patients to participate in “calming” activities, professionals
Mental health professionals should consider advising bipolar patients
having a manic episode to participate in “calming” activities
and to delay making important decisions.
This is according to clinical guidelines for the management of bipolar
disorder in adults, children and adolescents in NHS primary and
secondary care, published last month by the government's National
Institute for Health and Clinical Excellence (NICE).
The guidelines also recommend that if a patient is taking an antidepressant
at the onset of an acute manic episode, the antidepressant should
be stopped – either abruptly or gradually. This does depend,
however, on the patient’s clinical need and previous experience
of discontinuation/withdrawal symptoms related to the antidepressant,
state the guidelines.
guidelines for the management of bipolar disorder in adults, children
and adolescents, in primary and secondary care
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