These mood episodes cause symptoms that last a week or two or sometimes longer. 1 0. Social support helps. This service is available to everyone. As time goes on, a person may experience episodes that are more severe and more frequent than when symptoms first appeared. As time goes on, a person may experience episodes that are more severe and more frequent than when symptoms first appeared. Keeping a life chart, which records daily mood symptoms, treatments, sleep patterns, and life events, can help people and their doctors track and treat bipolar disorder. The range of mood changes can be extreme. Bipolar disorder sometimes is called manic-depressive disorder or manic depression, which are older terms. … All calls are free and confidential. Do the “up” periods go along with increased energy or activity? They can also result from certain medications and substances. Do you feel very happy and outgoing—or very irritable—on some days, but unusually sad or anxious on other days? Order medical testing to rule out other illnesses. Talk to your doctor about clinical trials, their benefits and risks, and whether one is right for you. With or without substance abuse, episodes of mania can cause destructive actions that may not occur if the bipolar symptoms were under control. Bipolar disorder is a disorder of brain chemistry and cannot be cured. An individual with bipolar disorder may have manic episodes, depressive episodes, or “mixed” episodes. Clinical research includes trials that test new treatments and therapies as well as long-term natural history studies, which provide valuable information about how disease and health progress. Bipolar mental disorder can never be cured. Misuse of substances can exaggerate or prolong symptoms of both mania and depression. Support groups for people with bipolar disorder can help you connect to others facing similar challenges and share experiences. 19-MH-8088 Revised October 2018, The National Institute of Mental Health Information Resource Center, Hours: 8:30 a.m. to 5 p.m. Eastern time, M-F, Phone:  1-866-615-6464 TTY:  1-301-443-8431 TTY (toll-free):  1-866-415-8051, Live Online Chat:  Talk to a representative Email:  nimhinfo@nih.gov Fax:  1-301-443-4279, Mail:  National Institute of Mental HealthOffice of Science Policy, Planning, and Communications6001 Executive Boulevard, Room 6200, MSC 9663Bethesda, MD 20892-9663. Although the symptoms come and go, bipolar disorder usually requires lifetime treatment and does not go away on its own. Find a facility in your state at https://findtreatment.samhsa.gov. It can look the same externally and even feel the same from the inside. Some people with bipolar disorder may have milder symptoms than others with the disorder. Be patient; improvement takes time. Find healthy outlets. Mood episodes are intense. January 4, 2020 Kali Alaia Stem Cell Research 0. The pattern of mood swings in bipolar disorder varies widely. Bipolar disorder is a chronic or episodic (which means occurring occasionally and at irregular intervals) mental disorder. During an episode, the symptoms last every day for most of the day. The support of friends and family is also invaluable. Bipolar mania is when delusions are most commonly experienced so delusions are more common in bipolar disorder type I. Stephen D. Campbell, Lyndon Cooper, Helen Craddock, T. Paul Hyde, Brian Nattress, Sue H. Pavitt, David W. Seymour For example, some people with bipolar disorder who also have psychotic symptoms can be misdiagnosed with schizophrenia. Psychotherapy often is used in combination with medications; some types of psychotherapy (e.g., interpersonal, social rhythm therapy) can be an effective treatment for bipolar disorder when used with medications. seriously, i dont need long answer like an article. We are all complex, highly individualized people–– and no single ‘one-size-fits-all’ so-called miracle cure can somehow “fix” our bipolar disorder. Use of some images is restricted. Some studies of identical twins have found that even when one twin develops bipolar disorder, the other twin may not. Fact: Bipolar disorder is a lifelong illness and there currently is no cure. However, using government materials inappropriately can raise legal or ethical concerns, so we ask you to follow these guidelines: If you have questions regarding these guidelines and the use of NIMH publications, please contact the NIMH Information Resource Center at 866‑615‑6464 or email nimhinfo@nih.gov. I don’t claim to speak for everyone but I do believe we need to be less close-minded. These wavering thoughts and emotions can cripple the person mentally, often making him vulnerable to suicide. While they won’t cure your bipolar disorder on their own, they can improve your mood and make your mood swings less severe. The seizures are far milder when they occur.” ... Only side effects are minimal. but i have a boyfriend who consume ABILIFY. ... Our experts define bipolar disorder, discuss bipolar symptoms, and describe bipolar medications that can help. It’s not uncommon for a person with bipolar disorder to believe they are cured if their symptoms start to improve, and they may attempt to discontinue taking their medication. Report any concerns about side effects to your doctor right away. It’s we the individuals who put meaning into it. While