How to treat bipolar depression?

Bipolar disorder is highly treatable, but not curable.

Dealing with it effectively concentrates on managing mood swings and preventing relapses:

  1. Medications
    Green medicine on a pink background.
    • Mood stabilizers

Lithium (the gold standard).

    • Antipsychotics

E.g., quetiapine, olanzapine (helpful in mania or bipolar depression).

    • Antidepressants

Used cautiously, often with mood stabilizers.

    • Anticonvulsants

Like valproate or lamotrigine.

  1. Psychotherapy
    • Cognitive behavioral therapy (CBT).
    • Psychoeducation (learning about your condition).
    • Interpersonal and social rhythm therapy (IPSRT): Stabilizing routines and sleep patterns.
    • Family therapy if support is needed at home.
  1. Lifestyle management

    • Regular sleep schedule.
    • Tracking moods (apps or journals).
    • Avoiding alcohol/drugs.
    • Stress reduction strategies (like mindfulness or exercise).

Without treatment, bipolar disorder can:

    • Lead to job/relationship problems.
    • Increase risk of suicide (particularly during depressive episodes).
    • Be mistaken for other conditions like ADHD, depression, or BPD.

Roughly 1 in 5 people with bipolar disorder die by suicide, which is why early diagnosis and ongoing care are crucial.

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