Treating Bipolar Disorder

Bipolar disorder, also known as manic depression, is a mental illness characterized by periods of depression and periods of mania. It requires lifelong treatment, even during periods of remission. Treatment is provided by a psychiatrist, possibly in conjunction with a psychologist, social worker, psychiatric nurse, and/or other mental health professional.

There is no known cure for bipolar disorder. Treatment is aimed at controlling symptoms of the condition. There are several component of treatment.

Medications

Medication is a core component of treatment for bipolar disorder. Most people with bipolar disorder will need to be on medication throughout their lives. There are several types of medications that are useful in the treatment of manic depression.

Mood stabilizers are one most commonly used medication. Lithium (Eskalith, Lithobid) is used to regulate and stabilize the mood. It prevents the both depression and mania.

Anticonvulsive medications or anti-seizure drugs are also used to treat bipolar disorder. Medications such as divalproex (Depakote) and lamotrigine (Lamictal) are used to prevent mood swings. These are particularly useful for people with rapid cycling bipolar disorder.

Certain antipsychotic medications, such as olanzapine (Zyprexa), resperidone (Risperdal), and quetiapine (Seroquel) are sometimes used for people who don't respond to anticonvulsive medications. They help to regulate the mood and prevent mood swings.

Antidepressants may be used to during depressive episodes or to prevent depressive episodes, but must be used with care because in some cases they can trigger a manic episode.

It is important for people with bipolar disorder to continue taking their medication, even during periods between episodes of depression and mania.

Psychotherapy

Psychotherapy is another important component of treatment for manic depression. There are several types of therapy that may be helpful.