Treating depression
Bipolar depression is usually treated with medicines such as quetiapine, lamotrigine or olanzapine (sometimes with fluoxetine). Antidepressants on their own are used with caution, because they can trigger hypomania or rapid mood changes.
Preventing episodes
Many people take a mood stabiliser long term. Lithium is often recommended. Lamotrigine can be particularly helpful for preventing depression. Your psychiatrist will talk through the options, including side effects and blood tests.
Valproate is not usually started in anyone under 55 because of risks in pregnancy and to fertility, unless two specialists agree there is no alternative.
Psychological treatment
- psychoeducation, often in groups, to understand bipolar and spot warning signs
- CBT or interpersonal and social rhythm therapy, which focuses on keeping daily routines and sleep steady
Your care plan
Your care team should agree a plan with you, including early warning signs and what to do in a crisis. Have yearly physical health checks, as some medicines can affect weight and blood sugar.
Next, read about living well with bipolar 2.
Sources we used
We check this page at least once a year, and sooner when the rules change. Read how we check our facts, or tell us if something looks wrong.