Bipolar disorder can be a severely disabling medical condition. However, with appropriate treatment, many people with bipolar disorder can live full and satisfying lives. Although it often doesn’t seem like it when they are actually ill, people with bipolar disorder are likely to have periods of normal or near normal (whatever that is) functioning between episodes, and with correct bipolar disorder treatment in the form of management, therapy and medication, they can become practically symptom free.
Ultimately the prognosis depends on a range of factors, many which are under the bipolar person’s control:
Needless to say avoiding any form of self-medication like alcohol and street drugs, should be at the top of the list.
Although bipolar disorder cannot be cured, it is not a life sentence. It might take a while to find the right therapist and to get the medications and the balance sorted out, but with some personal effort, a bipolar person can live a life without the terrifying roller coaster highs and lows.
Sure there are other factors that contribute to a good prognosis, like being very aware of small changes in one's energy, mood, sleep and eating behaviors, as well as having a plan together with one’s doctor for how to manage these subtle changes that might indicate the beginning of a mood swing.
It is always better to manage a mood swing when one catches it in the early stages. Some people find it helpful to keep a log book of their moods, others keep a journal.
It is easier to know when one is depressed than to realize when one is getting manic. The early part of mania, the hypo-mania, feels so good; one just doesn’t want it to end. For this reason it is a safe option for the bipolar person to appoint a good friend, partner or relative as a monitor to help keep an eye on the mood swings, especially when the person is getting high.
By the time most people are diagnosed with bipolar disorder, they are pretty scarred by life from being tossed around in the roller coaster car and they usually have a few disasters behind them. They have often become addicted to drugs or alcohol in order to self-medicate because they didn’t understand what they were feeling. This means that other problems, like anxiety disorder or alcoholism, may affect people with bipolar disorder.
It's also possible for mania and depression to be present at the same time. This is the absolute worst: one feels high and energetic and terrible and low and lethargic and agitated all at the same time. In this mixed state, people often experience combinations of agitation, disturbances in sleep and appetite, suicidal thoughts and psychosis. This is a true, absolute down-and-dirty, manic depression!
There are three basic parts of bipolar disorder treatment. They are medication, therapy and learning more about the condition so you can take care of yourself. The tricky part is to keep focused on a steady routine, a regular sleep pattern, a sober and healthy lifestyle, keeping stress levels low, therapy regular and a committed psychiatrist monitoring the medication.
Don't try to do it alone.
Sources:
Depression and Bipolar Support Alliance
The Bipolar Disorder Survival Guide – David J. Milkowitz, PhD – What you and your family need to know
Bipolar Disorder: Cause Symptoms, Diagnosis and Treatment
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