Bipolar disorder can be controlled for symptoms through standardized treatment, but the probability of complete cure is relatively low. After the condition stabilizes, long-term maintenance treatment, combined with psychological intervention and lifestyle adjustments, can significantly reduce recurrence. Bipolar disorder is a chronic mental illness, and drug therapy is the core approach. Mood stabilizers such as lithium carbonate and sodium valproate can effectively control manic and depressive episodes, while antipsychotic drugs such as quetiapine and olanzapine can assist in improving symptoms. Continued medication is necessary even after relief of acute symptoms, and discontinuing medication without authorization may increase the risk of recurrence. Cognitive behavioral therapy in psychotherapy helps patients identify patterns of emotional fluctuations, while family therapy can improve interpersonal support systems. Regular sleep and moderate exercise can help stabilize the body clock, while avoiding caffeine and alcohol can reduce the triggers for emotional fluctuations. Some patients may have treatment resistance or comorbidities with other mental disorders, and the condition may recur. Patients with rapid circulation have multiple episodes per year and have poor drug response. Genetic factors and brain structural abnormalities may affect prognosis, and individuals who have experienced childhood trauma have a higher risk of recurrence. Electroconvulsive therapy is suitable for patients with severe suicidal tendencies or ineffective medication, and repeated transcranial magnetic stimulation has an improvement effect on refractory depression. The complete recovery of social function requires vocational rehabilitation training, and some patients need to maintain the minimum dose of medication for life.
Patients should establish a regular medical follow-up system and regularly monitor blood drug concentration and thyroid function. Keeping an emotional diary can help identify early signs of recurrence, avoid excessive stress and environmental stimuli. Family members need to learn about disease-related knowledge, promptly contact those who have abnormal words and actions, maintain a balanced diet and sufficient sleep, which are important for stabilizing brain chemicals. Relaxing exercises such as Tai Chi can alleviate anxiety. Even if the symptoms remain stable for a long time, it is not recommended to adjust the medication plan on one's own. Any changes in treatment should be carried out under professional guidance.
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