Well, the hope is that with Seroquel and a healthy lifestyle your son will avoid both full manic and hypomanic episodes. I would, however, still recommend adding psychotherapy with someone who is experienced working with BD into the treatment plan: medication, psychotherapy, and healthy lifestyle.
Have I mentioned the work of Mary Copeland to you? She is a therapist who has suffered from BD for many years. 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 was hospitalized. She 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. Look at the videos and see what you think:
The video with Mary Ellen is a bit strong but worthwhile.
So, again, the goal of medication is exactly to allow the person to avoid a full manic episode if he is disciplined about taking his meds. Hypomanic episodes also are less pronounced and easier to handle with medications.
Taking steps such as a healthy lifestyle can increase the effectiveness of medications tremendously, so that is very important as well.
Okay, I wish you the very best!
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