Bipolar disorder treatment is not new. Men of medicine were treating for it before they even knew what it was. Yet every year new medications and methodologies are added to the bipolar disorder treatment.
Although first recognised in the second century A.D., bipolar disorder has struggled as a diagnosis to become accepted. Bipolar disorder treatment up to and through the 1960’s, if any, was usually comprised of either locking the patient away or leaving him or her to fend for him or herself.
In the 1970’s manic-depression, as it was then called, began to become seen as an accepted diagnosis and therefore, bipolar disorder treatment began in earnest. At that time, laws were enacted and standards set to help those who sought bipolar disorder treatment.
In bipolar disorder treatment, the first thought may be the use of medications. They are, actually, a powerful tool in the management of the disorder. One only needs look at the vast array of medications that is available to see that medication has been extensively used in bipolar disorder treatment.
Lithium carbonate was the first major breakthrough in the medications for bipolar disorder treatment. It belongs to a class of medications called “mood stabilisers”. These medications help to prevent or ease manic episodes. They also help to ward off the extremes of depression, such as suicide.
Bipolar disorder treatment may also include the use of other mood stabilisers that were originally used as anticonvulsants. These have been shown to have a great effect on mood. Some of these, such as valproic acid and carbamazepine, are tried and true. Lamotrigine, gabapentin, and topiramate have also been used for this purpose but not conclusively proven effective.
Caution must be taken in the use of antidepressant therapy as a part of bipolar disorder treatment. Mood stabilisers are usually tried first, because antidepressants can trigger manic episodes or rapid-cycling. If an antidepressant must be used, there are certain ones which are less likely to cause these problems. One of these is bupropion.
The treatment of psychotic symptoms has evolved quickly in modern times. At first, there were powerful anti-psychotics. The first of these were said to put the mind in a “mental strait-jacket”. They virtually stopped all thought. They also had an intense side effects known as tardive dyskinesia. This causes permanent neurological damages. Researchers, then were trying to find alternatives that would cause less, or even no, damage in bipolar disorder treatment.
Other anti-psychotics were tried, and found to have fewer neurological effects. The newest of these medications are actually relatively safe when used as prescribed. They are also very helpful in bipolar disorder treatment both in psychotic episodes and even