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Addressing only one half of the “dual diagnoses” equation tends to be less effective than tackling both simultaneously.
Researchers are trying to puzzle out why having bipolar disorder significantly raises the risk of alcohol use disorders.
However, the lowered inhibition that comes with drinking also greases the way for risk-taking behaviors that accompany elevated mood, such as overspending, excessive arguing, unsafe driving, sexual indiscretions, and acting on grandiose ideas.
“Because alcohol often acts to change the normal checks and balances in decision-making, it is easier for a person under the influence to take risks and act in ways that they would not normally act,” Everett notes.
“I spent all my money for bills on alcohol,” says Henry, who is now 43.
He kept drinking after getting a bipolar diagnosis in 1999, although he knew it was undermining the effectiveness of his prescribed medications.
At age 25, Letterman was the married mother of a newborn baby girl.
They may not want to feel left out when everyone else is having a drink or two, or they may enjoy a relaxing glass of wine at the end of a long week. On a case-by-case basis, there may be some give in the blanket prohibition—but there is persuasive evidence for being a teetotaler.He also recalls that with a few of the different meds he tried, drinking would lead to bouts of rage.Some mood stabilizers negatively interact with alcohol while others do not, says Kranzler.Another argument for abstinence: Studies have shown that people with bipolar disorder have a 60 percent chance of developing a drinking problem at some point in their lives.