Can people with mania have children?

Mania can manifest as excessive excitement of the nervous system. It is a relatively common disease. Compared with patients with depression, mania may have a certain risk factor and cause harm to others. Therefore, we should have a certain understanding of mania. It is not recommended for women to have children during mania because pregnancy may lead to worsening of symptoms. So, can people with bipolar disorder have children?

1. Treatment principles

① Early identification, early treatment, adequate treatment and full treatment. ② Adopt comprehensive treatment, including drug therapy, physical therapy, psychosocial intervention and crisis intervention, to improve treatment compliance. ③ Long-term treatment. The recurrence rate of manic episodes is very high, so it is necessary to establish the concept of long-term treatment; ④ Patients and their families participate in the treatment together, because families need to provide support and help to patients.

Drug treatment

① Treatment is mainly based on mood stabilizers, which can treat and prevent seizures. On the basis of mood stabilizers, other drugs can be combined according to the condition; ② Timely monitor the effects and side effects of drugs, adjust drugs according to the situation, and pay attention to the interactions between drugs when taking drugs in combination; ③ Manic state

First choice is a mood stabilizer. If necessary, timely combination therapy should be used, such as another mood stabilizer, antipsychotic, or benzodiazepine. ④ Mood stabilizer

Commonly used are lithium carbonate and anticonvulsants, which include sodium valproate, magnesium valproate, carbamazepine, and lamotrigine; ⑤ Antipsychotics

Mainly new atypical antipsychotics (such as quetiapine, olanzapine, risperidone, aripiprazole, ziprasidone, etc.); ⑥ sedatives and hypnotics

Benzodiazepines (Valium, etc.).

2. Psychotherapy

Add psychotherapy to medication. Identify and improve patients' negative cognitive, emotional and behavioral patterns, provide crisis intervention, and educate patients and their families about the disease to improve treatment efficacy, enhance social adaptability and improve social functions, increase compliance and reduce relapses.

3. Treatment Course

Establish the concept of long-term treatment and adopt comprehensive treatment. ①Acute treatment period

Control acute excitement. Treatment course: generally 6-8 weeks; ② Consolidation treatment period

Consolidate the treatment effects in the acute phase and prevent symptom fluctuations. Treatment course: 2-3 months, the drug dosage generally remains unchanged. ③Maintenance treatment period

Prevent relapse and restore social function. Taper the dose of non-mood stabilizers gradually under careful observation. There is no consensus on how long maintenance therapy should last. The drug dosage and duration of maintenance therapy depend on the patient's specific situation and vary from person to person, and the treatment plan is individualized. For patients with multiple relapses, the drug dosage can be reduced while observing and gradually discontinued after the condition stabilizes for 2-3 cycles of previous attacks or after maintenance treatment for 2-3 years. If there are signs of relapse during the medication withdrawal period, resume the original treatment plan in a timely manner, and provide a longer maintenance treatment period after relief. Patients with early onset and a positive family history should undergo maintenance treatment.