Psychopharmacologic treatment strategies for depression, bipolar disorder, and schizophrenia.

Abstract:

:Patients with serious psychiatric disorders are frequently treated by primary care physicians, who may have difficulty keeping up with recent advances in psychiatry. This paper presents an updated synopsis for three major psychiatric illnesses: major depression, bipolar disorder, and schizophrenia. Current definitions, updated diagnostic criteria, short- and long-term treatment strategies with algorithms, and special challenges for the clinician are discussed for each of these illnesses. On the basis of each illness's distinct characteristics, five treatment principles are emphasized: 1) Treatment strategies should be long-term and should emphasize adherence, 2) treatment choice should be empirical, 3) combinations of medications may be helpful, 4) a combination of psychosocial and pharmacologic treatments may be more useful than either alone, and 5) the family or "significant others" as well as a consumer organization need to be involved. Some of the new directions in dinical research to refine these strategies and meet these challenges are also described.

journal_name

Ann Intern Med

authors

Glick ID,Suppes T,DeBattista C,Hu RJ,Marder S

doi

10.7326/0003-4819-134-1-200101020-00013

subject

Has Abstract

pub_date

2001-01-02 00:00:00

pages

47-60

issue

1

eissn

0003-4819

issn

1539-3704

pii

200101020-00013

journal_volume

134

pub_type

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