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Bipolar disorder is often not recognized as an illness, and people may suffer for years before it is properly diagnosed and treated. Like diabetes or heart disease, bipolar disorder is a long-term illness that must be carefully managed throughout a person's life. Pharmacotherapy is central to the acute treatment and long-term management of the disorder and as there are several classes of drugs, which are often prescribed concurrently, treatment issues are complex. This essential reference work examines major pharmacological treatments in the different phases of bipolar disorder. Chapters are devoted to commonly use pharmacological treatments with a critical review of the existing literature. Each chapter includes information not only on studies that have been published but also on new treatments that have been reported in peer reviewed scientific meetings. Bipolar Psychopharmacotherapy covers both pharmacotherapy and the role of psychotherapy, psychoeducation and social approaches to provide a broad integrative philosophy of care for bipolar patients. Extensive coverage is given to special management issues such as the care of women with bipolar disorder, children and the elderly, as well as bipolar depression and suicide prevention. With contributions from the pioneers in the field and an expert editor team, Bipolar Psychopharmacotherapy provides psychiatrists and all mental health practitioners with an invaluable guide to the management of these complex patients. From the reviews: “If a colleague were to ask me, “What would you recommend I read if I want to become a real expert on bipolarity?” I would respond ‘Bipolar Psychopharmacotherapy: Caring for the Patient’.” JOURNAL OF BIPOLAR DISORDERS "... a very useful reference on the pharmacological treatment of bipolar disorder that is written in a very practical and user-friendly format... a must for anyone dealing with patients with bipolar disorder." DOODY'S HEALTH SERVICES "... a multifaceted text with broad clinical value... recommended as an in-office reference for the practicing physician who treats the bipolar patients... to all Health Science libraries as a general reference text." THE ELECTRIC REVIEW
Biopolar disorder has served as a principal point of focus for modern psychiatric research since the advent of the psychopharmacological revolution. Yet, the disparity between optimal and typical care for biopolar disorder is perhaps nowhere larger, and its human and economic impact nowhere greater. An important and much-needed resource, Bipolar Disorders: Clinical Course and Outcome relates empirical data on outcome with practical information on the prognosis, course, and potential complications of bipolar disorders in the modern era. Pulling together current knowledge on bipolar disorders from leading investigators in the field, Bipolar Disorders provides a concise, up-to-date summary of affective relapse, comorbid psychopathology, functional disability, and psychosocial outcome in contemporary bipolar disorders. Important issues regarding pharmacoeconomics and the burden of disease are presented in conjunction with a discussion of mania through the life cycle and a summary of clinical and treatment implications. In addition, this timely resource covers the effect of lithium and anticonvulsants on outcome during controlled and naturalistic treatment; manic outcome in relation to specific comorbidities or subtypes of illness for mixed mania, alcoholism or other substance abuse, rapid-cycling bipolar disorders, hypomania, and comorbid anxiety disorders; individual psychotherapy and family psychoeducation; and the role of public sector psychiatry and community-based treatment programs for chronic bipolar illness. As part of the Clinical Practice Series of the American Psychiatric Press, this book integrates current clinical research findings with practical clinical applications, providing a broad overview of course and outcome for bipolar patients treated under typical treatment conditions. Aimed at both clinicians and investigators, this book consciously relates naturalistic follow-up studies in mania to the routine clinical management of bipolar disorders over time.
The book provides treatment recommendations for bipolar patients, a review of evidence about bipolar disorder, and states research needs
Bipolar Disorder Bipolar disorder is the most complex psychiatric disorder with different types of mood episodes, subtypes, varied course, and significant comorbidity. Not surprisingly, this complexity poses unique challenges to clinicians for optimal management of those with bipolar disorder. There has been an explosion of research into the causes and treatment of this condition over the past two decades. It is a daunting task for a practising clinician to make sense of this research and to remain up to date with progress in the understanding of the neurobiology and treatment of bipolar disorder. This book synthesizes and translates the vast array of research knowledge into information that is both relevant and meaningful for a clinician. The book provides a comprehensive, yet focused, reference work on bipolar disorder for both trainees and practising psychiatrists. The two editors are leaders in the field who have published extensively on bipolar disorder. They have assembled a team of experts from around the world: in many instances, chapters are co-authored by people from different continents, bringing a truly international perspective to this important topic. The book covers the basic science of the pathology underlying bipolar disorder but addresses the clinical aspects of the disease throughout. The book comprises four sections: Descriptive Aspects–issues ranging from how the concept of bipolar disorder has evolved over the years to new information about neurocognitive impairment, creativity and economic productivity, and to discussion of the deliberations of the DSM-V committee on changes in diagnostic categories and criteria. Biological Aspects–the contribution of genes to this disorder, changes in circadian rhythms, what we know about brain changes and the role of oxidative stress. Management–all the latest information about pharmacological and other somatic treatments plus psychological therapies for the optimal management of this condition. Special Populations–detailed descriptions of bipolar disorder in women, children and the elderly. If you want to provide state-of-the-art care to your bipolar patients, be sure to consult this authoritative reference.
