideas, or take risks. When in a depressed episode they may have trouble getting out of bed, show a lack of interest in activities they used to love, not engage in conversation, have difficulty socializing or interacting with others, or have suicidal thoughts.
Effects Of Alcohol On Bipolar Disorder
Bipolar and alcohol symptoms;are often difficult to differentiate. Alcohol can increase the intensity of symptoms, leading to volatile mood swings, extreme mania, or severe depression. Manic episodes can also lead to binge drinking. If one drinks excessively,;bipolar and alcohol blackouts can lead to injury or death due to falls or other accidents, a risk that is already elevated in people with bipolar.
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