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Therapy to cure bipolar disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bipolar Disorder
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi,
Doctor :   Dr XXX here
User :   did u get my query
Doctor :   no,
Doctor :   can you please retype
User :   Hello . We believe that my dad has a medical condition Bipolar. We not sure 100% though. However he has the following symptoms. These are from my research on the internet
Doctor :   ok. proceed
User :   He has this condition from long time ago. Maybe when he was 20 yrs old. He is now 58 yrs old. Previously he use to have this condition say once or twice a year.
Doctor :   ok,
Doctor :   can you specify the symptoms ?
User :   sleeping liitle
Doctor :   ok,
User :   spending spree
User :   taking a lot
User :   talking
User :   increased sexual drive
Doctor :   ok, does he seem depressed ?
User :   This year he is having it more frequently. Say intervals of 6 weeks
Doctor :   do he present them as attacks or episodes ?
User :   wat do mean
User :   you
Doctor :   the symptoms mentioned appear occasionally or they persist ?
User :   he has this condition when he age of 20. he is now 58
User :   from this yr at iinterval of say 6 wks
Doctor :   ok,
User :   in prior yr say once or twice a year
User :   so we wandering y increase in frequency
Doctor :   ok,
User :   wat could be the reasons
User :   we havent seen a doc yet
Doctor :   is he emotionally stressed out ?
User :   can we take any medications- What about side effects
User :   not sure
User :   he is retired now. Nothing much to do
User :   we not really sure what triggers that
Doctor :   there are many trigger factors for a bipolar disorder patient to aggrevate
Doctor :   ok,
Doctor :   had he any medical illness in recent ?
User :   no
User :   he doesnt have any other disease
Doctor :   is he a patient of high BP or diabetes ?
User :   nothing
Doctor :   ok, the bipolar disorder is one which is more progressive
User :   what do u mean
Doctor :   aging can be a trigger but not for sure so sudden change
Doctor :   progressive means one which worsens if not treated
User :   So you recokon we should go for treatment
User :   what about side effects of medications
Doctor :   yes thats for sure
User :   which treatment would be best
Doctor :   since its a disorder with depression , the \medication used in its treatrment will have sideeffects related to wakefullness
Doctor :   drowsiness would be one such expectation
Doctor :   in cases progressed, electroconvulsive therapy can be a choice
Doctor :   which do affect the conscience a lot
User :   somebody told me that if medication once taken and not taken on time later can have more serious effects
User :   electroconvulsive therapy- What is this
Doctor :   any medication working on brain do have that issue
Doctor :   the dosage and the frequency should be carefully monitered
Doctor :   Electroconvulsive therapy means shock treatment in lay terms
User :   Any other therapy/remedy that can work
User :   apsrt from medications
User :   apart
Doctor :   its the psychological rehabilitation the first line, later then to medication if not treated then to ECT
User :   psychological rehabilitation- pls explain
Doctor :   since the problem is since 20 yrs of age i presume any type of rehab do not suffice
Doctor :   PSY rehab means , treatment involving sessions of questioning evaluating and counseling
User :   Will seeing a GP would be of any help- Or we have see a specialist? what do you call ppl who specialise in this
User :   So what do you suggest we should do ASAP
Doctor :   I advice you to first visit a Psychiatrist
User :   How worse can this go if untreated
User :   His current symptoms are as i said above
Doctor :   who will examine him in accordance of his thoughts and behavior and based on the diagnosis he may refer you dad to a neurologist
Doctor :   worsening can lead into sever depression following suicidal tendencies
User :   he also cries
User :   is it common
Doctor :   and thats called Cyclothemia
User :   he never did this before
Doctor :   crying ? do you mean irritable ?
User :   no - for eg he gives money to ppl- Then when we say y he has done that. He realises it then cries
User :   spending spree
User :   lending without thinking
User :   ???
Doctor :   these symptoms can be put under ones those in early to mid stages
Doctor :   but can also been seen in later stages too
Doctor :   symptoms like suicidal tendencies, self hurting ,
Doctor :   dementia , forgetfullness
Doctor :   personality differences
Doctor :   can be expected in later stages
Doctor :   based on the symptoms i consider your dad being in the bipolar 2 stage
User :   how serious is that
Doctor :   not too serious but needs intervention
User :   so we should see a doc ASAP
Doctor :   yes
Doctor :   a psychiatrist first then to a neurologist
User :   thanks
User :   time up
Doctor :   thanks for consulting
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