Bipolar disorder, also known as manic depression, is a life-long illness affecting the chemistry of the brain. In classic cases, it causes severe mood swings from manic episodes of extreme highs to depressive episodes of debilitating lows, with relatively normal periods in-between. According to the National Institute of Mental Health, over 2 million people age 18 and older have been diagnosed with bipolar disorder.

Unfortunately, there is no cure for bipolar disorder at this time. But as with any chronic illness, such as diabetes, heart disease or epilepsy, proper treatment, management and understanding of the illness is crucial. Most people with bipolar disorder can lead full, productive and satisfying lives by taking crucial steps to control and manage their illness.

Some key steps to consider if you or a loved one have bipolar disorder include:

1. Find a mental health professional you trust. A person diagnosed with bipolar disorder needs to establish a relationship with a trusted mental health professional where an open and honest exchange can take place.

2. Take medication as prescribed. This is first and foremost the most important step in taking control of bipolar disorder. It is the one element that needs to be strictly adhered to. In order for medication to work effectively it must be taken consistently and for the long term. It may be tempting to stop taking medication as symptoms lessen and one starts feeling better. However, this could have devastating consequences.

3. Reduce Stress. Mental health professionals typically believe that increased stress can trigger an episode of manic depression. Finding time to relax, sharing extra responsibilities, or simply talking to someone during a stressful event may help to bring on an increased feeling of calmness.

4. Do not become isolated. Do not try to “handle” bipolar disorder alone. Seeking out the comfort and understanding of family and friends is central to a person’s treatment. It can be very helpful to join a bipolar disorder support group because the people there understand the feelings and difficulties of living with the illness. They can lend insight and encouragement to a person confronting a diagnosis.

5. Maintain a healthy lifestyle. It is important to establish regular healthy routines such as exercising the same time everyday, going to bed at the same time each night and waking up at the same time each morning. Maintain a healthy diet and get plenty of sleep, because erratic sleep patterns can increase the symptoms of bipolar disorder. Do not use caffeine or recreational drugs.

6. Become an expert on bipolar disorder. Become involved in understanding the symptoms and treatment of bipolar disorder and the effects it can have on family and friends. Consult a qualified mental health professional with questions and concerns. Read books about the illness or listen to lectures by experts. Learn as much about bipolar disorder as possible because knowledge is a powerful tool in taking out the mystery of the illness.

7. Enhance life with enjoyable things. Make it a priority to engage in things that bring about feelings of joy, happiness, and accomplishment. Hobbies or activities that enhance a sense of peace or relaxation serve one well in dealing with the confusion of bipolar disorder.

A diagnosis of bipolar disorder does not have to mean the end of one’s world; rather it can be considered a new beginning. One that, at last, provides an explanation and ultimate relief from some of the unexplained and destructive behaviors a person might exhibit, freeing them to live rich and fulfilling lives.

If you suffer from an anxiety disorder, panic attacks may be a part of your life. Even with proper medication, many patients suffer from panic attacks. Although predicting when a panic attack will happen may be a bit tricky, you can take steps to prepare for these panic attacks in order to take back control of your life.

The first step to taking back that control is to learn to breathe. When a person has a panic attack, often they feel so overwhelmed that they forget to simply breathe properly. Many doctors, therefore, advocating safe breathing practices in order to help calm anyone having a panic attack. In fact, if you’ve ever had a panic attack in public, someone may have tried to get you to breath into a paper bag. This may or may be a good method for you, but the fact is that you should know and practice your breathing exercise before you are panicking. Have a plan—learn calming breathing techniques and practice at least twice a day.

Other relaxing practices may also be able to help your panic attack. Of course, you might find it difficult to even consider meditation when you’re having a panic attack, but by learning this relaxing procedure, you can use some of the same calming techniques that help you to meditate to help you calm down.

Another great way to prepare for a panic attack is to simply know your triggers. Do you have a specific phobia? Is excess stress your downfall? Do certain situations seem impossible for you? When you know what triggers panic reactions, you can do your best to avoid or minimize these situations.

You should also be medically prepared for a panic attack. When you go outside of the home, take with you a list of emergency contacts, which should include your doctor’s number, your local crisis hotline, and members of your personal support systems. You can use these phone numbers yourself if you feel a panic attack starting, or another person will easily find this information in your purse or wallet if you are not capable of helping yourself.

Also take with you a bag to help you feel comfortable and calm down during a panic attack. A crucial part of the bag is any medications you may be taking, along with instructions on taking it. You can also include any items from home that will help you feel more comfortable. This can include herbal tea, a stuffed animal, religious items, photos, rubber bands to snap on your wrist, mints, hand cream, money, a puzzle book, and anything else that may help you relax, stimulated your brain, or distract yourself. Remember, comfort is key.