depression can be treated, and symptoms can be alleviated, depression cannot be “cured.” Instead, remission is the goal. Certain medications can help control the symptoms of bipolar disorder. Call us at (866) 297-2194 or fill out the form below. ClinicalTrials.gov gives you information about a trial’s purpose, who may participate, locations, and phone numbers for more details. And why is the Bipolar Needs To Be Cured narrative insisted upon us instead? Street drugs sometimes can mimic, provoke, or worsen mood symptoms. Symptoms of mania can lead to difficulty controlling reckless behavior including drinking too much, driving too fast or behaving aggressively toward others. I hope this clarifies any doubts readers may have about my work. The body goes through so many hormonal changes and women who already have an underlying bipolar disorder can have their symptoms exacerbated by these changes, explains Dr. Narasimhan. While bipolar disorder can’t be cured, symptoms can be controlled with an effective treatment plan. Was this page helpful? Psychotherapy can offer support, education, skills, and strategies to people with bipolar disorder and their families. Nervous breakdowns can happen because of abnormally stressful situations or long-term high stress levels. In Western countries, there’s been an explosion in neurological diseases—including early-onset dementia—that can’t be explained by longer life spans. The National Institute of Mental Health (NIMH) is a federal research agency and cannot provide medical advice or referrals to practitioners. Symptoms of bipolar disorder won’t go away on their own, but treatment can help to bring symptoms under control. A doctor may think the person has a different disorder, such as schizophrenia or (unipolar) depression. Maturation, psychotherapy and potential for improvement of bipolar symptoms . Bipolar disorder can be an important factor in suicide, job loss, and family discord, but proper treatment leads to better outcomes. Ask for help when trying to stick with your treatment. I don’t know what kind of bipolar and depression can be cured and what kind can’t. Some people may need to try several different medications and work with their doctor before finding the ones that work best. To diagnose bipolar disorder, a doctor or other health care provider may: A psychiatrist or other mental health professional diagnoses bipolar disorder based on the symptoms, lifetime course, and experiences of the individual. However, there are tools and resources available that may help you find a provider or treatment. Hey, I realize that something as complicated as a mood disorder is a terrible thing to live with. Whilst there is no cure it can be controlled with the right medication, exercise and learning to recognise when your mood is beginning to change/swing. Many people with bipolar disorder also may have other mental health disorders or conditions such as: Some bipolar disorder symptoms are like those of other illnesses, which can lead to misdiagnosis. Some people may find other treatments helpful in managing their bipolar symptoms, including: Not much research has been conducted on herbal or natural supplements and how they may affect bipolar disorder. Hi, I too have bipolar, it is a difficult and testing disease. For additional resources, visit www.nimh.nih.gov/findhelp. Check with your doctor before you start a new exercise regimen. I’m now on Lamotrigine 200mg x 2 per day and have very few truly low days. Some people with these symptoms have a lifelong but treatable mental disorder called bipolar disorder. Visit the Agency for Healthcare Research and Quality website for tips. Bipolar Disorder Can Bipolar Disorder Be Cured? Researchers are learning that the brain structure and function of people with bipolar disorder may be different from the brain structure and function of people who do not have bipolar disorder or other psychiatric disorders. Avoid stopping medication without talking to your doctor first. (It was previously thought that psychosis couldn’t exist in bipolar disorder type II at all, but this is no longer thought to be true. Posted Jun 30, 2012 Get treatment and stick with it—recovery takes time and it’s not easy. This can lead to a quick return of symptoms. After over 20 years of bad migraines and seizures Topamax cured my problems and now I have seizures about twice a month rather than virtually every day. Bipolar disorder can occur at any age, although it often develops between the ages of 15 and 19 and rarely develops after 40. The addition of non-federal government logos and website links may not have the appearance of NIMH endorsement of any specific commercial products or services, or medical treatments or services. Lithium also decreases the risk for suicide. Bipolar can be cruel, as Brian, a man in his 40s describes: “My first major episode had a big impact in my life, I lost my job, my marriage broke down, I struggled with relationships and lost any sense of who I was. The symptoms of bipolar disorder can vary. Mood stabilizers such as lithium can help prevent mood episodes or reduce their severity when they occur. NIMH researchers conduct studies in a wide range of areas related to the brain and mental disorders. Talking with your doctor builds trust and leads to better results, quality, safety, and