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Bipolar Disorder: Preventing Manic Episodes

Overview

If you have bipolar disorder, there are some things you can do to help prevent a manic episode. These include:

  • Learning the early warning signs of a manic episode. Watch for signs like needing less sleep and feeling happier or grouchier than usual.
  • Keeping track of your moods in a daily journal or on a calendar.
  • Sticking with a daily routine. For example, eat meals at the same time each day.
  • Trying to reduce your stress.
  • Going to counseling.
  • Taking your medicines as prescribed.

How can you prevent a manic episode?

Here are some steps you can take to help prevent a manic episode.

  • Learn the early warning signs of a manic episode.

    These signs may include:

    • Needing less sleep or being more active than usual.
    • Feeling very happy or very grouchy.
    • Being easily distracted and having racing thoughts.
    • Talking more than usual.
  • Keep track of your mood every day.

    After you know your early warning signs, check your mood each day to see if you may be heading for a mood swing. Write down your symptoms in a journal. Or record them on a chart or a calendar. When you see a pattern or warning signs of a mood swing, seek treatment.

  • Keep a stable sleep pattern.

    Go to bed about the same time each night, and wake up around the same time each morning. Too much or too little sleep or changes in your normal sleep patterns can alter the chemicals in your body. And this can trigger mood changes or make your symptoms worse.

  • Stay on a daily routine.

    Plan your day around a good routine. For example, eat meals at regular times, and make exercise or other physical activity a part of your daily schedule. You might also practice meditation or another relaxation technique each night before bed.

  • Don't use alcohol or illegal drugs.

    It may be tempting to use alcohol or drugs to help you get through a manic episode. But this can make symptoms worse. Even one drink can interfere with sleep, mood, or medicines used to treat bipolar disorder.

  • Get help from family and friends.

    You may need help from your family or friends during a manic episode. This is even more important if you have trouble telling the difference between what's real and what isn't real (psychosis). Having a plan in place before any mood changes occur will help your support network help you make good decisions.

  • Reduce stress at home and at work.

    Try to keep regular hours at work or at school. Doing a good job is important, but avoiding a depressive or manic mood episode is more important. If stress at work, school, or home is a problem, counseling may help.

  • Keep getting treatment and counseling.

    It can be tempting to stop treatment during a manic episode because the symptoms feel good. But it's important to keep getting treatment as prescribed. It helps you to avoid taking risks or having to face problems caused by a manic episode. If you have concerns about treatment or the side effects of medicines, talk with your doctor. Don't adjust the medicines on your own.

Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

5115 Fannin, Suite 801
Houston, TX 77004

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Interventional Cardiology Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded ICA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary