MedifocusHealth

Behaviors associated with bipolar disorder can have significant consequences on the patient's quality of life. Impaired thinking and judgment can lead to poor decision making and impulsiveness. This can have disastrous effects on one's physical and sexual health, financial and social wellbeing, and performance at work or school. Bipolar disorder can also cause significant stress on family and friends of the patient. Relationships can suffer even during periods between episodes if there are residual symptoms of depression or mania present.

According to the American Psychiatric Association, up to 60% of patient suffering from Bipolar I report ongoing interpersonal and/or occupational related problems between episodes. Divorce rates for couples where one spouse is bipolar is 2-3 times higher than for the general population and job status is twice as likely to deteriorate as in the normal population.

Education regarding the condition is helpful not only for the individual, but also for the family, co-workers, and classmates to foster understanding of changes in moods and behaviors that the patient experiences. Resource organizations, (e.g., National Depression, Manic Depression Association and the National Institute of Mental Health) have very helpful publications, newsletters, and support services.

Printed educational material from organizations can be very helpful as it enables the patient to read about bipolar disorder during periods between episodes when they may be more receptive. It is also beneficial for friends and family to be able to understand, cope, and more effectively help the bipolar patient.

It is most beneficial for the person with bipolar disorder to take steps to minimize the risk of relapse of episodes. In order to do this, the person with bipolar may wish to consider the following suggestions:

• Continue to take your medication exactly as the doctor prescribed and don't make any changes without consulting your physician.

• Develop regular sleep patterns. Go to bed at about the same time every night and get up in the morning at the same time. Inadequate sleep can cause chemical changes that can trigger an episode.

• Maintain a regular pattern of daily activity.

• Don't use any drugs or alcohol, even small amounts. Consult your doctor before taking any over-the-counter drugs for cold, allergies or pain. They may be contraindicated with the medications that you are taking. Some people with bipolar are also encouraged to refrain from drinking caffeine.

• Get family and friends involved with your care and ask them to be your eyes and ears to notice any changes in your behavior, normal routines, or moods.

• Recognize triggers and early warning signs of impending changes of mood and notify your doctor. Pay particular attention to changes in:

  • mood
  • sleep pattern
  • energy
  • self esteem
  • sexual interest
  • thoughts of death
  • grooming habits

• Monitor your progress by filling out a mood chart (available from your health care provider or online) which keeps track of feelings, activities, sleep patterns, medications and side effects, and important life events. Note any changes.

• Join a support group that provides useful information regarding bipolar disorder and its treatment. Through the support group, the bipolar patient is able to benefit from hearing others with bipolar describe: