Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

Although it is early in the diagnosis and treatment with

medications I am already wondering...
Although it is early in the diagnosis and treatment with medications I am already wondering about shock treatments for son's bipolar disorder. I would be very nervous in regards ***** ***** but I wonder how much success people have with this as far as long term relief from manic and depressive episodes. As I understand it you need to continue treatment permanently and I don't know if health care plans cover it. I must admit from looking at my son right now I am feeling extemely worried and hopeless.
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 52 minutes by:
6/7/2013
Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5,334
Experience: Dr. Mark is a PhD in psychology in private practice
Verified

Hi! I believe I can be of help with this issue.

First, I want you to not be either too eager to opt for ECT (electroconvulsive therapy) right away or to be afraid of it either. You are clearly a loving and caring parent so you are already trying to consider options. That can be a good idea with Bipolar Disorder (BD). However, ECT is a second line treatment option. That means that it is considered only when medications are not doing the job. I would urge you to consider psychotherapy with a psychologist or psychotherapist who is experienced in BD to complement the medications. Therapy geared toward BD can be very effective. At the end of my answer I'll address this a little more.

ECT is an accepted and approved treatment for depressive symptoms and for bipolar disorder symptoms. And it has helped many people. The course of treatment is only 12 treatments maximum. Usually somewhere between 6-12. There is no "permanent" ECT treatment. It is a course of treatments up to 12 maximum. So, if anyone tells you differently, they are not correct, okay?

There are side effects of ECT that can occur. How often they occur is a matter of debate. The primary complaint is memory loss. This is what I hear the most in terms of complaints. I can't tell you what percentage of patients have this problem. Physicians who administer ECT can't say either, because there are no definitive studies.


But the side effect is something you have to consider and discuss with his doctor before agreeing to the treatment. Here are both the Mayo Clinic's entry and Harvard Medical School's. They are both pretty fair though they tend to downplay side effects:

http://www.mayoclinic.com/health/electroconvulsive-therapy/MY00129



http://www.health.harvard.edu/press_releases/ect-therapy



There are two types of ECT, unilateral and bilateral. Bilateral has more side effects associated with it. Different doctors have their opinions about the efficacy of each. So keep this in your files to discuss this also with his doctor if ECT is considered. Here is the ect.org page on it:

http://www.ect.org/resources/fdapush.html


I think it is a matter of your own benefit vs. risk calculation. ECT today is not what the old movies portrayed. If the doctors decide it is the right treatment to pursue, the above sites will help you to get informed and make a decision.

Now for psychotherapy:

Your son will need to be working with someone who is using a CBT therapy that is modified especially for BD. In my practice, I use the resources with people with BD from Mary Ellen Copeland. I have found her work easy for people to use and easy to keep with him . The biggest problem is forgetting to keep to the plan when times are good and then something happens! Copeland also had BD and was hospitalized. She's a therapist and developed a BD treatment protocol called Wellness Recovery Action Plan (WRAP). First let me cite one of her books for you.

The Depression Workbook: A Guide for Living with Depression and Manic Depression by Mary Ellen Copeland. Amazon: http://www.amazon.com/Depression-Workbook-Guide-Living-Second/dp/157224268X/ref=sr_1_1?ie=UTF8&s=books&qid=1284317815&sr=8-1-catcorr

Now here's a YouTube search I've put together on the WRAP program. I want you to look at the videos and see what you think:

http://www.youtube.com/results?search_query=copeland+wrap&aq=f

The video with Mary Ellen is a bit strong but worthwhile. Here is the web address for Psychology Today's therapist directory. You can sort by zip codes and when you see someone who seems like they might be helpful look at the listing and see if they list BD or mood disorders as something they work with and perhaps if they accept a sliding fee if he needs the financial help though insurance should cover it.



http://therapists.psychologytoday.com/rms/

Good Therapy is a non profit directory. Same idea as the one above:

http://www.goodtherapy.org/advanced-search.html

Okay, I wish you the very best!

