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Mental Health

Treatments for Bipolar Disorder

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Bipolar disorder, or manic depression, is a mental illness which causes mood swings and mood cycling. Mood cycling refers to the transition between mania and depression. Mania, or manic episodes, typically consist of feelings of elation and invincibility, and cause disorientation, lack of sleep, and obsessive behaviors. Depression typically consists of feelings of overwhelming sadness and low self worth.

There are many treatments available for bipolar disorder, ranging from medications to therapy. There are too many medications to be discussed here in depth. There are also many forms therapy can take, and techniques that can be learned to assist the patient in gaining some control over their bipolar disorder.

Typically, bipolar disorder is treated with more than one medication. This is due to the dual nature of bipolar disorder. Most patients need at least two medications: one to control depression and one to control mania. The combination of these two types of medication works to obtain balance in moods and stop mood cycling. Often, a third medication, called a mood stabilizer, is also prescribed. The most common mood stabilizer is Topomax.

Popular medications for treatment of mania in bipolar patients include lithium, valproate (Depakote), carbamazepine (Tegretol), olanzapine (Zyprexa), and ziprasidone (Geodon). Lithium has long been considered the miracle drug of bipolar disorder. It is a sodium based medication that helps to balance the chemical imbalance in the brain that causes manic episodes in bipolar patients.

Valproate, or Depakote, was originally developed as a seizure medication. However, its effects on bipolar patients who have rapid cycling bipolar (moods that cycle every few hours or days rather than weeks or months), it has been quite effective. Carbamazepine, or Tegretol, is another anti-seizure medication. While it appears to have similar effects on bipolar disorder as Depakote, it has not yet been approved by the Food and Drug Administration for use as a bipolar disorder treatment.

Olanzapine, or Zyprexa, and Ziprasidone, or Geodon, are both anti-psychotic drugs, and are particularly effective for treatment of bipolar disorder in which mania becomes so severe that psychotic symptoms are present.

Medications for treatment of depression are called anti-depressants. Common anti-depressants include citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). All of these medications have been proven to be successful treatments for depression, although Celexa and Prozac are the most commonly prescribed.

Typically, treatment of bipolar disorder includes a combination of medications and therapy, or counseling. However, in some cases, medication may not be necessary for milder cases of bipolar disorder. In other cases, medication may not be desired by the patient, and the patient may wish to seek out other alternatives to medication for treatment of their bipolar disorder.

For these patients, Cognitive Behavioral Therapy (CBT) can be quite effective. CBT is a method of bipolar disorder treatment that involves teaching the patient techniques to recognize triggers and symptoms of their mood cycling, and use that information and recognition to prevent the triggers from occurring, or the mood cycling from being quite as severe. Most of these techniques require the patient to develop cognitive thinking skills as well as critical thinking and problem solving capabilities. If the bipolar disorder is severe to the point that the patient is unable to engage in these thinking abilities and skills, CBT may not be a viable form of treatment in and of itself.

Overall, there are many treatments available for bipolar disorder. There are many options for the patient that can be discussed with the patient’s doctors. If a patient is not satisfied with the form their treatment is taking, they should discuss it with their doctor, and not be afraid to change doctors in order to change treatment methods. All in all, effective and successful treatment of bipolar disorder rests in the hands of the patient.

Mental Health

CBT as Treatment for Bipolar Disorder

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Bipolar disorder, known by many as manic depression, is a mental illness caused by a combination of factors, including neurological, biological, emotional, and environmental factors. It is most commonly described as mood cycling or mood swings, in which the patient cycles through moods of depression, mania, and normal behavior.

There are many treatment options for bipolar disorder. The most common treatment for bipolar disorder includes a combination of medication and therapy. However, some patients are not candidates for medication treatment. Patients that have a history of drug abuse, for instance, should in most cases not be placed on medication for bipolar disorder, as the risk for abuse is too great. Additionally, patients may not have a case of bipolar disorder severe enough to warrant medication. Other patients may choose to avoid the route of medication until it becomes absolutely necessary.

