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Clinical Psychologist, Psychologist
Antipsychotics are prescribed for people with Bipolar I Disorder for a number of reasons. They work by blocking a neurotransmitter in the brain called dopamine - which in people experiencing a manic episode, is signficantly high.
Certain antipsychotics can improve manic episodes quickly, especially if a person is experiencing delusions/hallucinations (which are common for both severe mania AND depression). As such, they are often prescribed in the short term - after which, mood stablizers are then prescribed.
Another reason they are prescribed is as a sedative, to manage insomnia or to manage symptoms of anxiety and/or agitation which are common symptoms experienced by people diagnosed with Bipolar Disorder.
Finally, some of the newer antipsychotics also have mood stablising properties and are currently being used for people who are resistant to more traditional mood stablizing medications.
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