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BIPOLAR DISORDER Part 2 Charles Hodges MD |
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| 6. Medical treatment. For BPD 1. |
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a. The medicines. Lithium. Still the best for BP1. The least suicide. Antiepileptic Valproate Carbamazine Lamictal Atypical Antipsychotic Zyprexa Seroquel Risperidone SSRI Antidepressants: Perhaps more trouble than they are worth? Only In combination. b. All the same medicines except lithium are used in BPD and a blizzard of other behavior disorders. c. Counseling for the most part is aimed at getting patients to take their medicine and believe that they need it. |
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E. Biblical counseling for BPD1 and BPD2 and the rest. |
| 1. Things Different. |
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a. Mania. Regular health care and friends to watch. b. BPD2 and all the rest are different at the core. c. Depression and antidepressant medication. |
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2. Things the same. All have sinned. Outgrowing behavior associated with BPD not caused or related to mania. |
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a. Explore the issue of justification. b. Teach progressive sanctification. c. Motive must change. Exchange the need for control, selfishness and envy for loving God and others while serving both. d. Outgrow Anger and exchange it for a Romans 8:28-29 view of adversity coupled with patience, gentleness, and kindness. e. Abandon the need for Self-esteem, replace it with humility. f. Deal with specific sins: rebellion, sexual immorality, dishonesty. Grow into Godly character. g. Outgrow worry and fear. Replace them with faith and trust. h. Grow good habits. Regular hours, sleep, diet. No night work. i. Communication, Role of husband, wife, child. j. Church attendance, Bible study, Fellowship, discipleship, accountability. k. Develop good work habits. l. Grow in financial responsibility and stewardship of resources. |