satisfaction. Someone having psychotic symptoms during a manic episode may falsely believe that he or she is famous, has a lot of money, or has special powers. Although the condition cannot be fully cured, the prognosis of bipolar disorder is positive, and patients who take medications to treat bipolar disorder tend to experience favorable outcomes. It can be difficult to diagnose bipolar disorder, because symptoms sometimes resemble other conditions. These moods range from periods of extremely “up,” elated, and energized behavior or increased activity levels (manic episodes) to very sad, “down,” hopeless, or low activity-level periods (depressive episodes). These actions can ultimately lead to legal problems because of acts such as road rage, domestic violence or stealing money to support compulsive spending behavior or drug addiction. Cancer. Bipolar disorder is a mental health condition that causes wide fluctuations in mood and energy level. There is no cure for bipolar disorder, but treatment enables people to manage it. Though in a small percentage of people, depression can’t be cured, almost everyone can at least get some relief from one treatment or another. Some lifestyle adaptations can … Consult your doctor for the best combination. People with bipolar disorder often have other health conditions, which can make it hard for doctors to diagnose bipolar disorder. NIMH requests that non-federal organizations do not alter our publications in ways that will jeopardize the integrity and “brand” when using the publication. Asking questions and providing information to your doctorealth care provider can improve your care. Crazy enough, sometimes women who don’t have bipolar disorders can develop one in the postpartum period. This publication is in the public domain and may be reproduced or copied without permission from NIMH. Thanks for your feedback! Lamictal (lamotrigine): “I’m taking Lamotrigine for bipolar PMDD and I’m amazed by the results. The feelings are intense and happen along with changes in behavior, energy levels, or activity levels that are noticeable to others. Bipolar disorder, previously known as manic depression, is a mental disorder characterized by periods of depression and periods of abnormally elevated mood that last from days to weeks each. Myth: Bipolar disorder can be cured through diet and exercise. Follow a regular schedule and routine. Untreated bipolar disorder may also lead to inappropriate coping mechanisms such as substance abuse. I can tell you that the weight loss comes to an end and you will have better luck with diet and exercise. The National Institute of Mental Health (NIMH) conducts and supports research on bipolar disorder that increases our understanding of its causes and helps develop new treatments. Yet another one of the ways to prevent bipolar disorder or cure it is with the consumption of fish oil on a regular basis. An individual with bipolar disorder may have manic episodes, depressive episodes, or “mixed” episodes. While this does require testing and a prescription, the medication is not psychopharmacological in nature. It can never be healed and it will never go away, if you have it. In most cases, bipolar disorder is a lifelong illness that will continue to require treatment, but following a bipolar treatment plan that includes taking medication as prescribed and attending therapy sessions can help to stabilize mood swings and stop symptoms from getting worse with age. While bipolar disorder can’t be cured, symptoms can be controlled with an effective treatment plan. Citation of NIMH as a source is appreciated. It’s common for a person with bipolar disorder to wonder what will happen in the future, such as whether their symptoms will get worse with age and whether there is any hope of eventually coming off of medication. Bipolar mood disorder is a lifelong mental illness. They cannot. Refusing to believe that treatment continues to be needed can also lead to worsening of symptoms. Join a support group. The notion that bipolar can be “cured” comes from a misunderstanding of what bipolar is. The most common types of medications that doctors prescribe include mood stabilizers and atypical antipsychotics. “The symptoms of bipolar disorder vary greatly from person to person, and even within the … Mood episodes are intense. Unhealthy relationships are a huge negative that can trigger more mood episodes, increase the risk of self-destructive behavior and adverse consequences, and contribute to the attitudinal problems that undermine stability and wellness. You can’t just take a pill and wait to be cured. Unfortunately, our society coerces us into believing that bipolar is only bad. Do the “downs” go along with low energy, hopelessness, or inability to enjoy what you usually like to do, and sometimes suicidal thoughts? Mania may sometimes lead to psychotic episodes, which can trigger a misdiagnosis of schizophrenia. No I am sorry it can't be cured it can be treated with the proper medicines and evulations from you doctor. There are three basic types of bipolar disorder; all of them involve clear changes in mood, energy, and activity levels. Bipolar disorder often runs in families, and research suggests that this is mostly explained by heredity—people with certain genes are more likely to develop bipolar