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Content type: Short communication. Authors: Jules Angst. Authors: Emanuel Severus and Michael Bauer. Content type: Letter to the Editor. Most accessed articles RSS. Talk with your doctor and family members or friends about deciding to join a study.
The Year in Bipolar Disorder: Practice-Changing Articles From 2018
To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. Bipolar disorder or related conditions not attributable to substance abuse, neurological disease; or a 1st or 2nd degree relative of an enrolled participant.
Related conditions are defined as those found more often among relatives of people with bipolar disorder or which have been shown to be genetically correlated with bipolar disorder through molecular genetic studies. These include major depression, schizophrenia, panic disorder, and attention deficit hyperactivity disorder. Hide glossary Glossary Study record managers: refer to the Data Element Definitions if submitting registration or results information. Search for terms x. Save this study. Warning You have reached the maximum number of saved studies Evaluation of the Genetics of Bipolar Disorder The safety and scientific validity of this study is the responsibility of the study sponsor and investigators.
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Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Last Update Posted : September 16, See Contacts and Locations. You got much less sleep than usual and found you didn't really miss it? You were much more talkative or spoke much faster than usual? Thoughts raced through your head or you couldn't slow your mind down? You were so easily distracted by things around you that you had trouble concentrating or staying on track?
You had much more energy than usual? You were much more active or did many more things than usual? You were much more social or outgoing than usual; for example, you telephoned friends in the middle of the night? You were much more interested in sex than usual? You did things that were unusual for you or that other people might have thought were excessive, foolish, or risky? Spending money got you or your family into trouble? If you checked YES to more than one of the above, have several of these ever happened during the same period of time?
How much of a problem did any of these cause you—like being unable to work; having family, money, or legal troubles; getting into arguments or fights? Please circle one response only. For a positive screen, 7 of the 13 items in no. Sharing the diagnosis Discussing the diagnosis with the patient is critical to laying a foundation for effective treatment.
Treatment Pharmacotherapy Pharmacological treatment is fundamental for successfully managing patients with BD. Mood stabilizers Lithium was the first agent to be used in the treatment of BD.
Status of bipolar disorder research: Bibliometric study
Peer support BD impacts all aspects of a person's life, causing severe disruption to relationships, employment, and education. Table 4 Web resources for BD.
A special section for caregivers, family, and friends is available. All information is vetted by a scientific advisory board. Especially valuable for caregivers and families with special educational and support programs. Mental Health America www. International Society for Bipolar Disorders www.
Psych Central www. It is not specific to BD but covers the disorder comprehensively. Major challenges in the management of patients with BD A number of commonly encountered challenges can contribute to suboptimal outcomes in BD. Nonadherence Medication nonadherence is a significant problem in primary care medicine generally, and in patients with BD in particular. Women of childbearing age Women are at high risk of BD recurrence during pregnancy, especially if medications are discontinued, as well as during the postpartum period.
Conclusions BD continues to represent a substantial burden to patients, their care providers, and society. Table 5 Principles of providing care for patients with BD. Prepare Provide psychiatric Provide medical Provide support the practice Diagnose BD treatment treatment and counseling Define level of management to be assumed by practice. Obtain agreement of clinical staff. Train staff. Set up systems for followup, monitoring, and recall. Develop crisis response strategies. Prepare compendium of web resources. Screen for depression.
Bipolar Disorder Essays and Research Papers
Obtain family and social history. Consult guidelines. Establish treatment goals and therapeutic alliance. Link with psychiatric and community colleagues for referrals.
go site Initiate followup, monitoring. Collaborate with psychiatric clinician as necessary. Treat medical comorbidities aggressively. Monitor for psychotropic medication side effects. Collaborate with specialists as necessary. Provide support through transitions. Facilitate connection to support groups, online support, and so on. Red flags indicating need for specialist involvement:. References American Psychiatric Association. Diagnostic and statistical manual of mental disorders 5th ed.
Antidepressant treatment for bipolar depression: An update. Depression Research and Treatment , , Bipolar Disorders , 12 , — Collaborative care for bipolar disorder: Part II. Impact on clinical outcome, function, and costs. Psychiatric Services , 57 7 , — Bipolar II disorder: Epidemiology, diagnosis and management. CNS Drugs , 21 9 , — Efficacy of divalproex vs lithium and placebo in the treatment of mania. The Depakote Mania Study Group. Journal of the American Medical Association , , — American Journal of Psychiatry , , — The presentation, recognition and management of bipolar depression in primary care.
Journal of General Internal Medicine , 28 , — Lifetime rates of suicide attempts among subjects with bipolar and unipolar disorders relative to subjects with other Axis I disorders. Biological Psychiatry , 39 , — BMC Psychiatry , 12 , Challenges in recognition, clinical management, and treatment of bipolar disorders at the interface of psychiatric medicine and primary care.
Current Psychiatry , 6 Journal of Affective Disorders , 1—3 , 30— Comorbidities and mortality in bipolar disorder: A Swedish national cohort study. JAMA Psychiatry , 70 , — The role of primary care clinicians in diagnosing and treating bipolar disorder. Atypical antipsychotics in bipolar disorder: Systematic review of randomised trials.