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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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