DOB: 9-13-92 Treatment Plan Date: 10-9-06 Treatment Plan Review Date: 3-19-07 Other Agencies Involved: Plan to Coordinate Services: Jack Horner, M.D., Child Psychiatrist As needed, but at least 1 time every 3 months. Each person diagnosed with bipolar disorder has their own personal treatment plan. Taking preventative measures and directly dealing with stress are ways to reduce the impact of stress on you. Learn how your comment data is processed. Otherwise, you will have a whole lot of unwanted drama in your life. Stop carrying credit cards and avoid stores. Crisis and Treatment Plan. I would like to share my top short-term treatment goals with you today. If you or someone you know are experiencing a medical or mental health crisis that requires immediate intervention, please seek out emergency services. When you determine your routine, make sure it is realistic and doable. Nobody else can do the job of creating the Plan for you! Some may apply, but others will not. There are several key aspects to a person’s mental health.This bipolar treatment plan overview is based on those key aspects. Atypical antipsychotics should be given for patients with schizoaffective disorder, bipolar type, particularly when psychotic and manic symptoms are present. You can turn your life around and improve your condition by following some straightforward, practical steps. As always, well help  you sort out the myths and distortions from the evidence-based facts,  and you can of course unsubscribe at any time. 2. Although there is a distinction between bipolar I disorder and bipolar II disorder regarding the existence of mania ver-sus hypomania, we will focus on bipolar I disorder because it is the more common and better understood of the two conditions. Experiment until you find healthy coping techniques. Difficulty getting to sleep or staying asleep. Routine. 3. Before including a strategy in your plan, consider these questions: 2. Creating a routine is instrumental in … I use these goals as ways to initiate action, as it can be extremely difficult to focus when my mind is in chaos. Using “talk therapy” in conjunction with medication, Promptly scheduling additional appointments if early warning signs appear and following suggestions for medication or dosage changes, Abstain from alcohol and recreational drugs, Avoid over-committing to too many work-related or other activities, Avoid known stress triggers, especially if they have triggered episodes in the past, Eat regular meals, including plenty of protein, minimal simple/refined carbohydrates and saturated fat, and plenty of omega-3s/fish oil, vitamin B12 and folic acid, Getting regular physical checkups and treating any common co-morbid conditions such as thyroid imbalances and diabetes. Fill in your own ________________________, Drinking alcohol or using recreational drugs. Taking inappropriate medication such as certain stimulant ADHD drugs or SSRI antidepressants which may trigger mania in people with bipolar disorder. Stressful events at home, in the workplace or at school, Travel, especially if it involves jet lag, Changes in routine such as moving house or changing jobs, Stopping your bipolar disorder medication, even though it is working effectively as a mood stabilizer, Relationship break-ups or conflict in personal relationships, Engaging in highly stimulating activities with an “addictive” component such as gambling, online gaming, Internet chat, day trading or Forex, Physical illness, especially thyroid malfunction or diabetes. Make sure you have the following components as part of your daily routine: Most people understand there are basic measures to follow, but it is an entirely different thing altogether to actually implement them. I have always done that and will continue to do […], […] 1999, when I was first diagnosed with bipolar disorder type 1, the immediate goal in my treatment was to get stabilized. Each time a relapse of depression, mania, or mixed states occurs it is an opportunity to learn more about the factors that precipitate recurrences for a given patient. Getting an accurate diagnosis is important for receiving appropriate treatment. Stay Well Strategy: Use sleep aid medication short term until stable again. With bipolar disorder, the severity and duration of the highs and lows can vary. Are you a Warrior, Survivor, Victim, Fighter, or Something Different. If you begin by mood charting, you will be better equipped to prepare a truly powerful, personal Bipolar Wellness Plan. It will help you manage your bipolar disorder on a daily basis. Any disappointment or negative life event, Poor diet, especially if lacking in B vitamins or folic acid, or if excessive sugar is consumed, Unhelpful thinking styles such as negative self-talk, self-blame, and self-recrimination, Any draining or debilitating physical illness. Medication helped me reach this goal. In other words, if you were writing a to-do list, they would be at the top of the list. Think of your treatment and crisis plan as your playbook. Problem-solving frequently. Lithium (brand names Eskalith, Lithobid) -, I'm Tired and Exhausted, How About You? What To Look For In Read more…, When it comes to how you identify yourself, there are countless amounts of adjectives you can use. Early initiation of appropriate medication (s) is especially important in cases of severe depression and mania. Get “thought checks” and “reality checks” from spouse. My Wellbeing Plan For Managing my Bipolar Disorder This document may be freely donloaded and distributed on condition no change is made to the content. When looking at your experience living with bipolar disorder, what comes to mind for you? In fact, it is imperative for those of us with bipolar disorder. Taking on unusually large or ambitious projects that are impractical. Increase good judgment, stable mood, and goal directed behavior. Thoughts are negative about self, others or future. Then make a crisis plan so that mood swings can be recognized and headed off before you lose your stability.1. Whether we like it or not, relationships cause drama. What is the difference between the Bipolar Wellness Plan, the Mood Chart, and the Treatment Contract? If they do not, come to an agreement. Patient will participate in at least two complete groups or activities a day. Routine is a way to get back some control of your life. Avoid as much stress as possible in your life, and if that is not possible, work to reduce its impact. Bipolar Disorder, Why Words Really Matter, Living With the Stigma of Bipolar Disorder. Some comments by Carolina Estevez, Psy.D. Avoid Internet banking. In addi- This is more often today known as an APRP – an Action Plan for Recovery and Prevention. Right now, there is no cure […]. THE PLAN OVERVIEW This explains my treatment plan for bipolar and anxiety disorders,and the science and logic behind it. Main targets for CBT to Bipolar Affective Disorders. Poor diet and exercise habits, especially consuming excess sugar or caffeine or being physically inactive. Taking a mood stabilizing medication can help minimize the highs and lows of bipolar disorder … Common triggers for an episode of bipolar depression include: Common triggers for an episode of bipolar mania include: If you really are not sure about your own triggers, start Mood Charting! Treatment of Patients With Bipolar Disorder 7 INTRODUCTION This practice guideline summarizes data on the specific somatic and psychosocial interventions that have been studied in the treatment of bipolar disorder. Short-term treatment goals are important when it comes to managing bipolar disorder. Reduce agitation, impulsivity, and pressured speech. The earlier you catch bipolar disorder, the better your chances of getting and staying well. The key take away is simple – use your periods of wellness to the work of defining/refining your own triggers and early warning signs. It is imperative that you protect yourself, and those around you, from your bipolar disorder. If you really are not sure about your own triggers, start, Heightened senses – colors seem brighter, music more compelling, Different sexual thoughts and feelings, for example attractions to people who I have never noticed before or are “not my type”, or interest in sexual practices that are not usually appealing to me, Feel more loving and expansive towards others – unless they disagree with me in which case I am disproportionately annoyed, Compulsion to keep talking, “pressured speech”, Interest in speculative financial ventures or dubious “investments”, Increased interest in risk-taking activities such as gambling, Feeling impregnable, ‘bullet proof”, endowed with special powers or qualities, Impatient, unable to wait in lines, frustrated by the “slowness” of others, Paranoia, feeling people are talking about me behind my back, criticizing me, “ganging up” on me. The goal of this therapy is to recognize negative thoughts and to teach coping strategies. treatment for Bipolar Disorder at this time involves medication management and family support. Avoiding or withdrawing from others, refusing invitations or accepting invitations but not showing up, Abandoning activities you usually complete and consider worthwhile, for example going to the gym, walking the dog, going to Church, reading books, “date night” with your spouse, playing with the kids, Don’t go out, even if it is something you would usually consider “necessary” such as a trip to the bank, post office or grocery store, Don’t answer your phone or reply to emails, Changes to sleep pattern such as difficulty sleeping, getting up later or earlier than usual, sleeping more than usual, taking more naps, Stop eating, or eat too much, especially “junk” or “comfort” food, Pay less attention to personal appearance, hygiene and grooming, Difficult to think things through and make decisions, Ruminating thoughts  – thoughts that go round and round. An experienced mental health professional can make an accurate diagnosis and start you on the path to recovery. A treatment plan was created or reviewed today, 9/22/2016, for Mary Golden. You can also contact the National Suicide Prevention Hotline at 1-800-273-8255. Do you see Read more…. Stay focused on your goals. This site uses Akismet to reduce spam. The Mood Chart is used every day in order to gain insight into how you are doing, the things that act as triggers and stressors for you, the things that help you stay well, and the results you are getting from your medication and diet and exercise program, or other strategies you may be using.The Wellness Plan is used when you detect the first signs of symptoms in order to help you stay well and protect you from a full-blown episode of mania or depression. __CONFIG_tve_leads_additional_fields_filters__{"group_id":null,"form_type_id":12608,"variation_id":null}__CONFIG_tve_leads_additional_fields_filters__, Copyright © Bipolar Lives 2007-2020 bipolar-lives.com All Rights Reserved, dentify symptoms as they begin to develop. Save my name, email, and website in this browser for the next time I comment. Bipolar Treatment Plan: Plan Carefully for Changes Duckworth recommends that anyone considering a change to his or her approach to managing bipolar disorder follow Finn's lead; that … The information in this document is not intended as asubstitute for professional medical advice, diagnosis or treatment. • Plan should be reviewed and updated regularly. Treatment Plan Case Study One The client, Jillian presents several symptoms that can relate to Bipolar I Disorder criterion for diagnosis. In addition, make sure you know the treatment facilities in your area – ERs, crisis clinics, and hospitals. 5 TREATMENT OF BIPOLAR DEPRESSION Table 1. From my vision, I create short-term goals. Medically reviewed by Carolina Estevez, Psy.D. Manage bipolar disorder: Watch for triggers of bipolar disorder symptoms, such as stress. I do that, and it helps me to follow through with my routine. ‒Bipolar I disorder, most recent episode depressed, severe, without psychotic features Bipolar Disorder and Suicide • 10-15% of patients with bipolar disorder die by suicide • 2 major risk factors ‒History of attempted suicide ‒Hopelessness • Up to 27% of patients with bipolar disorder have attempted suicide at least once Hawton 2009 Coping with bipolar disorder can be challenging. Finding a therapist may seem intimidating and overwhelming, but I am here to provide you with some guidance. This is a condensed version of my own Bipolar Wellness Plan. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on LinkedIn (Opens in new window), New Year's Resolutions, Goals, & Your Vision - The Bipolar Battle, Is There a Cookie Cutter Approach to the Treatment of Bipolar Disorder? SAMPLE NURSING CARE PLAN: Bipolar I Disorder, Manic Episode Nursing Diagnosis 1:Risk for injury related to mania and delusional thinking, as evidenced by believing one is receiving messages from God, intrusive behavior in public, and high energy level. Short-term treatment goals are the most pressing things you want to get accomplished. The following lists of common triggers, warning signs, and “stay well” strategies are not complete or universal. Sample Treatment Contract (Bipolar Disorder) Purpose. Patient will report at least six hours of restful sleep a night. It is designed to be used in combination with medication and professional medical care – NOT as a replacement. Short-term, and long-term, make it a priority to focus on the basics of your daily routine. An effective Wellness Plan requires self-awareness and self-direction. A Bipolar Wellness Plan represents a responsible and cautious approach towards managing the disorder, but unfortunately, Wellness Plans are also highly associated with people who have experienced multiple (or even half of a lifetime or longer) of relapses and numerous consequences left behind as a result of the disorder. Building routine into your daily life is extremely important in your treatment. This reality is still not acknowledged or is minimized at times, which is the unfortunate case with “illnesses of the mind.”. The views, recommendations and results shared via this site or eBooks may be based on the authors’ personal experience with a bipolar life or understanding thereof. Bipolar Disorder can be as serious and life threatening as any other medical problem. There are also links to the story of my personal experience with these disorders. The treatment agrees with the standard way of treatment of an Asian descendant, the starting procedural treatment for bipolar disorder to the maintaining of such patient that are been positive for CYP2D6.The side effect of drowsiness in the day and toxicity is agreement with Asian descent (Robert et al., 2017). Is it simple enough that I can use it even if I am becoming unwell? For people with bipolar disorder, pharmacological therapy is typically a vital cornerstone in any treatment plan, and you will work with your psychiatrist to develop a medication regimen that addresses your symptoms most effectively with the fewest possible side effects. On this page, I will explain the science and logic behind the information and treatment exercises I will be leading you through once you begin my bipolar treatment plan. Cope with stress by finding strategies that work for you. I used to see my experience as Read more…, The medical model of treatment is comprised of medication management and therapy. […], […] throughout the past few years, people have asked me, “Is there a cookie cutter approach to the treatment of bipolar […], […] the time has impacted my mental health. It is a highly individual and customized road map based on principles of. You can have an awesome routine, but it does you no good if you cannot implement it. Although some people still remain undiagnosed for many years, this is becoming a less common scenario. A complete treatment plan involves: Medication – Medication is the cornerstone on bipolar disorder treatment. We/website/any experts on this website do not offer specific medical advice for you. Therefore, I see both my doctor and therapist on a regular basis. Early Warning Sign: Irritable, paranoid, argumentative. 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