There are needs that should be addressed to patients with bipolar disorder that Dr. Chris Aiken has compiled.

  1. Education-Patients are usually aware of cognitive problems and may blame their medications and stop treatment.
  2. Adjust medications-Cognitive side effects tend to be dose-dependent.
  3. Choose mood stabilizers with a favorable cognitive profile-Lamotrigine stands out.
  4. Lifestyle-Emphasis on sleep, exercise, and diet.
  5. Therapy-Functional Remediation Therapy were patients practice exercises in group setting to improve cognitive and social skills.
  6. Augmentation-Look for agents that are helpful in bipolar depression.
  7. Pay attention to substance use in patients
  8. Test for herpes simplex virus

See Dr. Aikens complete article in Psychiatric Times article published January 9, 2017.