目的：探討雙相型情感疾病患者的服藥經驗。 方法：紮根理論質性研究法。研究者擔任訪談者，以自擬半結構訪談大綱進行訪談。立意取樣選自某醫學中心精神科門診與急性病房共12名。 結果：患者於急性階段需透過醫療介入才催使其服藥，此為外援的服藥經驗。當病況漸趨穩定，外援逐漸地退隱，自制則順勢生成，形成消長的互動。自制涵蓋掙扎與選擇，彼此相互影響呈現動態交流。隨著時間的推展，患者歷經外援與自制的服藥經驗，他們會回顧與整合自己的服藥經驗，過程中體會服藥的意義，形成個別性漸悟軌跡。 結論：擴增對此類患者服藥經驗的認識，有助臨床深入瞭解患者服藥的情境脈絡。實務宜以個別、階段性介入，協助患者認識及處理自己的掙扎與選擇，以增加患者服藥的自主性。

　　　　　Objectives: The purpose of this research was to explore the subjective experience of bipolar disorder patients treated with what type of medication. Method: It was proceed with grounded theory method of qualitative study. A semi-structured questionnaire was used to interview twelve subjects with bipolar disorder in a medical center. Data were in the form of transcripts from tapes, field notes, and analytic and process memos. Results: During acute illness, when psychiatric intervention was given, taking the prescribed medication was considered stage of external aid. Once the illness stabilized after treatment, the need for and presence of external aid diminished by degrees, and self-control began to manifest as an active reinforcement. Self-control has two concepts included struggle and choice. Conclusion: The results of this study suggest the need for medical staff to rouse the treatment of psychiatric illness. Medical staff should assist patients to understand and deal with the struggles and choices to facilitate the process of progressing perspicacity.