In response to these special cases in which medication treatment is not a viable option for bipolar disorder, that Cognitive Behavioral Therapy, or CBT, was developed. CBT is a type of therapy that assists patients in recognizing triggers and causes for their manic and depressive states. The patient can then learn techniques to avoid these triggers, and cope with symptoms during episodes. Seventy percent of bipolar disorder type one patients that undergo CBT experience one or fewer episodes within four years of starting the CBT treatment.

There are two main goals that are met by using CBT as treatment for bipolar disorder. The first goal is to recognize manic episodes before they become uncontrollable, and consciously change how they react to the episode. The second goal is to learn techniques, reactions, thoughts, and behaviors that can help to offset depression. These goals are realized through various techniques and activities prescribed by the therapist. With CBT, the treatment of bipolar disorder rests with the patient, who is given homework in the form of exercises and reading, which helps them to understand their condition and learn methods to cope with it.

The first step to successful treatment of bipolar disorder through CBT is to develop a treatment contract with the patient. This is a treatment plan that the patient agrees to follow, and also involves the patient’s promise to complete all homework assignments and take any prescribed medication as directed. Because the success of CBT depends largely on the patient’s responsibility and desire to cope with bipolar disorder, this is an important first step to successful treatment.

The second step to successful treatment of bipolar disorder through CBT is to monitor and grade moods. This is done with various worksheets that the therapist gives the patient. The patient may record their mood for the day, how many hours they have slept, their level of anxiety, and their level of irritability. Those with type two bipolar disorder may need to record their mood two or more times per day, as their moods cycle more often.

Understanding the pattern to mood cycling can help the patient then undergo the next step to CBT treatment for bipolar disorder. This step of CBT for treatment of bipolar disorder requires the patient to do homework in the form of worksheets and reading that will help the patient to understand how their thoughts effect their emotions. By understanding these things, the patient will be able to then practice altering their thoughts in a rational way to make emotions more rational as well, decreasing the number and severity of depressive and manic episodes.

The next step to CBT treatment for bipolar disorder is to learn how to recognize triggers. Triggers are the thoughts, emotions, situations, times of year, events, or environments that set off a depressive or manic episode. By learning how to understand and recognize their triggers, the patient can then learn to avoid the triggers entirely, thereby decreasing the number and severity of depressive and manic episodes.

Overall, CBT is a viable and quite successful treatment for bipolar disorder, and can be a healthy alternative to medication in some cases. If you feel you may be a candidate for CBT, you should contact your doctor or therapist to discuss this and other bipolar disorder treatment options.

Mental Health

Psychiatric Evidence of Bipolar Disorder

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Bipolar disorder, or manic depression, is a serious mental illness that has eluded doctors for decades. For many years, bipolar disorder patients were diagnosed as psychotic or Schitsophrinia. However, about twenty years ago, manic depression became a more common diagnosis. Psychiatric specialists still, however, did not really understand the illness.

Over time, more psychiatric evidence has come to light that proves that bipolar disorder, as it is now called, is actually caused by chemical imbalances in the brain. Other factors, both medical and situational, can be involved as well. In the last few years, psychiatric specialists and researchers have determined that bipolar disorder actually has varying degrees of severity, as well as types of symptoms.

Studies of bipolar patients conducted by psychiatric professionals and researchers has long suggested that bipolar disorder runs in families, or, in other words, is hereditary. Through careful study and research of the functions of the brain, it has now been determined how this illness is indeed hereditary and biological in nature.

According to research posted in the American Journal of Psychiatry in 2000, patients with bipolar disorder actually have thirty percent more brain cells of a certain class that have to do with sending signals within the brain. These additional brain cells cause patients’ brains to actually behave differently, making them predisposed to have periods of mania or depression.