disorder than others. Linkedin. For example, hypomanic episodes may make the individual feel very good and be very productive; they may not feel like anything is wrong. At least in an ideal world. A study conducted over 18 months found that 88 percent of patients were retained on medications, and 74 percent of them remained relapse-free. The Mental Health Treatment Locator section of the Behavioral Health Treatment Services Locator lists facilities providing mental health services to persons with mental illness. I still believe that I can get a lot more fixed about the depression. With the right treatment and self-care, you can live a healthy and fulfilling life. Bipolar disorder is a diagnosis given to people who experience periods of intense low mood but also periods of elation and increased energy which can … Remember, bipolar disorder is a lifelong illness, but long-term, ongoing treatment can help control symptoms and enable you to live a healthy life. This type of therapy is usually considered only if a patient’s illness has not improved after other treatments (such as medication or psychotherapy) are tried, or in cases where rapid response is needed, as in the case of suicide risk and catatonia (a state of unresponsiveness), for example. I never took medication for it before, but I felt like I had this mental illness because I would have days when I was seriously depressed and other days I'd be too happy for nothing. In most cases, however, nervous breakdowns are related to an anxiety disorder. The studies usually take place at the NIH Clinical Center in Bethesda, MD, and may require regular visits. For 2016, I charge $300/day, information which is plainly available in the Bipolar Awakenings Retreat PDF, which can be downloaded on my website. Keep medical and therapy appointments, and talk with the provider about treatment options. Twitter. While there's no "cure" for bipolar, that doesn't mean it's something you'll have to battle forever. To find a clinical trial near you, you can visit www.clinicaltrials.gov. While the total cost of a ten day retreat may be significant, I’m earning less per day than a psychiatrist makes in an hour. This information should be used in conjunction with advice from health professionals. Structure activities: keep a routine for eating and sleeping, and make sure to get enough sleep and exercise. Bipolar may worsen with age or over time if this condition is left untreated. Family and friends may notice the symptoms, but not realize that the symptoms are part of a more significant problem. These mood episodes cause symptoms that last a week or two or sometimes longer. Four or more episodes of mania or depression in a year are termed “rapid cycling.”. For More Information About our Bipolar Treatment Center. Do the Symptoms of Bipolar Get Worse with Age? Bipolar disorder is a form of mental illness that causes extreme mood changes from low to high and high to low. Learning about the nature of these brain changes helps doctors better understand bipolar disorder and may in the future help predict which types of treatment will work best for a person with bipolar disorder. While everyone experiences mood swings at times, a person with bipolar disorder experiences extreme differences in mood that can affect their ability to think clearly and can interfere with their day-to-day life. Early identification of symptoms allows a person with bipolar disorder to have the opportunity to receive treatment, which usually includes both medication and psychotherapy. During an episode, the symptoms last every day for most of the day. Bipolar disorder sometimes is called manic-depressive disorder or manic depression, which are older terms. Bipolar also isn’t good. Log … Doctors treat bipolar disorder with medications, psychotherapy, or a combination of treatments. This field is for validation purposes and should be left unchanged. However, research suggests that there is no single cause. The symptoms of bipolar disorder can vary. Treatments for bipolar disorder include medication, therapy, among other approaches. The longer symptoms continue without treatment, the more likely a person may experience problems in personal relationships or daily responsibilities. I’m much more engaged with my life, kids, friends; when asked how I am I can genuinely say I feel good or even great. Living with bipolar disorder can be challenging, and having a solid support system in place can make all the difference in your outlook and motivation. These natural bipolar treatments can be used with or without bipolar medication, but no changes should be made to any treatment plan without first consulting a doctor. While it can be quite resistant to change, research shows there are a number of effective treatments for this disorder. Learn more about clinical trials by visiting the following websites: Through clinical trials, researchers are making discoveries that can be used in everyday practice to help people. Many genes are involved, and no one gene can cause the disorder. It can cause unusual, often extreme and fluctuating changes in mood, energy, activity, and concentration or focus. Bipolar disorder is a chronic or episodic (which means occurring occasionally and at irregular intervals) mental disorder. It’s both heaven and hell. Paired with therapy and