If your dog simply has a deep tissue bruise near or including the growth plate region, your veterinarian will likely
suggest symptomatic treatment and monitoring of the situation.
The mean relapse rate is 50 % at one year and over 70 % at four years.1 A recent prospective twelve year follow - up study showed that individuals with bipolar disorder were
symptomatic for 47 % of the time.2 This poor outcome in naturalistic settings
suggests an efficacy effectiveness gap for mood stabilisers that has resulted in a re-assessment of the role of adjunctive psychological therapies in bipolar disorder.3 Recent randomised controlled trials show that the combination of pharmacotherapy and about 20 — 25 sessions of an evidence - based manualised therapy such as individual cognitive behaviour therapy4 or family focused therapy5 may reduce relapse rates in comparison to a control intervention (mainly
treatment as usual) in currently euthymic people with bipolar disorder.