I. Bipolar disorder regression.
1. a natural illness period of 3 months for general mania and 6 months for depression.
2.After 6~9 episodes, the disease period is fixed at 6~9 months.
3, the first patient after 2 years, 40~50% to relapse; even lithium maintenance will have 40~50% of relapse.
4, recurrence is basically independent of life triggers.
5, lifetime relapse rate can be as high as 93%, 45% more than one relapse
6, 20-30% of bipolar 1 and 15% of bipolar 2 patients persist in emotional instability.
Second, the treatment of bipolar.
1.Treatment principles
(1) First choose safe and effective drugs, mainly mood stabilizers.
(2) Timely combination of medications according to the needs of the condition.
(3) Regular monitoring of blood levels.
(4) A drug with poor efficacy can be changed or another drug added; to determine that a mood stabilizer is ineffective, factors such as compliance and low blood concentration should first be excluded, and the medication should be greater than 3 weeks.
2.Application of depressants in biphasic
When bipolar type I rapid cycling, antidepressants should not be used, and MECT is preferable.
Biphasic type II mild and moderate depressive episodes should be used with caution to prevent turning manic and making the cycling frequency faster; if the depression is very heavy and lasts for more than 4 weeks, and previous episodes are mainly depression, it can be used in combination under the premise of adequate use of mood stabilizers.
Third, the purpose of complementary psycho-behavioral treatment ;
1. to reduce and alleviate symptoms.
2.Improve compliance in patients who are taking medication.
3. correction of secondary adverse psychosocial consequences.
4. to maximize the restoration of psychosocial and occupational functions of the patient
5.Cooperative medication and relapse prevention.