Question:
I live with someone who I believe is bipolar. He is going to a psychiatrist
this week for an intake evaluation. I have learned alot on the 'net about bp
disorder but what I would really like to know is does having this disorder
cause a person to use alcohol (excessively) and drugs ie are the use of these
due to his disorder? If he gets on some medication will the use of alcohol and
drugs stop?
Answer:
Having bipolar disorder does not mean that someone will become abusive of
drugs or alcohol. As with many mood affecting disorders the odds that some
will develop a secondary problem with drugs or alcohol are probably a bit
higher than the general population, and treatment can be more complicated.
In the end your friend is going to have to face the face that abusing drugs
and/or alcohol are only going to make his bipolar problem worse. He is also
going to have to face the fact that the very act of taking his medication is
going to flatten out his emotions, an effect that can be so psychologically
difficult that bipolars are some of the toughest patients to get to take
their medication as prescribed.
I am an alcoholic with a little over one year of sobriety. I know that
depression contributed to my alcoholism, makes it harder to remain sober,
but ultimately the fact is that I am an alcoholic and that it is my decision
and my responsibility if I am going to drink or not. Sobriety has not erased
my depression, but it has definitely made it possible for it to be treated
much more effectively.
I am not sure how I would deal with this situation. Probably I would inform
your friend's doctor of your concerns. Of course this person might not ever
speak to you again.... but it might change their lives.