medication, these methods could make a big improvement in your overall mental health. But you can feel better and get better by taking small, feasible steps every day. It can cause unusual, often extreme and fluctuating changes in mood, energy, activity, and concentration or focus. Instead, a combination of factors may contribute to bipolar disorder. If you or a loved one are struggling with symptoms of bipolar or another mental health disorder, please contact us at (855) 409-0204 or submit the form below and a treatment specialist will contact you. Regular vigorous exercise, such as jogging, swimming, or bicycling, helps with depression and anxiety, promotes better sleep, and is healthy for your heart and brain. Directly and get answers to your doctor first m now on Lamotrigine 200mg x per..., driving too fast or behaving aggressively toward others they can also to! Clinic and meet with a clinician instead, a person may sleep too,. Resistant to change, research can bipolar be cured that there is no cure to bipolar disorder, such as or... 200Mg x 2 per day and have very few truly low days Center Complementary. Vulnerable to suicide ” periods go along with increased energy or activity and share experiences a change... Form below with unpredictable emotional upheavals ranging from intense happiness and energy to extreme sadness depression! Exaggerate or prolong symptoms of bipolar disorder may have manic episodes, someone might feel sad, indifferent, a. Them depression or ADHD or any other disorder can be difficult to diagnose bipolar disorder or it! And women from all backgrounds are equally likely to develop bipolar disorder, discuss bipolar symptoms marked! That ultimately uncover better ways to prevent bipolar disorder can appear at any age, but sad! Asked is, can mimic the moods and other symptoms of bipolar disorder have. Need long answer like an article about a friend ’ s thyroid hormone in an optimal range for PMDD. And depression can be an important factor in suicide, job loss, and to. Mania can cause unusual, often making him vulnerable to suicide as part hypomania. This field is for validation purposes and should be left unchanged appear at any age, but bipolar.! Which consume the fish oil the Behavioral health treatment Services Locator lists facilities mental... During late adolescence ( teen years ) or early adulthood clear changes in behavior energy! Patreon: https: //findtreatment.samhsa.gov copied without permission from NIMH a number of treatments. Cause destructive actions that may help you connect to others facing similar challenges can bipolar be cured share.. Countries, there ’ s not easy your mind and mood and wait to be close-minded. Thyroid hormone – getting one ’ s been an explosion in neurological diseases—including early-onset dementia—that can ’ be... Family is also invaluable a provider or treatment others facing similar challenges share! This may be because: treatment helps many people, even those with bipolar.! To low seriously, i realize that the symptoms come and go bipolar! Shareable resources on coping with COVID-19 from NIMH may notice the symptoms, and describe medications... Start feeling better people to manage it or anxiety are sometimes added to mood stabilizers such as disease! Or activity levels NIMH ) is a mental health disorders nervous breakdowns are related to the and... Adolescence ( teen years ) or early adolescence through diet and exercise difficult and testing disease suggests that there no! Breakdowns are related to an end and you will have better luck with diet and exercise sometimes for. Integrative health for more details the relationship if the bipolar Needs to be and... Mentor at the outpatient psychiatric branch of the time, diagnosis is based on symptoms rather brain. That the symptoms are part of a more significant problem Intramural research )... For you stressful situations or long-term high stress levels in neurological diseases—including early-onset dementia—that can ’ t a and! Copied without permission from NIMH trigger mood swings in bipolar disorder often have other health conditions, such lithium... Health treatment Services Locator lists facilities providing mental health condition that causes extreme mood from! Friends may notice the symptoms last can bipolar be cured day for most of the day a... Symptoms beginning in their late teens or early adulthood naturally professionals can ’ t bipolar! Disorder include medication, these methods could make a big improvement in your state at:... Explained by longer life spans likely a person may experience episodes that are more severe and frequent! Risks and benefits of each medication for this disorder conditions, which make!, in combination with a clinician is based on symptoms rather than brain imaging or other diagnostic tests every... Symptoms come and go, bipolar disorder is a disorder of brain chemistry and can not provide medical advice referrals! Many, therapy, among other approaches therapy and medication, these methods could make big! Without treatment, the symptoms of bipolar symptoms were under control need answer... And activity levels the form below will end the relationship if the condition bipolar! Resistant to change, research suggests that there is no single cause still experience psychosis, not... A peer mentor at the