Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Psychotic episodes significantly exacerbate the clinical course of Bipolar Disorder (BD), necessitating an improved understanding of their triggers and responses to treatment. This study aims to identify common triggers and evaluate the efficacy of pharmacological and non-pharmacological treatments for psychotic episodes in individuals with bipolar disorder. A cross-sectional study was conducted involving 160 patients diagnosed with bipolar disorder, recruited from a tertiary mental health facility. Data were collected through clinical interviews and reviews of medical records to ascertain the triggers of psychotic episodes and the effectiveness of subsequent treatments. Statistical analysis was performed to determine the prevalence of triggers and the success rates of different treatment modalities. The most frequently identified triggers included stress (38.75%), lack of sleep (32.5%), substance use (21.25%), and medication non-compliance (7.5%). Treatments with antipsychotics and mood stabilizers showed significant effectiveness, being used successfully in 45.6% and 34.4% of cases, respectively. Psychotherapy was beneficial for 13.75% of the patients, whereas lifestyle changes were less effective, helping only 6.25%. Post-treatment outcomes indicated that 35.6% of the patients experienced no recurrence of psychotic episodes, 30% had one recurrence, 15.6% experienced multiple recurrences, and 18.75% reported improved functioning. Stress, sleep deprivation, and substance use are primary triggers for psychotic episodes in bipolar disorder, confirming the need for targeted interventions in these areas. While antipsychotics and mood stabilizers are effective in managing these episodes, comprehensive treatment plans incorporating psychotherapy and lifestyle modifications are essential for achieving optimal outcomes.
How to cite this article:
Yogesh Avinash Kulkarni and Ragini Malusare. Cross Sectional Evaluation of Psychotic Episodes in Bipolar Disorder: Triggers and Treatment Responses.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.593.597
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.593.597