Two questions:
1) how can we address the prescribing of SSRIs by primary care providers, who do not screen for bipolar beforehand and don’t follow up closely to look for it after?
2) what is the best course of action for someone who knows a loved one is manic, but gets cut off and has no way of accessing help in getting the loved one the medical help they need? Baker Act holds are difficult if the person can mask for long enough or if they are not suicidal. Additionally, many people in the general community may not recognize mania and may not help because of that. It seems horrible that the answer is always to let them ruin lives until they decide to get help themself, when we know that changes in their brain make that an unrealistic expectation.
AnxiousAmaris171 karma
Two questions: 1) how can we address the prescribing of SSRIs by primary care providers, who do not screen for bipolar beforehand and don’t follow up closely to look for it after? 2) what is the best course of action for someone who knows a loved one is manic, but gets cut off and has no way of accessing help in getting the loved one the medical help they need? Baker Act holds are difficult if the person can mask for long enough or if they are not suicidal. Additionally, many people in the general community may not recognize mania and may not help because of that. It seems horrible that the answer is always to let them ruin lives until they decide to get help themself, when we know that changes in their brain make that an unrealistic expectation.
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