Why most patients with bipolar want self-binding directives

A UK online survey finds that patients do not trust their capacity to make good decisions when they are ill

Most patients with bipolar disorder endorse the use of self-binding directives, signed when they are in remission, to allow psychiatrists to overrule their objections to treatment during severe episodes, a survey shows.

signing a document

And to the surprise of the UK researchers, the main reason given by patients for being in favour of the so-called Ulysses contracts is not that they fear harm to themselves or others, but that they don’t trust their ill selves to make wise decisions.

The findings fly in the face of