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When working with individuals who have bipolar disorder, there is often a high resistance to pharmacotherapy. Many of these individuals cite the medication side effects as the prime reasons for refusing medical treatment. For some, the "high" experienced during a manic phase is invigorating. That is, these individuals often experience a rush of energy and productivity, as well as creativity; these positive aspect of this manic phase results in enjoyment and pleasure. With medication, however, the "high" is no longer reached; for many, feeling normal is too difficult and, as a result, these individuals don't feel right. Beyond this, there are some individuals who do not believe they have a problem, and as a result, refuse to seek treatment.

Based upon your reading and ancillary research, what can be done? How can these individuals be reached? What needs to happen in order for these individuals to seek treatment?

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