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It's True: A 12 Step Program Can Be Helpful In Bipolar Treatment Plan

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Question: I am a recovering alcoholic and also have a diagnosis of bipolar disorder. I have trouble with taking my medication on a consistent basis. Can you offer any help for bipolar treatment?

The problem of compliance with medication is not uncommon among persons suffering from bipolar disorder. Compliance can be a particular problem when a person is moving into a manic phase. The euphoria of early mania can convince a person that all is well and medication unnecessary. The noncompliance with the medication obviously encourages the progression of the illness. You did not say so in your question but let's assume for the moment that you participate in a 12-Step program for the alcoholism. If that's correct, why not address the medication issue through the 12 Steps? In recovery, we learn how to care about ourselves in a healthy way. This includes developing a loving attitude toward our bodies. I often encourage persons in recovery to list themselves under persons to whom they need to make amends. This includes amends for the manner in which we have treated our bodies. Consider the consistent taking of your medication to be one way in which you are making amends to your body. If your recovery does not include 12 step work, nonetheless consider taking the medication to be an important facet of recovery from alcoholism. Link your bipolar treatment with your alcohol recovery.

About the Author:

Reid K. Hester, Ph.D., Director, Research Division, Behavior Therapy Associates, 9426 Indian School Rd NE, Suite 1, Albuquerque, NM 87112. Phone: 505.345.6100.

Dr. Hester is has developed an evidence-based, web application called ModerateDrinking.com to help heavy drinkers be successful in changing their drinking. A video demo of the program is available at www.behaviortherapy.com

Originally published 01/01/99 Revised 1/27/09 by Marlene M. Maheu, Ph.D.

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