My goal is for you to feel like you've gotten Great Service from me and the site. If we need to continue the discussion for that to happen, then please feel free to reply and we'll continue working on this. If the answer has given you the help you need, please remember to give a rating of 5 (Great Service) or 4 (Informative and helpful), or even 3 (Got the job done) button. This will make sure that I am credited for the answer and you are not charged anything more than the deposit you already made by pressing any of these buttons. Bonuses are always appreciated! If I can be of further help with any issue now or in the future, just put "For Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, ***** *****

Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5,334
Experience: Dr. Mark is a PhD in psychology in private practice
Verified
Dr. Mark and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Mark Your Own Question
Dr. Mark
Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5,334
5,334 Satisfied Customers
Experience: Dr. Mark is a PhD in psychology in private practice

Dr. Mark is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have bipolar disorder and take usual cocktail of meds. I
I have bipolar disorder and take usual cocktail of meds. I tend to depression … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
What can I do to help my son who is bipolar? He has been
What can I do to help my son who is bipolar? He has been fine for 3 years and now his daughter is blaming him for not having enough money to pay for another school because she dropped out of school wh… read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
166 satisfied customers
I have OCD, depression, and my mom was bipolar. Is it true
I have OCD, depression, and my mom was bipolar. Is it true when you move back to the state you had most problem after moving away you cam have ptsd and feel worse also have more problem?… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
Ineed help, no not yet i take pain killers advil, im bipolar
hi ineed help JA: Have you seen a doctor about this yet? What medications are you taking? Customer: no not yet i take pain killers advil JA: How long have you had the pain? What seems to make the pain… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
My son has a Bipolar Disorder and he undergoing relapsed
My son has a Bipolar Disorder and he undergoing relapsed while in China. My wife just went to him and she gave him 600 Lithium Carbonate and now thinking it was Ambien gave him 2 mg (4 hours later) of… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I am diagnosed with bipolar type 1,?been off my mess and am
I am diagnosed with bipolar type 1,?been off my mess and am having high anxiety … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
My brother is bipolar with paranoid tendencies and substance
My brother is bipolar with paranoid tendencies and substance abuse. He has had a particularly bad episode over the past 5 days. He is talking to himself, breaking things, telling everyone we are steal… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
My brother has suffered with bouts of severe bipolar mania
My brother has suffered with bouts of severe bipolar mania for 20 years. Over the past many years, living in IL., we have explored every avenue to get him help during these episodes (police, doctors, … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
166 satisfied customers
I have bipolar Iv only been to bad manic episodes ,,, the dr
Hi I have bipolar Iv only been to bad manic episodes ,,, the dr decided I needed antidepressants as well I currently take lithium and Risperdal which is really effective against my manic mood ... I am… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
Bipoar depression bipolar 1 disorder, ptsd, adhd, and axiety
Bipoar depression bipolar 1 disorder , ptsd, adhd, and axiety best treatments. I am on Wellbutrin adavan gabapentin and adderoll . These were working but I'm now so far back that I feel like I did whe… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I have had bipolar mania for years and have mostly manic for
I have had bipolar mania for years and have mostly manic for almost two years. Have recently severely manic with hallucinations and I had to be hospitalized recently. Have been taking 300mg of trazodo… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
I am suffering greatly from bipolar depression, am taking my
I am suffering greatly from bipolar depression, am taking my lithium and Klonopin but cannot get in to see my M.D. until 6/26. In the meantime, I'm depressed, fatigued, hopeless, VERY irritable (ask m… read more
Dr. Mark
Dr. Mark
Psychotherapist
5,334 satisfied customers
OKMH524211 My father is diagnosed with Bipolar disease and
OKMH524211 Hello there. My father is diagnosed with Bipolar disease and have been suffering from the disease for over 20+ years. Im his eldest son, 24 years old, and have witnessed his first Manic epi… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
Don't understand what bipolar d/o with psychotic features
Don't understand what bipolar d/o with psychotic features means. … read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I been haveing some mental issues and it felt like bipolar i
hi i been haveing some mental issues and it felt like bipolar i want to know if i realy have to so i can seek help from a professional docter … read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
I have bipolar disorder for 20 years,... I have bipolar
I have bipolar disorder for 20 years,... I have bipolar disorder for 20 years, I eat Zoloft 50mg,seroquel 200mg and Depakin 500mg(Compound Sodium Valproate and Valproic Acid Sustained Release Tablets)… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Our son is bipolar and an alcoholic. He just got a new job
Our son is bipolar and an alcoholic. He just got a new job as a computer drafter, but cannot handle too much pressure at work so he started drinking again after 5 months sobriety. We have tried rehab,… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
I am writing to ask a question... I have bipolar aND a
Hi I am writing to ask a question... I have bipolar aND a severe anxiety disorder I just got my blood results my tsh is .44 my wbc is 12.1 and the problem I'm having us I feel like a quick death would… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
203 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x