Yes, untreated bipolar disorder can get worse and become life-threatening. Each successive, untreated episode can become progressively more severe, last longer and prove harder to recover from.
This reality makes early intervention important. “As with all things it is better to catch something early,” Dr. Nelson said. “Usually, a real conversation with a healthcare provider can help someone to see what is going on and get on top of it before the symptoms get worse.”
Once a person is on medication and seeing a therapist, they also need to stick with their treatment program. Stopping medication or falling into unhealthy habits can lead to a return of symptoms and consequences related to bad decision making.
“If you stop your medication or run out, a visit to your healthcare provider is a must,” Dr. Nelson said. “Sometimes a patient may think, ‘I do not need this medication anymore,’ and that is not something you should do without consulting your doctor. It could be a very big mistake and is not something you should decide alone.”
In a similar vein, ongoing maintenance therapy can help to ensure you “catch things early,” since the therapist “will know you, will be able to interpret symptoms and talk with you about what you are experiencing.” From there, it will be easier to see “if a ‘tune up’ is needed or if there are some helpful things you can add to keep yourself healthy.”
In short, bipolar disorder may sound like a serious diagnosis, but with the right tools, supports and a commitment to be healthy, it is manageable for many. You can lead a full and rewarding life.