If these measures don’t help and depression is so severe, an antidepressant with least risk to induce mania such as bupropion should be added to mood stabilizer. When depression is resolved, then antidepressant can be gradually tapered off because its prolonged use even in presence of mood stabilizer can still induce mania.

When should medication be discontinued? Bipolar patients have to continue taking medication for several months even after they become normal. High relapse rate is common if medications are prematurely stopped. Also, for patients with multiple or difficult-to-treat episodes, they may need to take medication for years or even for life to prevent recurrence.

Patients and their physicians should thoroughly discuss risk and benefits of any treatment intervention. Knowledge about drug’s indication, side effects, and prognosis with or without treatment is a must.

Furthermore, it is crucial that bipolar patients should also receive individual psychotherapy to help them deal with many personal and psychosocial issues they face on a daily basis. As you know, medication alone won’t suffice to address financial problems, marital conflict, work issues, and prior abuse.

In summary, combination of medication and psychotherapy is best treatment for bipolar disorder.

Copyright © 2004. Dr. Michael G. Rayel – author (First Aid to Mental Illness–Finalist, Reader’s Preference Choice Award 2002) psychiatrist, and inventor of Oikos Game: A Personal Development and Emotional Skills Game. For more information, please visit www.oikosgame.com.

Can You Hypnotize in Print?

A long time ago I signed up for a newsletter and got shock of my life. I was delivered a form of wide awake hypnosis called "pattern interruption". And it was all performed in print.

Here's a free download on "pattern interruption" that'll blow your mind, and vastly improve your understanding of why it works as a covert hypnotic inducer.

http://www.SeducingTheBuyer.com/Pattern/pattern-interruption.pdf

From uneventful press of a "click here" for newsletter, to annoyance of having to "get up and get credit card" (not for newsletter mind you but for a product being offered by newsletter publisher), I was virtually on automatic pilot!

Can you really realize importance of this? I was wide awake! And...

Wouldn't you know it? The publisher is one of today's top Internet copy writers for advertising and owner of a company based entirely on hypnotic writing. By way, I did buy material. And it was extremely educational. I'm still learning; but boy do YOU have a lot of catching up to do!

Believe me; when you have discovered secrets of conversational hypnosis that I'm going to show you, (a subset of Neuro-linguistic Programming), you will have personally advanced onto a higher level of this playing field called influence.

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Resources: Learn more about Conversational Hypnosis http://www.SeducingTheBuyer.com/Apply/conversational-hypnosis.htm

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