Many patients with bipolar I disorder (i.e., patients who have had
at least 1 full manic episode) are hospitalized at some point in the
course of their illness. Because acute mania affects insight and
judgment, individuals with mania are often hospitalized over their
objections, which can be upsetting for both patients and their loved
ones. However, most individuals with mania are grateful for the help
they received during the acute episode, even if it was given against
their will at the time. Hospitalization should be considered under the
following circumstances:
● When safety is in question due to suicidal, homicidal, or aggressive
impulses or actions
● When severe distress or dysfunction requires round-the-clock care
and support (which is difficult, if not impossible, for any family to
sustain for a long period of time)
● Where there is ongoing substance abuse, to prevent access to drugs
● When the patient has an unstable medical condition
● When close observation of the patient’s reaction to medications is
required作者: malnu 时间: 07-3-26 10:49 标题: 顶起并初译 关于住院治疗
许多双相I型的病人（即至少有一次重度躁狂史的病人）在病中要住院治疗。由于急性躁狂会影响人的洞察力和判断力，躁狂病人往往反对住院的安排，这种态度对病人和家属来说都比较痛苦。但多数躁狂病人事后对于急性阶段接受的帮助还是感激的，尽管当时违背了他们的意愿。下列条件下应该考虑住院治疗：
● 当自杀、杀人或侵略性冲突或行为导致安全问题时；
● 当重度悲伤或功能紊乱导致需要24小时看护时（这种情况即使家人可以帮助，也很难长期维持）；
● 当有持续物质滥用，需要阻断毒品时；
● 当病人医药状况不稳定时；
● 当需要对病人用药反应进行密切观察时。