newly, psychic times Do a comprehensive article on new or unusual bipolar depression treatments, and treatments that may be an option for treatment-resistant bipolar depression. They are thinking outside of the standard treatments for bipolar depression. This is crucial because so many people just They are not helped or are not being helped adequately by standard treatments for bipolar depression. These newer bipolar depression treatments come in two flavors: medication and non-medication. If you’re somewhere in the treatment of bipolar depression that you’re not getting better, you might want to think about it Discuss these unique therapies with your psychiatrist.
New and unique nonpharmacological therapies for treatment-resistant bipolar depression
Admittedly, some of these options I’ve talked about before, but some I haven’t. All of them are noteworthy. It is important to realize that when it comes to these therapies for bipolar depression, they are not shown to lead to remission, usually, but they are helpful in combination with other therapies.
Light and time therapies for bipolar depression
Together, these therapies are known as chronic therapies. These treatments involve using a light box to control exposure to light. Sometimes it is also required to control exposure to darkness. This is in addition to controlling the sleep cycle.
Controlling exactly when you sleep, how much you sleep, and when you get light and dark are things people don’t want to do. I say over and over if you are in control of your sleep Good sleep hygiene-I have come a good way to control your mood. Chronotherapy takes these recommendations very seriously, and even the International Bipolar Disorder Society recommends the use of chronotherapy. If you suffer from treatment-resistant bipolar depression, I think the effort is worth it. I wrote about one Chronological treatment protocol here.
Physical exercise for bipolar depression
according to psychic timesAnd the
“Exercise has been shown to reduce inflammatory markers, and physical activity may be beneficial in bipolar depression . . . exercise improves depressive symptoms, reduces stress, decreases inflammatory markers, and enhances the formation of monoamine neurotransmitters in patients with the disorder.” Bipolar “.
And as I said before, while most of the research has been done on high-intensity exercise, any exercise is a good exercise. Try walking. Read more about Exercise and bipolar disorder here.
Smoking cessation for bipolar depression
Nobody thinks smoking is good for you; This is true, but did you know that it can exacerbate symptoms of bipolar depression? It is important to quit smoking to lay the best possible foundation for treating bipolar depression. Keep in mind that you may be able to do this with medications such as bupropion (Wellbutrin, Zyban) that may not interfere with bipolar medications. Ask your psychiatrist about options.
Diet for bipolar depression
As I said before, no diet actually cures bipolar disorder, but some diets can improve overall health and reduce inflammation, and this can help with mental illness. Studies in this area are limited, but diet options include the Mediterranean diet, the MIND diet (MIND: Mediterranean Dietary Approaches to Stop Hypertension). [DASH] Intervention for neurological delay), the ketogenic diet. The MIND diet has the best empirical support. When implementing a diet, consider making one small change at a time rather than trying to overhaul an entire way of eating. No diet should be followed without a doctor’s supervision. (See here for More on the MIND Diet.)
Nutritional supplements and nutrients for the treatment of bipolar disorder
Certain supplements and nutrients may benefit people with bipolar depression. It is important to note, again, that these items must be used adjunctively. These are not substitutes for the actual medication. Don’t start using anything — even over-the-counter supplements — without your doctor’s supervision. Bipolar disorder is more sensitive than you think.
Choices here include:
- probiotics Probiotics modulate stress hormones, increase brain-derived neurotrophic factor (BDNF) and serotonin levels, and reduce inflammation, but research into their use is very limited.
- Omega-3 fatty acids Omega-3 fatty acids have anti-inflammatory properties and may be effective in supporting the treatment of bipolar depression. They are the most studied supplement for use in depression and bipolar depression. It is important to note that you cannot get the amount of omega-3 fatty acids that you need for treatment in your diet. according psychic times“If using fish oil supplements, patients should ensure that the eicosapentaenoic acid (EPA) content is 1.5 times the amount of docosahexaenoic acid (DHA). In addition, patients should take 1,000 to 3,000 mg per day.”
- L-methylfolate L-methylfolate has limited evidence but it may be beneficial, plus there are no known drug interactions with it. (We see More on l-methylfolate here.)
Brain stimulation in the treatment of bipolar depression
Most people are aware that electroconvulsive therapy (ECT) is available to treat bipolar depression, especially treatment-resistant bipolar depression. This treatment is considered one of the “most powerful interventions” for depressive disorders, including bipolar depression. Some people suggest that it should be used early in the course of treatment rather than as a last resort. (See here for More about the advantages and disadvantages of ECT.)
Transcranial magnetic stimulation (TMS) may also be an option for treatment. This is not a new treatment for bipolar depression, per se, but it is newer in the bipolar population than in the unipolar depressed population. (See here for Information on TMS vs. ECT.)
Finally, deep brain stimulation (DBS) is a new treatment for bipolar depression. It shows promising results, but it’s an invasive and expensive surgical procedure that involves a brain implant that must be removed if treatment doesn’t work. There are many unknowns in this procedure, and it is not commonly used.
New and unique medications for bipolar depression
There is a whole host of medications that can be used to treat bipolar depression that don’t appear in the typical treatment algorithms. Everything from medications for narcolepsy to medications for Parkinson’s disease are on this list for treatment-resistant bipolar depression. A few of the common medications include Modafinil (Provigil) / Armodafinil (Nuvigil), N-acetyl cysteineand ketamine/esketamine (Sprovato). The full list of drugs in this class, along with their common side effects, is as written before psychic timesMaybe found here.
Note that these medications are not without risks, and often without specific evidence in the bipolar population. psychic times He puts it nicely by saying,
“Unclassified drug studies may show inconsistent results due to smaller sample sizes and methodological variability. In addition, the majority of systematic reviews and meta-analyses of these studies do not include information about the dose ranges used, which limits their generalizability and clinical usefulness when considering these drugs. new, clinicians should consider them as second-, third-, or fourth-line options, at best.”
Take these medications seriously, but don’t hesitate to discuss these options with your psychiatrist if there’s a chance they might help, especially if you have treatment-resistant bipolar depression.
to read The entire article in psychic timeslook here.
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