Algorithms serve an important purpose in the field of psychopharmacology as heuristics for avoiding the biases and cognitive lapses that are common when prescribing for many conditions whose treatment is based on complex data. Unique in the field, this title compiles twelve papers from the Psychopharmacology Algorithm Project at the Harvard South Shore Psychiatry Residency Training Program and presents practical ways to adopt evidence-based practices into the day-to-day treatment of patients. Psychopharmacology Algorithms is a useful resource for practicing psychiatrists, residents, and fellows, as well as psychiatric nurse practitioners, psychiatric physician assistants who prescribe, advanced practice pharmacists who prescribe, and primary care clinicians. Teachers of psychopharmacology may find it particularly valuable. Researchers in clinical psychopharmacology may find it helpful in identifying important practice areas that are in need of further study.
Bipolar disorder is a chronic and debilitating mental illness affecting a significant proportion of the world's population. It is associated with significant impairments in health-related quality of life and psychosocial functioning, and has significant illness-related morbidity and heightened mortality rates due to medical comorbidities and suicide. The management of this disorder requires a complex combination of pharmacological and psychosocial interventions which can be challenging for clinicians. Written by world experts in the field of bipolar disorder, The Treatment of Bipolar Disorder: Integrative Clinical Strategies and Future Directions provides readers with a concise and comprehensive guide to the integrative management of bipolar disorder. This resource contains 31 chapters on the various management choices available, from both established and novel treatment areas, such as psychoeducation, psychotherapeutic interventions, neuromodulatory approaches and novel therapeutic targets. The complexity and diversity of the management choices available makes this a continually evolving field and necessitates forward thinking. By both discussing the current management of bipolar disorder, and the future developments available, this resource provides all clinicians working with patients with bipolar disorder an up-to-date and reflective guide to its management and what the future holds.
Provides a one-stop evidence-based guide to the management of all types of mood disorders.
Here, both therapist and client will learn the causes of depression, how to recognize and diagnose the different iterations of depression, the wide variety of psychotherapeutic and psychopharmacological treatment options available, and how to get the most out of those treatments. Zetin, Hoepner, and Kurth explain the causes of depression, how to recognize and diagnose the different iterations of depression, and the wide variety of psychotherapeutic and psychopharmacological treatment options available. Even more important, they show patients how to best work with their clinicians and clinicians how to best help their patients. The book is liberally sprinkled with case discussions, which demystify the treatment protocols and show the various ways that clients respond to treatment. In this book, medical professionals have a go-to desk reference for their questions about depression, and consumers have a friendly, accessible introduction to an otherwise intimidating disorder.
The lifetime risk of developing bipolar II disorder is 5-7%, yet the condition is often poorly detected. Mood elevation states are less extreme than in bipolar I disorder although the depressive episodes are usually severe. When correctly treated, the outcome is positive, but bipolar II is often poorly managed, resulting in a high suicide rate. This is the only academic and clinical management review focused entirely on bipolar II, scrutinizing history, epidemiology, burden and neurobiology and including an extensive clinical debate by international experts about effective management strategies. Now in its third edition, this book features new chapters on the limitations to clinical treatment trials and perinatal management nuances. In a completely new section, international experts offer their personal responses and distinctive wisdom to key management issues and allow the reader to observe a variety of opinions.
The Wiley Concise Guides to Mental Health: Bipolar Disorder uses clear, highly accessible language to comprehensively guide the reader through the entire spectrum of bipolar and related disorders. This concise, informative reference provides a complete overview of the history of the field, diagnosis, treatment, research, emerging trends, and other critical information about bipolar disorder. Both pharmacologic and non-pharmacologic interventions are thoroughly covered. Like all the books in the Wiley Concise Guides to Mental Health Series, Bipolar Disorder features a compact, easy-to-use format that includes: Vignettes and case illustrations A practical approach that emphasizes real-life treatment over theory Resources for specific readers such as clinicians, students, or patients Early chapters in Bipolar Disorder lay out the descriptive and diagnostic issues for classic bipolar I disorder, the more subtle "soft" bipolar disorders, and other disorders, such as hyperactivity and borderline personality, that are often misdiagnosed as bipolar. The text then covers the medical, psychiatric, and substance abuse disorders that can accompany bipolar disorders, and offers practical tips for non-medically trained therapists on how to spot these disorders. Finally, pharmacological, psychosocial, and additional treatments and interventions are covered. This straightforward resource is admirably suited for a wide variety of readers, including students and practicing mental health professionals, as well as individuals and others directly and indirectly affected by bipolar disorder.