Bipolar Disorder:
Preventing a Relapse

Home Treatment

Home treatment is important in bipolar disorder. In addition to taking your medications every day as prescribed, you can help control mood swings by:

• Getting enough exercise. Try moderate activity for at least 30 minutes a day, every day, if possible. Moderate activity is activity equal to a brisk walk. For more information, see the topic Fitness.
• Getting enough sleep. Keep your room dark and quiet, and try to go to bed at the same time every night.
• Eating a healthy, balanced diet. A balanced diet includes foods from different food groups, including whole grains, dairy, fruits and vegetables, and protein. Eat a variety of foods within each group (for example, eat different fruits from the fruit group instead of only apples). A varied diet helps you get all the nutrients you need, since no single food provides every nutrient. Eat a little of everything but nothing in excess. All foods can fit in a healthy diet if you eat everything in moderation. For more information, see the topic Healthy Eating.
• Control the amount of stress in your life. Manage your time and commitments, establish a strong system of social support and effective coping strategies, and lead a healthy lifestyle. Techniques to relieve stress include physical activity and exercise, breathing exercises, muscle relaxation, and massage. For more information, see the topic Stress Management.
• Avoid alcohol or drugs.
• Learn to recognize the early warning signs of your manic and depressive mood episodes.
• Ask for help from friends and family when needed. You may need help with daily activities if you are depressed or support to control high energy levels if you are experiencing mania.

Family members often feel helpless when a loved one is depressed or manic. Family members and friends can help by:

• Encouraging the person to take his or her medications regularly, even when feeling good.
• Learning the warning signs for suicide, which include:
  • Drinking heavily or taking illegal drugs.
  • Talking, writing, or drawing about death, including writing suicide notes.
  • Talking about harmful things, such as pills, guns, or knives.
  • Spending long periods of time alone.
  • Giving away possessions.
  • Aggressive behavior or suddenly appearing calm.
• Recognizing a lapse into a manic or depressive episode, and helping the person cope and get treatment.
• Allowing your loved one to take enough time to feel better and get back into daily activities.
• Learning the difference between hypomania and when he or she is just having a good day. Hypomania is an elevated or irritable mood that is clearly different from a regular nondepressed mood and can last for a week or more.
• Encouraging your loved one to go to counseling and join a support group, and joining one yourself if needed.

HealthyPlace.com Video Step-by-Step Strategies for Enhancing Well-Being: An Introduction to Cognitive-Behavior Therapy (for the Treatment of Anxiety and Mood Disorders)  - Dr. Otto discusses Cognitive-Behavior Therapy (CBT), an active treatment approach where patients learn to identify and change the emotional and behavioral patterns that underlie psychiatric distress. In CBT, both patient and therapist take an active role in treatment by discussing problematic patterns and actively rehearsing new ways of reacting to difficult emotions or situations. (windows media player. audio table of contents here).

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