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How to determine the need for hospitalization during acute manic episodes

trusted individuals around them.

Evidence of those without bipolar not recognizing the existence of the "two you" factor, can be found in debates over bipolar being a disease verses an excuse. Without open communication with those we have interpersonal relationships with, the internal battles between you, and bipolar you, become invisible. The resulting lack of understanding about these internal workings, makes it impossible for others to assist in determining need for hospitalization.

Consequently, by understanding the "two you" factor, knowing when hospitalization is needed becomes simple; in theory. When the you behind the disease is about to give up fighting against it's effects, it is time. However, knowing when this is about to take place can only be determined by you, and often requires the assistance of others. A process that is neither simple, or quick.

As sufferers of bipolar, we are the first line of defense against the negative attributes of the disease. Through understanding and excepting this, not only are we better equipped to know when additional help is required, but we can empower those closest to us to join the fight if they so choose. By working together with these understandings, hospitalization can be transformed from a last resort, defeat, into an opportunity to more effectively pursue a life in front of the disease.

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