
After you have been diagnosed with
the bipolar disorder, are taking medications or undergoing medication
trials, and seeing a therapist, you will discover that there are
other things you can do that may assist you with this disorder.
First
of all, be sure you are diagnosed and treated for *all* disorders.
The bipolar disorder many times accompanies other disorders.
Bipolar
disorder (BP), or manic depression as some still call it, is a chronic
disorder that may disable you in certain or all areas of your life.
In fact, it is common for "breakthroughs" of depression,
mania or mixed episodes to occur even though one is taking medications
for this disorder. Many factors of these "breakthroughs"
can be both a trigger and a symptom. Lack of sleep is one example.
The
following are some ways that may help you to reduce manic and depressive
episodes. To what extent these self care activities help, I
do not know.
Daily
Schedule
Eating Habits
Keeping
yourself on a daily schedule is vital. It is important to eat 3
meals a day or eat small amounts throughout the day. Eating one
meal later on in the day has been said to make your BP harder to
treat. This new eating schedule will also assist you with weight
loss that many of us face with our medications.
Sleep Schedule
It
is imperative that you stay on a schedule regarding your sleep.
Go to bed at the same time every night and get up at the same time.
Lack of sleep can trigger mania.
Many
of us with the BP have difficulty leaving our enjoyable project
due to having the BP to go to bed and get the rest we need. We need
to sleep at least 6 hours a day, depending upon how much your body
needs.
Mood Chart
Keeping
a mood chart daily can be invaluable by helping you and your Dr.
determine which medications are helping, etc. Also, it is important
for you to keep one so that you can learn to identify your triggers.
Is it stress or something else?
Stress
Managing
your stress is extremely important as stress can easily trigger
"an episode." Learn what works to reduce your stress.
This
could include: exercise, meditation, deep breathing, guided imagery,
soft music, etc.
Remove
yourself from all stressful situations when possible.
Exercise
Exercise
helps to reduce depression, especially aerobics, and also helps
to rid yourself of manic extra energy. If you are just starting
out and not in good shape, be sure and see your Dr. before you begin
your exercise regimen.
In
regards to aerobic exercise, I have noticed a great deal of difference
in my moods, my stability, my outlook on life, my energy level and
I sleep so well. I have slept this restful since I was a young child.
You
will note at the website below that aerobic exercise has been rated
very high as an effective treatment for bipolar disorder.
Avoid
Caffeine
Alcohol/Illicit Drugs
Smoking
Toxic People and/or Negative People
Stress
Antihistamines
Forgetting Your Medicines (If you are
like me you take them more than once a day).
Vitamins
and Herbs
I
do not recommend these in lieu of medication. Bipolar disorder is
a medical disorder requiring a lifetime of medication. Many people
literally gamble with their lives by thinking that vitamins, herbs
and nutritional supplements can be taken *instead of* medication.
This attitude opens one up to episodes of mania and depression.
I do not know if Vitamins and Herbs will assist you. I
am not a Dr., nor a nutritionist. You will have to make your own
judgment.
Omega 3 Fatty Acids - "fish oil"
There has been a study of whether or
not the addition of these fatty acids to the diet will make a difference
in bipolar disorder. The study was promising that there was indeed
a difference, however the study was limited and more studies need
to be done.
(There
are some Drs. who say fish oil does not help). In fact, some Drs.
will say that the below nutritional support will not help.
Free Form Amino Acid Complex
(Take
on empty stomach as directed on label, twice daily)
L-Tyrosine (500 mg. twice daily
and again at bedtime. Take on empty stomach. Do not take with milk.
Take with 50 mg. vitamin b6 and 100 mg. vitamin C for better absorption.
Taurine (500 mg. 3 times daily
on an empty stomach).
High quality multivitamin, multimineral
formula (including zinc and selenium)
with plenty of B vitamins. Take at least twice, preferably three
times daily. No Iron!
Zinc: (50 mg.
daily; do not exceed 100 mg daily from all supplements).
Pyridoxyl-5-phospate (a special forum of vitamin B6) - take 50 milligrams
per day.
Vitamin
B Complex (100 mg 3 times daily)
Vitamin B 12 (15 mg twice
daily on an empty stomach)
Extra Magnesium - 350 - 500 milligrams per day. (Another
source says 750 milligrams per day). Do not use magnesium oxide
as it is poorly absorbed. Magnesium glycinate, citrate, or chloride
are acceptable. If you get diarrhea, decrease the dose. Check with
your Dr. before taking magnesium supplements if you have kidney
disease.
Take calcium (1,500 mg daily) if you do not eat diary products
regularly
Vitamin C:
3,000
- 6,000 mg. daily
For people who have only a very mild unipolar depression,
St. John's wort or 5-HTP
*might* be helpful. It takes
6 to 8 weeks for St. John's wort to begin to work and it is not
recommended for women trying to become pregnant or for someone with
a family history of breast cancer.
5-HTP works
faster and is recommended for people who are more agitated and cannot
sleep. 5-HTP is expensive as large doses are many times required.
SAMe is another
alternative if the person can afford it.
Bright light therapy
is also recommended even if the person does not have SAD (seasonal
affective disorder). An inexpensive method of bright light that
is helping many people are "grow lights" that are available
at stores such as Walmart or Kmart. Many people are reporting feeling
better with these light sources.
Diet: lean
protein such as chicken, lean red meat, turkey and complex carbohydrates
(most should come from vegetables, fruits and some grains). Avoid
sugar and saturated fat. Also avoid alcohol, dairy products,
caffeine, carbonated beverages, food colorings, flavorings, preservatives
and other additives.
Food
allergies can aggravate mood swings.
If You Become Manic or Irritable
Turn the lights down. No loud sounds. Remove yourself from a stressful situation. Take any medication your Dr. recommends. Call Dr. if needed. Slow deep breathing. Close your eyes and do some guided imagery. Imagine yourself in a safe, beautiful place where you are completely relaxed.
Remedyfind
(an unbiased, international site that allows individuals and healthcare
professionals to rate the effectiveness of the different treatments
they have used for specific health conditions - including Bipolar
Disorder and Depression). I strongly encourage you to check out
this site as people have rated different treatment methods for several
different disorders, the bipolar disorder as well, as to how effective
each one is.