Understanding the Complex Link Between Bipolar Disorder and Alcohol

how to live with a bipolar alcoholic

By following these tips, couples in bipolar relationships can work together to manage the condition and create a supportive environment for themselves and their partner. Living with a bipolar spouse can be difficult, but there are ways to make the relationship more manageable. Creating healthy patterns within a relationship is essential when one partner is bipolar.

In someone who has bipolar disorder, drinking can increase symptoms of mood shifts. However, it may also be difficult to control the impulse to drink during shifts in mood. There isn’t much research that describes how to best combine treatment for bipolar disorder and AUD, but emerging recommendations from studies are available.

Bipolar Relationship Breakup Cycle How to Recognize it

It is important to be patient and understanding and to offer unconditional love and support. Let them know that you are there for them and that it is okay to ask for help. Encourage them to seek professional help and explore different treatment options with them.

Issues Surrounding the Treatment of Comorbid Bipolar Disorder and Alcoholism

  1. Both valproate and alcohol consumption are known to cause temporary elevations in liver function tests, and in rare cases, fatal liver failure (Sussman and McLain 1979; Lieber and Leo 1992).
  2. If you are facing this issue, it’s important to get a diagnosis from a mental health professional and to seek treatment.
  3. The prevalence of alcohol abuse among individuals with bipolar disorder is alarmingly high.
  4. It is essential to create a safe and supportive environment for them to feel comfortable in and to ensure that they follow through with their treatment plan.
  5. Alcohol use may worsen the clinical course of bipolar disorder, making it harder to treat.

If they are not open, you can let them know you want to support them and ask how you best do so. Some substances, like alcohol and opioids, have a sedative (depressant) effect, while other substances, such as cocaine and meth, have a stimulant effect. Cannabis has sedative, stimulant, and hallucinogenic properties, depending on its components. Alcohol also has some stimulatory effects early on, such as raising dopamine. If a parent has AUD, a child may experience excessive stress because they don’t know what mood their parent will be in from day to day. Children may no longer be able to rely on the adult with AUD, which can place undue pressures on them.

It remains unclear which if any of these potential mechanisms is responsible for the strong association between alcoholism and bipolar disorder. It is very likely that this relationship is not simply a reflection of cause and effect but rather that it is complex and bidirectional. Lithium has been the standard treatment for bipolar disorder for several decades. Unfortunately, several studies have reported that substance abuse is a predictor of poor response of bipolar disorder to lithium. More specifically, as stated previously, compared to non-substance abusers, alcoholics appear to be at greater risk for developing mixed mania and rapid cycling. Researchers have found that patients with mixed mania respond less well to lithium than patients with the nonmixed form of the disorder (Prien et al. 1988).

By Sarah Bence, OTR/LBence is an occupational therapist with a range of work experience in mental healthcare settings. For example, having a family member with an alcohol use disorder is a risk factor for both depression and alcohol use disorder. Emerging research has found that there is a genetic link between AUD and depression. Excessive alcohol drinking can also cause problems socially, such as issues with family, school, employment, and friends.

how to live with a bipolar alcoholic

Ultimately, it is up to both partners to decide whether the relationship should continue or not. If both parties are willing to make an effort and work together to create a safe and supportive environment, then the relationship can be successful. Symptoms of the disorder are often hard to spot and can vary from person to person. It is important to understand that if your partner does have bipolar, it is not their fault, and they should not be judged for it. Dealing with a bipolar spouse can be difficult, but there are steps you can take to make the relationship more manageable.

Is there a connection between bipolar disorder and alcohol use disorder?

These programs often include a combination of medical management, psychotherapy, support groups, and holistic approaches to recovery. They may also offer family therapy and education, recognizing the impact that living with a bipolar spouse or family member can have on loved ones. One of the benefits of residential treatment is that the program will evaluate you thoroughly, so that all issues are diagnosed. You can then work with the facility’s staff of experts to manage bipolar disorder and your drinking, as well as any other issues.

Understanding this relationship is crucial for both individuals with bipolar disorder and their loved ones. It’s important to recognize that alcohol use can significantly complicate the course of bipolar disorder, interfering with treatment efficacy and potentially leading to more severe symptoms and poorer outcomes. The relationship between bipolar disorder and alcohol use is complex and multifaceted.

The symptoms of alcohol abuse and withdrawal can closely mimic those of bipolar disorder, potentially leading to misdiagnosis. In some cases, alcoholism may be misdiagnosed as bipolar How Long Does Cocaine Stay in Your System What to Expect disorder, or vice versa, complicating treatment efforts and delaying appropriate care. Alcohol consumption can disrupt the delicate balance of neurotransmitters in the brain, potentially triggering or intensifying mood episodes.