Is therapy of any use when a person is extremely manic and maybe not completely in touch with reality?

Is therapy of any use when a person is extremely manic and maybe not completely in touch with reality? When a person thinks they can actually fly or is not able to focus on ANYTHING? I see a great deal of benefit to therapy during a depressive phase. What about during mania?

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First, I’ll tell you my own personal experience…

When I am in a state of mania, I absolutely, positively need some intervention… My normal, everyday supports (i.e.-family, friends) can help to a degree… But when I get bad, I need professional intervention… My therapist is able to help me see the reality of life, instead of just the distortions my mind is creating… It’s almost like she’s a magical fairy (which I’m being for Halloween!!! Lol) and after spending a few hours with her, I’m back to an even keel… Of course, it’s not magic, though (dern!!!) Really, it’s a lot of hard work… We talk through everything-all the distortions and the feelings… She helps me get in touch with my ‘inner-self.’ Sometimes, we’ll even go out in public and go to stores and such places, just so I WON’T spend all my money… She’s even taken me to places that I tend to get over stimulated in when I’m manic… It really helps a lot…

Ok, now to the actual medical mumbo-jumbo… Every site I found said therapy is very helpful for dealing with both mania and depression… There are different kinds of therapies you can try, such as Electroconvulsive Therapy, where they send small electrical current through your head into your brain… ( Sounds like something Frankenstein would do!!! But don’t worry… It’s come a long way and they say there are minimal side effects…) I also read that this used only as a last case scenario and for those in such a massive crisis, that they are at risk.  I saw that it can take the majority of people out of states of mania…

Another form of therapy is Dark Therapy… I don’t know too much about this one, but apparently, studies have shown that if you spend about 8-9 hours a day in complete darkness, it will help bring down the mania… I guess it reduces the stimulants around you and allows you to relax- sort of what deep breathing and guided imagery does…

Speaking of…The next form of therapy is Cognitive Behavior Therapy…  CBT is a type of therapy that focuses on the reality of the mind… It teaches skills you can use in times of crisis-such as extreme mania… It focuses of the fact that our thoughts cause our feelings and behaviors, not external things such as people and events…  As Marcus Aurelius said- If you are distressed by anything external the pain is not due to the thing itself, but by your estimate of it; and this you have the power to revoke at any minute…

So, to sum up all of this, yes… I do think therapy can help when in a state of mania… You can get shocked when you are extremely manic… You could go in the dark for a few hours to calm yourself… Or you can attempt to be rational with your thoughts… And a therapist can help you with this… Both on a regular basis and when you are already in a state of mania…

2 thoughts on “Is therapy of any use when a person is extremely manic and maybe not completely in touch with reality?

  1. Thanks Sammi for all the useful info didn’know a cpl of the forms of TX I thought ECT was only used for depession.
    Good job!

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