What are treatment options for bipolar affective disorder (manic-depressive illness) nonresponsive to medications?

Updated: May 06, 2018
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Answer

If the patient is in a short-term inpatient care unit and has not made significant progress, reevaluate the management strategy. Transfer to a long-term inpatient care unit might also be considered. If the patient is in a depressed or manic phase and is not responding to medications, transfer the patient to a facility where electroconvulsive therapy (ECT) can be administered. Additionally, consultation with a psychiatric colleague or a psychopharmacologist is always appropriate if the patient does not respond to conventional treatment and medication.


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