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About hospitalization[/b:c7104b4af7]
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 |
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