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The treatment of BP-II consists of the following: treatment of hypomania, treatment of major depression, and maintenance therapy for the prevention of relapse of hypomania or depression. As BP-II is a chronic condition, the goal of treatment is to achieve remission of symptoms and prevention of self-harm in patients. [1]
A recent large-scale study found that severe depression in patients with bipolar disorder responds no better to a combination of antidepressant medications and mood stabilizers than it does to mood stabilizers alone and that antidepressant use does not hasten the emergence of manic symptoms in patients with bipolar disorder.
The rates of bipolar II combinations without bipolar I are lower—bipolar II at 23 and 17%, and bipolar II combining with cyclothymia at 33 and 14%—which may reflect relatively higher genetic heterogeneity. [54] The cause of bipolar disorders overlaps with major depressive disorder.
Although bipolar disorder is a chronic mental health condition, treatments are available to help manage it. This includes medication, psychotherapy, and lifestyle strategies.
Besides pharmacological treatment of bipolar disorder, psychotherapy is also utilized. Individuals with bipolar I and II who underwent family-focused therapy alongside pharmaceutical treatment were found to have around 30 percent less relapse and re-hospitalization than bipolar individuals who didn't.
Lithium Lithium is the "classic" mood stabilizer, the first to be approved by the US FDA, and still popular in treatment. Therapeutic drug monitoring is required to ensure lithium levels remain in the therapeutic range: 0.6 to 0.8 or 0.8–1.2 mEq/L (or millimolar).
[86] [87] Major depressive disorder medications usually include antidepressants; a combination of antidepressants and cognitive behavioral therapy has shown to be more effective than one treatment alone. [88] Bipolar disorder medications can consist of antipsychotics, mood stabilizers, anticonvulsants [89] and/or lithium.
Noting that medication-assisted treatment “is a high priority” for HHS, a department spokesperson told HuffPost in late December that the agency is “working quickly to update the rules.” Making sure that every opioid addict who wants medication-assisted treatment can receive it — the Obama administration’s goal — will require a ...
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