A new study examines why this happens, finding six key factors that stop people who have bipolar disorder from taking their medications. The reasons include unpleasant side effects, difficulty in remembering to take the medications, fear of addiction, and preference for an alternative treatment.
“Without medication, there could be severe consequences related to poor decision making, at-risk behaviors, sleeplessness, spending sprees, social withdrawal, lack of personal hygiene, trouble meeting professional or school obligations, psychosis, or worse case, suicide,” Bressler says.
Bipolar disorder requires lifelong treatment with medications, even during periods when you feel better. People who skip maintenance treatment are at high risk of a relapse of symptoms or having minor mood changes turn into full-blown mania or depression.
The known maladaptive types of coping mechanisms, or negative coping skills, evident in BD patients are “… rumination, catastrophism, self-blame, substance use, risk-taking, behavioral disengagement, problem-direct coping, venting of emotions, or mental disengagement” (Apaydin & Atagun, 2018).
People living with or caring for someone with bipolar disorder can have a tough time. During episodes of illness, the personalities of people with bipolar disorder may change, and they may become abusive or even violent. Sometimes social workers and the police may become involved.
In a survey conducted by the Depression and Bipolar Support Alliance, almost nine out of every 10 people with bipolar disorder said the illness had affected their job performance. More than half said they thought they had to change jobs or careers more often than others.
Adverse effects were the most common cause for lithium discontinuation. Among the adverse effects, diarrhoea, tremor, creatinine increase, polyuria/polydipsia/diabetes insipidus and weight gain were the top five reasons for discontinuing lithium.
The life expectancy for someone with bipolar disorder is approximately 67 years old. A 2021 study researched the effect of bipolar disorder on longevity and found that: risk of death is 2.6 times greater than the general population. the average life span is between 8–12 years shorter than the general population.
Bipolar disorder can cause your mood to swing from an extreme high to an extreme low. Manic symptoms can include increased energy, excitement, impulsive behaviour, and agitation. Depressive symptoms can include lack of energy, feeling worthless, low self-esteem and suicidal thoughts.
Not everyone experiences bipolar the same way, however, it is estimated that at least 75 per cent of people diagnosed with bipolar disorder will relapse, even when following a treatment plan.
Bipolar disorder may worsen with age or over time if the condition is left untreated. As time goes on, a person may experience episodes that are more severe and more frequent than when symptoms first appeared.
you don't like the idea of staying on medication long-term. you've been advised by someone you trust to come off your medication because it's not safe, for example due to side effects or a change in your symptoms. you've found other ways of coping or other treatments that help, which you feel are enough.
You may think that leading a happy, successful life is all but impossible after being diagnosed with bipolar disorder. The good news is that bipolar disorder can absolutely be managed and it is possible to lead a fulfilling and productive life even when there are challenges.
Are my periods of happiness just mania? My short answer is: Yes, a person who lives with bipolar disorder can certainly be truly happy.
People with bipolar disorder may face unique challenges as a result of their condition, but they're fully capable of leading happy, healthy, successful lives.
1. Mariah Carey. Singer, songwriter, actress and producer Mariah Carey has won too many awards to list. The iconic artist opened up in 2018 about her 2001 diagnosis of bipolar disorder, in which she was hospitalized for a physical and mental breakdown.
Ups and downs are natural in any romantic relationship, but when your partner has bipolar disorder it can feel like you're on an emotional rollercoaster. Not knowing what to expect each day is stressful and tiring. Over time, it wears on the relationship.
People with bipolar disorder who are in a manic phase can have exaggerated emotional responses and can be witty, inventive and have high cognitive capabilities. They are also capable of sustained concentration and have high stamina, and so can achieve much more than people without the disorder.
Unless their condition is causing noticeable dysfunction that makes you feel uncomfortable or unsafe, it's perfectly okay to date someone with bipolar disorder I or II. Every person you date is likely to have different strengths and needs. That same logic goes for people with mental health conditions.
With ongoing treatment and self-management, people with bipolar disorder can maintain a stable mood for extended periods. During intervals of recovery, they may have few or no symptoms. Although periods of recovery are possible for some people with bipolar disorder, others may not have them.
How many hours should someone with bipolar disorder sleep? People living with bipolar disorder should aim to get the recommended amount of sleep for their age. The Centers for Disease Control and Prevention (CDC) recommends more than seven hours per night for adults.