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Patients with bipolar disorder may be noncompliant with drug therapy for a number of reasons, including denial or failure to believe that they have an emotional disorder ,reluctance to give up the pleasurable experience of mania, and drug side effects. Ego plays a large role - there is a tremendous amount of hubris and grandiosity among bipolars in the early phases of recovery - such an ego recoils at the affront of being told what to do.
Benefits of lithium and other drugs
In therapeutic doses, lithium is often effective in treating and preventing manic episodes. However, the side effects of therapeutic doses of lithium …show more content…
The risk of suicide is even higher in people with bipolar disorder who have frequent depressive episodes, mixed episodes, a history of alcohol or drug abuse, a family history of suicide, or an early onset of the disease. The depressive phase of bipolar disorder is often very severe, and suicide is a major risk factor. In fact, people suffering from bipolar disorder are more likely to attempt suicide than those suffering from regular depression. Furthermore, their suicide attempts tend to be more lethal.
The reported difference in suicide rates for males and females is partially a result of the methods used by each gender. Although females attempt suicide at a higher rate, they are more likely to use methods that are less immediately lethal. Males frequently complete suicide via high mortality actions such as hanging, carbon-monoxide poisoning, and firearms. This is in contrast to females, who tend to rely on drug overdosing.[13] While overdosing can be deadly, it is less immediate and therefore more likely to be caught before death occurs.
About four times as many males than females die of suicide. The method used seems to account for some of the difference. Firearms account for about 56 percent of the suicides by …show more content…
Researchers from the National Institute of Mental Health (NIMH) are studying how these interventions compare to one another when added to medication treatment for bipolar disorder. More detailed information about each psychosocial treatment is as follows: Cognitive behavioral therapy helps people with bipolar disorder learn to change inappropriate or negative thought patterns and behaviors associated with the illness. Psychoeducation involves teaching people with bipolar disorder about the illness and its treatment, and how to recognize signs of relapse so that early intervention can be sought before a full-blown illness episode occurs. Psychoeducation also may be helpful for family members.
Family therapy uses strategies to reduce the level of distress within the family that may either contribute to or result from the ill person's symptoms.
Interpersonal and social rhythm therapy helps people with bipolar disorder both to improve interpersonal relationships and to regularize their daily routines. Regular daily routines and sleep schedules may help protect against manic episodes.
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