Get - O - Life

Home Organization for the Organizationally Challenged
Home     Clutter     There is a METHOD to the madness     Organized Finances     About Bonnie     Sanctuary     Site Map      
What is Sanctuary?
Bipolar Land
Be Careful
Reality
Boundaries
Stay or Leave
Translation, Please
Why not work?
Medication
Why so common?
Too Stressful
What to do
Stickers
To medicate or not to medicate, that's just a silly question!
There are dozens of good places online to look for specific information about medications. I'd recommend http://www.crazymeds.org  to anyone who wants to look up medications and learn more about them.
 
I'm starting this page with non-medication treatments that are NOT a substitute for medication, but can help somewhat in addition to medication or in situations where a person totally refuses medication. These ideas may not help everyone, but they can't really hurt, either.
 
Toward the bottom, I am listing the different types of medications and what they are useful for. I'd have to update twice a day to keep up with all of the specific drugs available, so I'm just going to give some general guidelines and let you go to the drugmaker's website or crazymeds for specifics. 

 
Ideas to add to medication

I was thinking about compiling some of the non-drug treatments that seem to work with children and adults. A few that come to my mind:

1. Get them outside in the sunlight every chance you get. Fresh air and sunshine are good for you--grandma was right.

2. A little exercise, even a short walk on a regular basis, makes anyone feel better and healthier.

3. Get to bed at a reasonable hour and get enough sleep. (Important for BP and SO)If you have trouble getting to sleep, do relaxing things--not stimulating things. Turn off the TV.

4. Get up at a reasonable hour each morning. Sleeping during the day and being up at night may work for some people, but it is easier to get enough sunlight if you are awake in the daytime. It is also easier to get things done during the day when businesses are open and other people are awake.

5. Writing notes or lists can make chore lists less personal than telling a person what to do. They also help for people who have little or no memory. A person has to want the notes, though. Troy (my bp dh) does well with notes in certain moods, but hates them otherwise.

6. Be very simple and specific when listing chores or making requests. It is more likely to be done, and done correctly, if the person understands exactly what is expected.

7. Sometimes it is easier to work together or side by side. It keeps everyone on task and doesn't set up a master/servant mentality.

8. Keep responsibilities and expectations reasonable for the person at this time. Remember to raise, as well as lower, expectations during different stages of the cycle. (Personal note: Please do not make a mentally ill person responsible for the care of any animal unless you are willing to step in and take over--no creature should have to suffer that.)

9. Watch the diet and particularly notice what is eaten before mood changes.
Some people are sensitive to sugar, food colorings, and other items that you can avoid if you are aware of them.

10. Set and maintain reasonable boundaries. Do not allow anyone to hurt you, others, or themselves. Make consequences as logical as possible--we want to stop the hurtful behavior or control its effect. Boundaries do not punish.
For example: "If you speak to me cruelly, I will leave the room and not listen to you." Or "If you drink at the party, knowing how alcohol affects you, I will go home without you and you will be on your own until you come to your senses."

That's a start--anyone having something to add, please do.


 
Mood Stabilizers

Lithium is the true, original mood stabilizer. There are a few anti-epileptic and anti-psychotic drugs that have a mood stabilizing property. Depakote, Lamictal, and Tegretol are other drugs that are used as mood stabilizers.

 
Anti-psychotics

Seroquel, Zyprexa, Abilify, and Geodon are all atypical anti-psychotics--drugs that are used to stop a manic episode or to prevent another one if there is a history of psychotic episodes. These drugs are frequently added to a mood stabilizer, but may be used alone or in combination with other meds.

 
Anti-depressants

Anyone who has seen a psychotic manic episode should be aware that taking anti-depressants without an opposing mood stabilizer or anti-psychotic can trigger such an episode in people who are prone to manic episodes. Any doctor who prescribes unopposed anti-depressants to a person with a history of manic episodes should be forced to deal with that person until they can be stabilized. They definitely wouldn't do it twice.