Treatment of bipolar obsessive - compulsive disorder combines different approaches.
Medication is a key part. Mood stabilizers like lithium carbonate can help control the bipolar aspect by stabilizing mood swings. For the obsessive - compulsive symptoms, selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine are often used to reduce the frequency and intensity of obsessive thoughts and compulsive behaviors.
Psychotherapy is also essential. Cognitive - behavioral therapy (CBT) is very effective. Therapists help patients identify and change negative thought patterns related to both the bipolar and obsessive - compulsive components. Exposure and response prevention is a CBT technique that can specifically target the compulsions. Family support and psychoeducation are also important, teaching family members about the disorder and how to provide a supportive environment.
