You may be wondering how long your partner with bipolar disorder will have to take medications. It depends. On a positive note, new medications may one day be introduced with more successful results and fewer side effects, and there may be new nonmedication treatments in the future.
For now, medication use depends on your partner's type of bipolar disorder. For example, those with full-blown mania are more likely to need lifelong preventive mania medications as compared to those with hypomania, who don't necessarily need a strong antimanic medication but may need more protection against depression. In other words, it depends on the specific type of bipolar disorder (bipolar I or bipolar II), current and possible symptoms, your partner's history (for example, past suicide attempts), and an assessment of ongoing risk.
A few people go off medications and have years of stability, while others can't stay off medications for even a month without a return to mood swings. The advent of gene therapy will likely change bipolar disorder management in years to come. For now, it's completely proven through research, and probably your own life experience, that ongoing medication treatment—combined with appropriate daily lifestyle management—is essential for a good outcome in treating and living with bipolar disorder.
This means that for now, staying on medications provides the best chance of staying stable during life's significant ups and downs.
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