Psychiatrist Questions Psychiatrist

What is the best medicine for bipolar?

My daughter has bipolar. What is the best medicine for bipolar?

5 Answers

There is no one right answer to that question. Psychological medications are some of the most difficult to select and dose. The best thing you can do for your daughter is get her in front of a psychiatrist you can trust and that listens to you and to her.

Work with them to adjust her medications and ask if the psychiatrist believes cognitive behavioral therapy would be helpful. If so, work with them to find a counselor trained in CBT that listens and works well with your daughter.

Most of all, don't give up. Correctly diagnosing, treating, and dealing with bipolar disorder is a challenge but if you and your daughter are determined and stick with it you will figure it out and find a path to success.
There is no particular medication which works the best, psychotropic medications has its risks, benefits, before considering medication we look for previous medications trial, has your daughter evaluated by psychiatrist? Bipolar is the confirmed diagnosis?
Consult to her provider to discuss further the best treatment option.
Make sure she is safe.
Good Luck
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It depends on what type of Bipolar disorder it is and what else is going on with the patient. If there are more depressive symptoms the majority of the time then there are certain antipsychotics we will consider. Some examples will be Vraylar, Latuda, seroquel, olanzapine/ fluoxetine and Caplyta. If its more of mixed manic picture then most atypical antipsychotics as well as depakote, lamictal and lithium.
Some of the best medications for Bipolar are Depakote, Lamictal, and Lithium, along with therapy.
All medications, if properly dosed and used for a long enough period of time to take effect, are EQUALLY effective. What distinguishes the medications is their pharmacology, side effect profile, drug-drug and drug-disease interactions, etc. So, for example, someone who has kidney or thyroid disease may not be a good candidate for therapy with lithium. Someone who has liver disease may not be an ideal candidate for Depakote. There may be individuals for whom weight gain could be problematic because they are diabetic or have other medical concerns; in that case, medications that are more weight neutral would be preferred. This would be a general way of thinking about psychiatric medications of any class.