Bipolar disorder: improving diagnosis and optimizing integrated care.

Abstract:

:Bipolar disorder is a chronic, severe condition commonly causing substantial mortality and psychosocial morbidity. Challenges in recognition can delay the institution of appropriate management, whereas misdiagnosis may initiate pharmacologic interventions that adversely affect the condition's course. Pharmacotherapy remains the foundation of treatment. In addition to efficacy, tolerability is an important consideration in medication choice, particularly for long-term maintenance because of its impact on adherence. Mood stabilizers are the classic treatments for bipolar disorder. Newer agents such as atypical antipsychotics may offer efficacy and/or tolerability advantages compared with other medications. The role of antidepressants in bipolar disorder remains controversial. Growing evidence indicates that adjunctive psychosocial interventions improve long-term functioning; consequently, psychologists are becoming increasingly involved in the long-term care of patients with bipolar disorder. This review seeks to update psychologists and related healthcare professionals on recent advances and the current limitations in the diagnosis and treatment of bipolar disorder.

journal_name

J Clin Psychol

authors

Culver JL,Arnow BA,Ketter TA

doi

10.1002/jclp.20333

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

73-92

issue

1

eissn

0021-9762

issn

1097-4679

journal_volume

63

pub_type

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