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The Proposal for Bi-polar management

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TheProposal for Bi-polar management


The Bipolardisorder is a public concern that has affected about 1.5 percent ofthe adults around the world. In fact, it has a number of long-termeffects that might escalate to psychosocial impairment, highmorbidity as well as reduced produced productivity in work and othersignificant activities that one undertakes. In particular, themedical records reveal that about 1.3 million patients have thedisorder, and most of the victims are struggling with the process ofsettling the high medication costs required (Berk et al., 90). In therecent past, many suicide cases have been associated with thedisorder and that has been a problem for most of them. The scenarioshows that Bipolar disorder is a major health issue that needs to beaddressed to reduce its morbidity and the people that suffer from thesame infection. Recent research has shown how the disorder is alsoassociated with the familial risk since younger ones have beendiagnosed with the disease. In this case, it is a problem that evenaffects younger people, and that is a clear problem with the societysince it is undermining the future of some people instead. Forinstance, some people might be unable to undertake various dutiessuch as the education and the rapid mania might even escalate todepression.

The bipolar disorder is caused by various factors that might becontrolled before they escalate to severe consequences. Morespecifically, childhood trauma is one of the reasons that underminethe emotional state of a person. For instance, the neglect, abuse aswell as traumatic events are just some of the activities that willinfluence the likelihood of contracting bipolar disorder. Commonstressful life events such as breakups, financial challenges or evendeath of a close relative might be devastating at times. However,stress tends to have a reduced likelihood of causing the disorder. Attimes, one might have self-esteem problems that will escalate to themanic episodes as well as the depression (Popovic et al., 662).Often, the self-confidence will reduce when one feels bad, and thatwill increase the mania that the victims experience. Brian chemistryis also another cause of the problem, and it will arise from theneurotransmitters (messenger chemicals) being incapable ofundertaking its tasks instead. The medical intervention might preventthe brain malfunction and facilitate the activities that will improveits state. The genetic inheritance has also been another problem, andit has intensified the bipolar moods, and that is the reason multiplepeople in a family might have the disorder. Hence, one is supposed toavoid some of the causes that somehow have led to its spread in thesociety.


The Bipolar disorder has various treatment approaches that preventthe manic from escalating to the depression. In this case, theyinclude lithium therapy, rehabilitation as well as the otherpsychosocial intervention that will be applied. However, most ofthese treatment approaches are introduced when the manic and thedepressions have escalated. In particular, the current research hasfailed to identify the bipolar disorder before it reaches the extremeextent where it needs immediate treatment approaches (Geddes &ampMiklowitz, 1673). The scenario has led to most of the patientsdiscovering the problem when it is late, and they have to deal withhuge costs of the medication. Besides that, it might even interferewith their normal functioning since the disorder will affect theirlifestyle to a large extent.

Instead, the self-management of the Bipolar disorder is the mosteffective approach that will reduce its severity. More important,self-management looks at the various techniques that might controlthe disorder from escalating in the long-term. In fact, the patientcan undertake the same measures without any difficulties. In thiscase, it insists on the healthy lifestyle that is free from drugs andalcohol since current research has shown that such substances aremore likely to intensify the condition. It also stresses on theidentification of the symptoms and the risk factors early enoughbefore the disorder escalates. The education also helps the victimsto understand how the disease works and how they might help incontrolling the severity. The ongoing monitoring also assists thevictims in determining if it has reduced or it is more likely toincrease in the future. Besides that, the regular check-up alsoidentifies the particular risk factors that might influence thedisorder and the appropriate way to minimize its impact (Geddes &ampMiklowitz, 1675). The approaches included in the self-managementprevent the illness from being a nuisance, and the patient might helpin controlling it without the aid of a doctor. The way that initiatesthe self-initiative and the patient is the one that implements thestrategies make it a useful approach to treat the illness. Theintervention also urges the victims to communicate with other peoplethat might have overcome the problem in the past. Apart from that,the patients are supposed to maintain hope and understand that theywill defeat the disease. Hence, it will urge them to relax and avoidstressful events that might increase the problem in the futureinstead. In fact, the self-management also solves the limitationsassociated with the current treatment approaches that are unable tocontrol the disorder before it escalates. For instance, it willdiagnosis the illness while it is in the early stages and ensuresthat the patients manage it before it reaches an advanced stage whereit will be much difficult to control it.


