by Kecia » 29 Oct 2012, 10:42
My father is bipolar and the process of achieving stability involves a lot more than just taking meds.
For starters, both you and your husband need to be seeing a counselor or therapist who has experience in working with families who have a bipolar loved one. The counselor may need to see you together, or may need to meet with each of you individually. But I cannot emphasize strongly enough that you both need to be in counseling. Ask the psychiatrist who is prescribing your meds to give you a referral.
To achieve stability, you also have to understand that recreational drugs of any kind-- and that includes alcohol-- are forever off limits. If you smoke, you also need to get help quitting, if you can. Nicotine and alcohol both have powerful central nervous system affects that can work against your stability. You need to avoid them if you are serious about achieving stability.
You also need to do things that minimize disruption to your sleep schedule and minimize stress. This may mean that you cannot travel, or go out partying or clubbing in the evenings even if you don't smoke or drink, and otherwise avoid things that disrupt your sleep cycle, because that can trigger a mood swing. It might also mean that you need to look at what you do for a living, and whether this is in any way disruptive to your stability.
By all means discuss your meds with your psychiatrist, but do this in the context of the other things you need to do. I can tell you after observing my father for 50 years that a bipolar person cannot just depend on meds to achieve stability. There is so much more that needs to be addressed than just taking pills.