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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Bipolar Disorder Be Managed?

My 34 year old daughter has bipolar 1, who is a single mom got out of the hospital after her second hospitalization in I month. The doctors and nurses did not tell my husband and I anything as she would not give permission. She is now living with us and just can stay focused on any task. She lost her job about 1 1/2 months ago because of this manic episode. She still is delusional and talks about famous people taking her on their tours. She wears me out. She does not seem as irritable as she was but she is still very sick. She is on 5 medications. When she is like this I just listen because in the past confronting her with reality just didn t work. How do you help a manic person continue to get well with out augments.
Wed, 30 May 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Since she is having delusional thoughts an antipsychotic with mood stabilizing properties like seroquel is best option. Please make sure bot to confront her beliefs. Another mood stabilizer like lithium can also be added to treatment regime. Once the medications start providing results, psychotherapy can be initiated.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Bipolar Disorder Be Managed?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since she is having delusional thoughts an antipsychotic with mood stabilizing properties like seroquel is best option. Please make sure bot to confront her beliefs. Another mood stabilizer like lithium can also be added to treatment regime. Once the medications start providing results, psychotherapy can be initiated. Hope I have answered your query. Let me know if I can assist you further.