a.
Managing a manic episode
It is not always possible to prevent a manic episode, but
as the condition progresses, the individual and their friends and family may
start to notice the signs of a mood change. Here are some tips when this
happens:
-
See a doctor, if it is the first time, if you have discontinued
treatment, or if treatment is not working.
-
Follow the treatment plan and keep all medical appointments, as
medications may need adjusting.
-
Try to keep to a regular sleeping pattern and avoid
unnecessary stress when
possible.
-
Eat a healthful diet and get enough exercise.
-
Avoid alcohol and other substances.
-
Keep track of your moods and feelings.
-
If you have people
around you, try to share with them what is happening so that they can support
you.
b.
Alternative remedies
Other remedies that do not involve the use of traditional
drugs include supplements and counseling. Such include;
i.
Omega-3
Salmon contains omega-3 oil. The fish oil extract omega-3 may help,
according to some studies. Scientists have found that
bipolar disorder is less common in countries where people consume a lot of
fish. People with depression may also have lower levels of omega-3 in their
blood.Omega-3 fatty acids may have numerous health benefits, but it is best to
eat them in their natural form. Cold-water fish, nuts, and plant oils are good
sources.
ii.
Magnesium
Some scientists think magnesium has
a role regulating mood and both manic and depressive episodes and work with the
medications to make them work effectively. As a result, some doctors may recommend magnesium supplements.
Taking a multivitamin will include the daily recommended dosage of magnesium.
iii.
Vitamins
Some people suggest that vitamins may
help, specifically vitamin C and folic acid.
Researchers have found weak evidence that
vitamin C may help, but none to support the use of folic acid specifically for
bipolar disorder. There is evidence that folic acid supports cognitive health,
but it is not clear whether this or other vitamins can help with bipolar
disorder. Overall, it is not clear that dietary supplements can help people with
bipolar disorder. More studies are needed to confirm the benefits of any
supplement.
iv.
Nutrients in
the diet
However, a diet that provides a variety of nutrients
through fresh foods can help protect a person from a range of health problems.
Green leafy vegetables are high in folic acid, and citrus fruits are a great
source of vitamin C. Anyone with bipolar disorder who decides to use
complementary medicine should continue with their prescribed medication therapy
sessions, and they should consult their physician before using supplements or
an alternative therapy.
c.
Counseling and CBT
Research
shows that CBT can help people to manage the challenges of bipolar disorder. Counseling,
for example, cognitive behavioral therapy (CBT) appears to be helpful in managing
the symptoms of bipolar disorder. A meta-analysis published
in 2017 concluded that "CBT is effective in decreasing the relapse rate
and improving depressive symptoms, mania severity, and psychosocial
functioning." The studies reviewed showed that the effects of CBT were
"mild to moderate," and the improvements were most significant if a
person attended sessions of 90 minutes or longer. CBT can help people to
identify negative and destructive habits and behaviors, and to change them to
more positive ones.
d.
Clinical support and treatment
A psychiatrist who specializes in bipolar disorder will
normally guide a person's treatment.
Sometimes there may be a wider team of professionals,
including a social worker and a counselor.
e.
Medications
Various medications are available to treat the disorder.
Doctors do not usually prescribe antidepressants alone for a person with
bipolar disorder, even during a low mood, because they can trigger a manic
episode. For this reason, the person will normally use an antidepressant with a
mood stabilizer or antipsychotic. A doctor may recommend hospitalization if a
patient is experiencing psychosis or if their symptoms may pose a danger to
themselves or other people.
Article courtesy of Medical News Today
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