Can bipolar disorder be managed without medication?

Nov 14, 2025 Source: Cainiu Health

Dr. Yang Ziqi

Introduction

In general, whether individuals with bipolar disorder can forgo medication should be determined based on the severity of the condition, individual differences, stage of treatment, and presence of comorbid symptoms. It is important to maintain a regular daily routine, avoid staying up late and overexertion, and establish a stable lifestyle. A balanced diet is recommended, with reduced intake of spicy and stimulating foods, and avoidance of smoking and alcohol.

Generally, whether individuals with bipolar disorder can avoid medication depends on a comprehensive assessment of the severity of the condition, individual differences, stage of treatment, and presence of comorbid symptoms. The specific analysis is as follows:

For individuals with mild symptoms, experiencing their first episode, and without significant impairment in social functioning, medication may be temporarily avoided following a thorough evaluation by a physician. These individuals experience only minor mood fluctuations and are able to maintain normal work and daily activities. Their condition can be effectively managed through regular sleep patterns, emotional regulation training, and psychotherapy. Provided there is no suicidal or self-harming tendency or other complications, close follow-up monitoring of disease progression is sufficient.

Individuals with moderate to severe illness, multiple relapses, or severe symptoms must not go without medication. These patients experience intense mood swings—acting impulsively or recklessly during manic episodes and having suicidal thoughts during depressive episodes—leading to serious impairment in social functioning, and may also present psychotic symptoms. Medication is essential for rapidly stabilizing mood, preventing disease deterioration, and reducing the risk of recurrence. Discontinuing medication without guidance may lead to symptom relapse or worsening, endangering both personal safety and that of others.

In daily life, it's important to maintain a regular routine, avoid staying up late and overexertion, and establish a stable lifestyle. Eat a balanced diet, limit spicy and stimulating foods, and avoid tobacco and alcohol. Engage regularly in gentle physical activities such as walking or yoga to help relieve emotional stress. Proactively communicate with family and friends to release inner pressure and avoid prolonged isolation. Learn to recognize early signs of mood changes; report any abnormalities to your doctor promptly, cooperate in adjusting management strategies, and maintain a positive and stable mindset.

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