Managing Bipolar Disorder During Pregnancy

Women planning to become pregnant should talk with their psychiatrist about their plans. Before and during pregnancy, women should not take lithium and other bipolar medications. Such medications can cause birth defects. They should never stop taking their medications before talking with their doctor. The woman planning to become pregnant and her doctor can discuss the risks and what treatment options are available if the woman experiences manic or depressive episodes during pregnancy.

Sometimes the pregnancy will stabilize women with bipolar disorder or it can make matters worse. To resume taking the medication means to risk serious harm to the unborn child. Some psychiatrists believe that the best treatment alternative for a pregnant woman who is having problems with depression or mania and can’t be placed on medication is using electroconvulsive therapy (ECT).

Of course, the pregnant woman should try to manage stress and attempt to avoid having difficulty with bipolar disorder. Therapy is also a good choice for treatment of bipolar disorder during pregnancy. Preventing episodes is not always possible, but daily routines and stress management can help.

Stress management is important for managing symptoms of bipolar disorder. Stress management should be part of the daily routine for anyone suffering from bipolar disorder, not just during pregnancy. The negative feelings that arise from being stressed can trigger a depressive episode. A healthy lifestyle can help manage stress. Such routines as a healthy diet, regular exercise, regular sleep cycle, meditation, and prayer can alleviate stress and help someone manage the symptoms of bipolar disorder. Relaxation techniques such as imagery, deep breathing, and progressive muscle relaxation can release tension and anxiety.

Some people with bipolar disorder find it extremely helpful to have creative outlets for stress and anxiety. Pregnant women who have bipolar disorder should consider doing some sort of creative activity everyday. Painting, writing, sculpting, playing a musical instrument, drawing, or any creative exercise can be a priceless tool for someone with bipolar disorder. Not only does it offer an outlet for stress, but many people with bipolar disorder find that they excel at these and other creative activities. So, not only can they use this tool to help manage the symptoms, but they may also find it a source of pride and accomplishment.

Sometimes, a psychiatrist may decide that a woman who is pregnant needs to be hospitalized to keep her safe during a severe manic or depressive episode. This is a last resort only used if the non-medical treatments are insufficient to control the symptoms of bipolar disorder. While in the hospital, the pregnant woman may receive ECT and/ or other therapeutic intervention. The woman’s safety should be of the utmost concern, and sometimes hospitalization is the only way to ensure her safety.

Next article: Managing Bipolar Disorder Without Medication