Abstract：
:The care of people with first-episode mania has been overlooked in comparison with the care of patients with other non-affective psychoses, despite evidence suggesting targeted treatments might be of benefit for this patient group. In this Personal View, we outline the general epidemiology of first-episode mania in the context of bipolar disorder, the natural history of mania (with an emphasis on its recurrent nature), current evidence for pharmacological, psychological, and service-level interventions, current guidelines for the treatment of first-episode mania, and provide a patient's point of view of the care pathway (appendix). We note the paucity of high-quality evidence for interventions in first-episode mania and the lack of agreement among treatment guidelines in relation to treatment, especially maintenance treatment. We suggest that, based on high morbidity and clinical need, research evidence to inform guideline development is necessary, and in the interim, clearer guidance on treatment and diagnosis should be given; specifically, we have suggested that patients should be cared for within a first-episode psychosis service, when such a service exists.
journal_name
Lancet Psychiatryjournal_title
The lancet. Psychiatryauthors
Jauhar S,Ratheesh A,Davey C,Yatham LN,McGorry PD,McGuire P,Berk M,Young AHdoi
10.1016/S2215-0366(19)30082-3subject
Has Abstractpub_date
2019-10-01 00:00:00pages
869-876issue
10eissn
2215-0366issn
2215-0374pii
S2215-0366(19)30082-3journal_volume
6pub_type
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