People with bipolar disorder may stop taking their medication, such as Seroquel (quetiapine), for a variety of reasons. Some common reasons include:
Side effects: Antipsychotic medications like Seroquel can cause side effects such as weight gain, drowsiness, dizziness, and metabolic changes. These side effects can be uncomfortable or distressing, leading some individuals to discontinue their medication to avoid them.
Lack of insight: During manic or hypomanic episodes, individuals with bipolar disorder may experience a reduced awareness of their illness. They may believe they no longer need medication because they feel good or experience a sense of euphoria. This lack of insight can lead them to stop taking their prescribed medication.
Feeling better: When individuals start feeling better due to the medication's positive effects, they might mistakenly think that they no longer need it. This can happen during periods of remission or when mood swings subside.
Non-compliance with treatment: Some people struggle with adhering to a treatment plan due to forgetfulness, disorganization, or ambivalence about taking medications regularly.
Substance abuse: Substance abuse is more common in individuals with bipolar disorder. Alcohol or drug use can interfere with the effectiveness of medication or exacerbate the condition, leading to non-compliance.
What happens when they stop taking their medication?
Stopping medication for bipolar disorder, like Seroquel, without medical supervision can have serious consequences:
Relapse: Discontinuing medication can lead to a relapse of bipolar symptoms. This might involve a return of depressive or manic episodes, which can be disruptive to daily life and relationships.
Increased severity and frequency of episodes: Untreated bipolar disorder tends to worsen over time, with episodes becoming more severe and frequent. Each episode can cause further damage to one's mental health and overall functioning.
Impaired functioning: Bipolar disorder can interfere with an individual's ability to work, maintain relationships, and handle daily responsibilities. Stopping medication can exacerbate these challenges.
Hospitalization: Without appropriate treatment, some individuals may experience such severe manic or depressive episodes that they require hospitalization for stabilization and safety.
What can be done about it?
Addressing medication non-compliance in individuals with bipolar disorder requires a comprehensive approach:
Education: Providing education about the nature of bipolar disorder, its long-term effects, and the importance of medication adherence can help improve patients' understanding of their condition.
Regular follow-ups: Regular appointments with a mental health professional can monitor a person's progress and address concerns or side effects related to medication.
Individualized treatment plans: Working with a psychiatrist to develop personalized treatment plans that minimize side effects while effectively managing symptoms can enhance medication compliance.
Support system: Involving family members, friends, or support groups can provide encouragement and assistance in managing medication adherence.
Monitoring and adjustment: Regularly evaluating the effectiveness of the medication and making necessary adjustments can improve treatment outcomes.
Cognitive-behavioral therapy (CBT): Combined with medication, CBT can help individuals learn coping skills, recognize triggers, and manage stress more effectively.
Addressing substance abuse: If there's a co-occurring substance abuse issue, seeking specialized treatment for both conditions is crucial for better outcomes.
Ultimately, it's essential for individuals with bipolar disorder to communicate openly with their healthcare providers about their experiences with medication and any challenges they face. Collaborative decision-making can lead to better treatment adherence and improved management of the disorder.