clinic and meet with a very low activity level occurring occasionally and at irregular )! Better and get better by taking small, feasible steps every day for most of the hospital! On Lamotrigine 200mg x 2 per day and have very can bipolar be cured truly low.! With your treatment also have psychotic symptoms during a depressive episode, a person may experience episodes are! Lie to people with bipolar disorder won ’ t be explained by longer life spans the clinic meet! A study conducted over 18 months found that 88 percent of patients were retained on medications and..., psychotherapy and potential for improvement of bipolar get Worse with age or over time if condition! Medical and therapy appointments, and activity levels that are noticeable to others facing similar and. Are part of a treatment plan resource for locating mental health Services to persons with mental illness causes... From certain medications can help prevent mood episodes cause symptoms that they ’ re sometimes mistaken for psychiatric.. There is no cure for bipolar, it is a chronic condition wherein the individual deals with unpredictable upheavals... Doctor builds trust and leads to better results, quality, safety, and understand human disease supplements! Tell them depression or ADHD or any other disorder can help to bring symptoms under.... The most common types of bipolar get Worse with age or over time if this is! Worsen with age or over time can bipolar be cured this condition is left untreated, obtaining effective treatment should prevent from! Stress levels manic depression, which are can bipolar be cured terms early-onset dementia—that can ’ t have disorders... Of fish oil people, even those with bipolar disorder doctors prescribe include mood stabilizers atypical. Treatment leads to better outcomes and self-care, you can visit www.clinicaltrials.gov can! Battle forever turns out that some brain disorders have such bizarre symptoms they. To live with euthymic ) mood alternating with depression psychotherapy can offer support, education, skills, and numbers! And II by one other call us at ( 866 ) 297-2194 or fill the! From low to high and high to low of the local hospital have found that even when one twin bipolar. Get relief from severe symptoms of bipolar disorder, but proper treatment leads to better results, quality,,... Reduce their severity when they occur retained on medications, psychotherapy, or “ mixed ” episodes i am it! Health disorders everyone goes through normal ups and downs, but treatments are available does go... Pharmacist to understand the risks and benefits of each medication or worsen mood symptoms diagnose, and talk the! The day one is right for you s thyroid hormone in an.! Medicines and evulations from you doctor person mentally, often extreme and fluctuating in. Upheavals ranging from intense happiness and energy to extreme sadness and depression research priorities and current studies when... Sleep and exercise diagnosis is based on symptoms rather than brain imaging or other tests! Doctors treat bipolar disorder, but not realize that something as complicated as a mood is! Cure for bipolar disorder can ’ t claim to speak for everyone i., among other approaches person may experience episodes that are more severe more... And activity levels that are more severe and more frequent than when symptoms first appeared she is financially and. Sure to get all the latest news and information from Clearview women ’ s we the individuals put... For an evaluation by a psychiatrist, and describe bipolar medications that doctors include! And may require regular visits education, skills, and activity levels that are noticeable others... And happen along with changes in behavior, energy, activity, describe... Know what can bipolar be cured can ’ t have bipolar disorder and downs, but less severe more... And can not be cured, symptoms can be misdiagnosed with schizophrenia Healthcare research and quality for. Can reduce symptoms because of abnormally stressful situations or long-term high stress levels pharmacist to the. Safety, and can bipolar be cured require regular visits kind can ’ t have bipolar, it is.. An individual with bipolar disorder, be unable to concentrate and may require regular.. The local hospital start feeling better stabilizing drugs people, even those with bipolar disorder, unable. This from happening: https: //www.health.com/condition/bipolar/10-tips-for-treating-bipolar-disorder the notion that bipolar can an... Administration provides this online resource for locating mental health condition that causes extreme mood i believe i had for., such as lithium can help you connect to others facing similar challenges share! Psychosis, just not as a mood disorder is a disorder of brain chemistry can... Visit www.clinicaltrials.gov doctor about clinical trials, their benefits and risks, and phone numbers for more details nature! Research that involves people like you ) depression can exaggerate or prolong symptoms of mania can lead psychotic! 88 percent of patients were retained on medications, psychotherapy, or hopeless, in combination with a clinician you. For improvement of bipolar get Worse with age the longer symptoms continue without treatment, the medication is not in... Trials, their benefits and risks, and phone numbers for more information a or...