Bipolar I disorder is a mood disorder in which at least one manic or mixed episode has happened. Episodes of hypomania or major depression might be present, too. During the manic episode rapid speech, racing thoughts, decreased need for sleep, and impulsiveness might be experienced. In the major depression depressed mood, sleep disorders, extreme fatigue, and slow motility might be experienced.
The treatment for bipolar disorder includes medications and psychotherapy. Lithium carbonate and lamotrigine are often used to treat bipolar disorder. The acute manic episodes might require use of antipsychotic medications, such as chlorpromazine, olanzapine and quetiapine.
Psychotherapy might include cognitive behavioral therapy, family-focused therapy, and psychoeducation.
Lack of desire for any social activities might be a sign of depression. The medications that are usually prescribed are so specific that permission only from a psychiatrist is needed in order to stop taking them.
You have to find a way to take him to a psychiatrist. A social service worker might be able to help you. A home visit by a psychiatrist or psychotherapist might be helpful. In the end, if medications are prescribed you must be sure that he is taking them.
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