Periods of depression or mania may last from just a few months to one whole year, this will depend on each individual. Bipolar manic patients can sometimes be referred to as mania or hypo mania (not a severe form of mania). With hypo mania, victims may be easily irritated, very sensitive and have a severe elevated mood. People with mania symptoms have big plans, involving themselves in several projects and are very talkative. The high risk for those bipolar manic victims is the use of alcohol or cocaine.

Anti-Psychotic Drugs

The presence of psychotic thoughts, leading to highly charged emotional responses and judgment errors which can render them incapable of communicating, is the main symptoms for those with bipolar mania. It is important before these thoughts get out of control, patients must be given mood stabilizing medicine to control their symptoms. These drugs may include:

• Clorazil : For treating schizophrenia was first used in Europe in 1971. It is one of the first antipsychotic drug to be developed.

• Risperdal: Under this market name, was developed by Janssen-Cilag as an antipsychotic drug for the treatment of schizophrenia. It was later used for mixed and mania episodes and children with autism disease.

• Zyprexa: A combination of fluoxetine Symbyax was FDA approved as an antipsychotic for treating schizophrenia, only later used in the treatment of bipolar.

First Line Medications

The first-line of the treatment of severe bipolar manic episodes for most doctors are:

• Lithium: A drug primarily for bipolar mania, is a chemical salts and used as a mood stabilizer.

• Valproate: A replacement to lithium salts is believed reverse the brain process and affect the function of the neurotransmitter. It is used in bipolar treatment . Its main work is to stop or block transamination of GABA.

• Monotherapy: Approved by FDA for treating bipolar manic and bipolar I patients.

Family as a Therapy

A lot of people who are bipolar manic or who have depressive episodes forget that the first line therapy is a family-focused therapy which can be quite effective for bipolar patients. Bipolar Manic states can be made worse by bad blood running within family members. With this family-focused therapy, all members of the family must help to contribute by trying to manage their individual behaviors so to reduce stress and a catalyst for the symptom to reoccur. The primary goal of this bipolar treatment -family therapy is be alert to the signs and symptoms of bipolar manic symptoms and how to handle it properly when the signs start to appear.

A New Therapy – Dialectal Behavior

This kind of behavior therapy was first started by Dr. Marsha Linehan in which patients go through different stages of therapy which finally can lead them to taking control of their behaviors. One of the main focus of this therapy is patients learn to accept and control their thought patterns.

For bipolar manic patients, building on these stages requires skill training. But the first stage goals is to reduce these behaviors which are self-threatening and an obstruction to bipolar treatment.

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