this article summarizes provisional guidelines for the use of cam and integrative therapies in patients with bipolar disorder. there is evidence that oral magnesium augmentation may improve the antimanic effectiveness of mood stabilizers in patients with stable bipolar disorder. emerging findings suggest that st john’s wort may be effective adjunctive treatment in combination with mood stabilizers in patients with the seasonal variant of bipolar disorder (ie, seasonal affective disorder). in this context, many patients with bipolar disorder use cam therapies alone or in combination with prescription medications in the absence of fda approval and in spite of a paucity of research evidence for the majority of nonconventional treatments-often without disclosing this information to their physician. integrative treatments using select natural products reviewed in this article add to the established armamentarium of conventional treatments of bipolar disorder and should be considered when formulating a treatment plan for bipolar disorder. complementary and alternative medicine in the treatment of bipolar disorder-a review of the evidence.
j clin psychiatry. double-blind, randomized, placebo-controlled trials of ethyl-eicosapentanoate in the treatment of bipolar depression and rapid cycling bipolar disorder. reduced mania and depression in juvenile bipolar disorder associated with long-chain omega-3 polyunsaturated fatty acid supplementation. the neurochemistry of mania: a hypothesis of etiology and rationale for treatment. choline in the treatment of rapid-cycling bipolar disorder: clinical and neurochemical findings in lithium-treated patients. j clin psychiatry. world j biol psychiatry.
rhodiola rosea (arctic root or golden root) may help treat mild to moderate depression. r. rosea is a mild stimulant and may cause insomnia. other side effects some people with bipolar disorder use herbs or supplements in an attempt to relieve their symptoms. the fish oil extract omega-3 may help, according to some dehydroepiandrosterone is effective both in bipolar depression and depression in the setting of comorbid physical disease, although doses should, .
medication and psychotherapy are often the first treatments for bipolar disorder. but yoga, diet, exercise, and other alternative therapies integrative mental health care embraces the perspective that tailoring an individualized treatment plan to each patient’s unique history,, .
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