Thank you for your reply.
I can imagine how sad
and anxious this situation must seem to you.
I've worked with patients with Bipolar disorder. I know it's a difficult illness.
Ongoing treatment is critical to symptom management and recovery.
But, it seems medication don't seem to be helping his depression.
As you know, your husband may need to work with psychiatrist (M.D.) and psychotherapist. Treatment for bipolar disorder consists of pharmacotherapy (by psychiatrist), individual psychotherapy (Cognitive-behavior therapy - CBT) or Interpersonal therapy (ITP) by a licensed psychologist or psychotherapist), and group therapy or support group by a psychotherapist. Pharmacotherapy is a critical aspect of treatment. Individual psychotherapy will help him for support, ventilation of feelings, coping skills training, and direct advice. Group therapy is useful for him to address the issues – adherence to medication and therapy, regulation of self-esteem, and management of other psychosocial issues. Support groups are available in a local community clinic or a local hospital. You and family should join a support group to better understand the illness so that they can continue to offer encouragement and support to him.
Electroconvulsive therapy (ECT) may be used to treat the manic or depressive phase of bipolar disorder if it does not respond to medication. ECT is considered to be the effective treatment for depression that is not relieved with medications.
Transcranial magnetic stimulation (TMS) uses high-frequency magnetic pulses to target affected areas of the brain. It is often used after ECT.
Patients who are in the middle of manic or depressive episodes may need to stay in a hospital until their mood is stable and their behavior is under control.
To find a group therapy or a support group for him, contact a local hospital or a clinic by asking if they offer a group for people with Bipolar disorder. If you like to find a support group online, check Mental Health America website section (http://www.mentalhealthamerica.net/go/find_support_group) - Find a group in your area.
In addition, stress
reduction and relaxation techniques such as yoga, biofeedback, acupuncture, nutrition (e.g., Omega-3 fatty acid) and massage therapy may be helpful for him to reduce the intensity of depression. He should avoid alcohol use.
I recommend The book "Loving Someone with Bipolar Disorder by
Julie A. Fast, John D. Preston PsyD" to you.
I hope your husband gets better with all available help.
Please let me know if you have more questions or I have overlooked any. Warm regards,
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