Patient Education

® Patient education improves adherence to treatment, which reduces risk of relapse. This is especially important because responsiveness to treatment declines as the number of mood episodes increases. Discuss the nature and chronic course of bipolar disorder and the risks of repeated relapses. Help patients understand that treatment of bipolar disorder is not a cure, but many patients can enjoy symptom-free or nearly symptom-free function. Make clear that long-term recovery is dependent on adherence to both pharmacologic and nonpharmacologic treatment. Explain the purpose of medication, common side effects to expect, and how to respond to them. Provide the patient and family with written information about medication indications, benefits, risks, and side effects. Discuss less frequent but more dangerous side effects of drugs, and give written instructions on seeking medical attention immediately should they occur.

Abbreviations Introduced in This Chapter

5-HT 5-hydroxytrypt amine

BDNP Brain-derived neurotrophic factor

CRT C^gn i I ive behartrLo ral t herapy

DA Dopamine

DSM-IV-TR Diagnostic and Statistical Manual of Mental

Disorders, Fourth Edition, Text Revision

DVP Divalproex

ECT Electroconvulsive therapy

£M RI FuncL iona 1 mag n e l ic re sona nee i magi ng

FOr Flight ot ideas

Ham-D Hamilton Depression Rat i ng Sc ale

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