Priority 28 from the Bipolar PSP

UNCERTAINTY:What precise lifestyle changes can individuals make to manage their bipolar (e.g. diet, exercise, sleep, yoga, meditation, rest, routine, sunlight, change of job, avoiding alcohol and recreational drugs)? (JLA PSP Priority 28)
Overall ranking	28
JLA question ID	0041/28
Explanatory note	Not available for this PSP.
Evidence	None identified
Health Research Classification System category	Mental Health

Extra information provided by this PSP
Original uncertainty examples	For full examples, see Category ID M1 on spreadsheet. How can people with bipolar be supported to identify food and drink triggers? ~ More encouragement for self management and the wellness recovery action plan (WRAP) - any extra ideas that could come to the table, to add to diet, good food, nutrition, exercise, nature, company, family, vol. work, paid work, self-employed work, mental health workshops, M.H. support, alone time, comedy, pets ~ Is prognosis worse if people misuse alcohol or drugs? ~ Why aren't more talking treatments offered or self-management courses given? I haven't found psychiatry to be very helpful at all, but support, exercise, counselling and CBT have all made a big difference to me ~ Is there are role for sleep manipulation, e.g. deprivation to treat depressive illness? ~ Can getting more daylight through sunlamps during the winter months benefit someone suffering from bipolar?
Submitted by	Patients x 554 ~ Carers x 204 ~ Health Professionals x 36 ~ others x 42

Extra information provided by this PSP

Original uncertainty examples

For full examples, see Category ID M1 on spreadsheet. How can people with bipolar be supported to identify food and drink triggers? ~ More encouragement for self management and the wellness recovery action plan (WRAP) - any extra ideas that could come to the table, to add to diet, good food, nutrition, exercise, nature, company, family, vol. work, paid work, self-employed work, mental health workshops, M.H. support, alone time, comedy, pets ~ Is prognosis worse if people misuse alcohol or drugs? ~ Why aren't more talking treatments offered or self-management courses given? I haven't found psychiatry to be very helpful at all, but support, exercise, counselling and CBT have all made a big difference to me ~ Is there are role for sleep manipulation, e.g. deprivation to treat depressive illness? ~ Can getting more daylight through sunlamps during the winter months benefit someone suffering from bipolar?

Submitted by

Patients x 554 ~ Carers x 204 ~ Health Professionals x 36 ~ others x 42

PSP information
PSP unique ID	0041
PSP name	Bipolar
Total number of uncertainties identified by this PSP.	363 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	14 June 2016