This is the oldest and most widely used treatment and is usually the first drug you will be prescribed when diagnosed with bipolar disorder. The blood level of lithium must be monitored regularly because the therapeutic blood level is quite close to the toxic level. Once a stable blood level has been established, blood tests can be done every 4-6months. Back to top Treatment of depression Antidepressants are used in the depressed phase of the illness. There are several types of antidepressant, each with a different mechanism of action.
Antidepressants can take several weeks to take effect.
If the depression is very severe, hospitalization may be necessary because of the risk of suicide. If the manic symptoms are particularly severe, for example if delusions are experienced, an anti psychotic drug may be given in addition to the above. Anxiolytic and anti psychotic medication acts quickly and may only be needed for a few weeks to control the acute symptoms. Brief hospitalization may be necessary for the safety of an individual during a manic episode. Often people can lose insight into their illness during a manic episode.