According to researchers, this type of brain cell regulates moods, how someone responds to stress, and cognitive functions. When the extra brain cells are present, a congestion of cells regulated one type of mood or cognitive function is overloaded, and therefore causes a bout of mania or depression. It is not yet known by psychiatric researchers, however, why patients with bipolar disorder have these additional brain cells. To discover this, more genetic research will be required.

In addition to brain cells and brain chemistry, it has also been speculated by psychiatric researchers that various genes in the genetic makeup of bipolar patients can also contribute to the cause of and hereditary nature of bipolar disorder. Studies have been ongoing experimenting with removal of the gene in mice. The evidence suggests that circadian genes, which regulate mood, hormones, blood pressure, and heart activity may be linked to bipolar disorder. Specifically, the absence or abnormality of the gene actually seems to bring about mania episodes.

All in all, more research needs to be done. Medical and psychiatric researchers and doctors have a lot more to learn about the brain and how it functions. While current treatments seem to work for bipolar disorder, they also have severe side effects. Often, medications prescribed for bipolar disorder have to be monitored, dosages modified, or medications switched entirely for patients to maintain balance. The more we learn about the brain and it’s functions, the more we can learn about the physical, biological causes of bipolar disorder. The more we learn about the causes of bipolar disorder, the more likely it will become that effective treatments can be found that offer little side effects and more permanent treatment options for bipolar patients.

Mental Health

Childhood Treatment Options for Bipolar Disorder

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Bipolar disorder, or manic depression, has in past years only been found in adults, while children with similar symptoms have been mistakenly diagnosed as have attention deficit disorder (ADD), or attention deficit hyperactivity disorder (ADHD). However, in recent years, psychiatrists and pediatricians have found that bipolar disorder definitely rears its ugly head in childhood as often as it does in adolescent or adult years.

Diagnosis of bipolar in childhood increases the chances for bipolar patients to have successful treatment and ordinary, uninhibited lives as adults. However, treatment options of bipolar in childhood is a controversial subject. Many doctors wish to medicate first, and regulate with therapy in addition to medications. However, many parents and some psychologists disagree with these methods.

Overall, many parents discover that once their child has been put on bipolar medications, the child seems to lose some of their personality traits that endear them to the parents. Children, and adults, who have been overly medicated or medicated when not absolutely necessary lose a sense of who they are. Some medications can make children overly despondent, seeming “out of it” or “spacey.” This causes concern for parents and doctors, and raises the question of whether or not the child is really better off on medication.

Play therapy can be quite effective in helping children with bipolar disorder live more successful childhoods. This play therapy typically involves placing children in various hypothetical situations in which they must work out a logical and emotionally healthy solution. While play therapy is very successful in some children, it is not enough for others. In certain childhood cases of bipolar disorder, the mood swings and symptoms are so severe that the child is not able to control their actions or emotional reactions to stimuli and situations.

Cognitive behavioral therapy is a fairly new method of therapy for bipolar patients in which the patient learns to recognize symptoms of their illness, triggers for mood swings and inappropriate behavior, and alternatives to inappropriate behavior. Cognitive behavioral therapy also allows the patient to discover what he or she can do to avoid manic or depressive episodes, and how to manage the episodes more effectively. In adults, this treatment option is very viable, and works well both in conjunction with and without medication treatment.

However, cognitive behavioral therapy requires a level of problem solving and critical thinking that is not often present in childhood. For this reason, it is not commonly used in children with bipolar disorder under a certain age or maturity level. Some believe that the techniques learned through cognitive behavioral therapy could be equally viable in treating childhood bipolar disorder if the exercises and learning could be geared toward children. This, however, could prove difficult.

In the end, treatment options must be discussed with pediatricians, psychiatrists, psychologists, parents, and teachers. Everyone involved in childhood must be involved in the treatment process in order for it to be successful. If a parent or teacher has concerns about the effects of childhood treatment for bipolar disorder in their child or student, those concerns should be expressed immediately so that changes in treatment can be made. Additionally, parents should not be afraid to change doctors if they feel their child is not benefiting from treatment or medication.