Advise manic patients to participate in “calming” activities, professionals told

Mental health professionals should consider advising bipolar patients having a manic episode to participate in “calming” activities and to delay making important decisions.

This is according to clinical guidelines for the management of bipolar disorder in adults, children and adolescents in NHS primary and secondary care, published last month by the government’s National Institute for Health and Clinical Excellence (NICE).

The guidelines also recommend that if a patient is taking an antidepressant at the onset of an acute manic episode, the antidepressant should be stopped – either abruptly or gradually. This does depend, however, on the patient’s clinical need and previous experience of discontinuation/withdrawal symptoms related to the antidepressant, state the guidelines.

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