Various scholars have critiqued the idea of self-management indealing with different health problems based on some factors. First,Kendall et al. have argued that self-management is less efficientsince it defines the patient as the problem (92). To some extent, theapproach tends to criticize the patient’s ignorance and insistinghow he or she was unable to gather enough knowledge on the diseaseand the measures to be implemented early enough. The approach oftenplaces the blame on the patient that will regret engaging in certainactivities, and one will wish that he or she had done something moreefficiently (Kendall et al.,89). It might increase their stress since they will want tocorrect their past, and that will undermine the process of managingthe Bipolar disorder. In this case, the approach insists that thepatient had lacked the ability to control the illness and they aresupposed to enhance their personal responsibility to increase thelikelihood of recovering.

Kemp also criticize the approach and claim that it assumes oneapproach will fit into the treatment plans of the different patientsthat are suffering from the disorder (144). In this case, the conceptwill ignore the social and the cultural context of the patients thatmight have been affected by the illness for a longer period. Kempalso insists that self-management has underestimated the impact ofthe social conditions that might influence the success of thetreatment plan (146). Hence, the critiques wish that the approach canconsider all those factors and ensure that the patient deal with thedisorder based on these specific conditions. Besides that, the authoralso wants the medical practitioner to look at bipolar as a problemthat should not be solved using the individual responsibility sincethe cultural norms also play a critical role. Self-management alsoempowers the patients that will believe they have all the relevantinformation that will help them deal with the disorder. Instead, theywill forget that they are supposed to seek medical attention from thephysicians. For instance, some of them will even make independentdecisions without consulting the doctors.


In conclusion, the current solutions that manage the severity ofBipolar disorder are not effective since they are initiated in theadvanced stages, and the self-management approach is the most usefulone in controlling the illness. Analysis of the disease shows that itis dangerous and more likely might commit suicide because of theintense depression. In this case, the scenario calls for theimmediate intervention that will avoid the increased casualties inthe society. However, the current medication and the treatmentapproaches have been unsuccessful in diagnosing the disorder duringthe early stages. Besides that, the current therapeutic interventionand the treatment are often introduced when the disease has reachedthe advanced phase. In particular, the scenario shows the need forself-management that seems more appropriate. More important, theapproach will be quite useful in controlling the severity and dealingwith it while it is still in the early stage. The plan will focus onthe risk factors and the symptoms to ensure that the patient has aproper way of handling its complications. For instance, it will givethe patient personal responsibility in dealing with the disease andpreventing it from escalating as well. One will incorporate thehealthy living that will eliminate the drugs and alcohol that mightescalate the situation. The frequent monitoring also reduces itsseverity that might be a problem in the process. In some cases, thecritiques argue that self-management blames the patient and makes onefeels he or she is the problem. However, the proper education willsensitize the patients on the things that they are supposed tocontrol and the scenarios where they are expected to consult themedical physicians that have extensive knowledge on the disorder. Insummary, the bipolar patients will benefit from the self-managementthat will be useful in helping them deal with the complications thatthey often experience.

Works Cited

Berk, Michael, et al. &quotDoes stage of illness impact treatmentresponse in bipolar disorder? Empirical treatment data and theirimplication for the staging model and early intervention.&quotBipolar disorders 13.1 (2011): 87-98.

Geddes, John R., and David J. Miklowitz. &quotTreatment of bipolardisorder.&quot The Lancet 381.9878 (2013): 1672-1682.

Kemp, Vivien. &quotUse of ‘chronic disease self-managementstrategies’ in mental healthcare.&quot Current opinion inpsychiatry 24.2 (2011): 144-148.

Kendall, E., Ehrlich, C.,Sunderland, N., Muenchberger, H., &amp Rushton, C. Self-managingversus self-management: reinvigorating the socio-political dimensionsof self-management. ChronicIllness, 7.1(2011) 87-98.

Popovic, Dina, et al. &quotNumber needed to treat analyses of drugsused for maintenance treatment of bipolar disorder.&quotPsychopharmacology 213.4 (2011): 657-667.