Bipolar Disorders Expert Column

 
 
  • Observations on the Treatment of Bipolar Disorder Why do only 34% of clinicians use treatment guidelines? How do psychosocial treatments compare in reducing relapse? Who reports the greatest burden as caregiver?
  • Update of TIMA Guideline for Bipolar I Disorder Many new agents for the treatment of bipolar I disorder have recently become available. Read up on the latest research and updated recommendations from the Texas Medication Algorithm Project.
  • Evidence-Based Treatment of Bipolar Disorder: An Update Find out how to help patients in the depressive, manic, and maintenance stages of bipolar disorder based on a synthesis of recently revised guidelines from 2 prestigious sources.
  • Substance Abuse and Bipolar Disorder This article reviews the epidemiology, etiology, course of illness, and treatment of co-occurring bipolar and substance-use disorders, highlighting areas in need of further exploration.
  • Combination vs Single Medication Treatment of Bipolar Disorder Dr. Paul Keck reviews studies comparing combination and single-agent therapy in the treatment of acute bipolar mania, depression, and prevention of relapse.
  • Rapid Cycling Bipolar Disorder Patients with rapid cycling bipolar disorder can be difficult to manage. A review of the current literature on pharmacologic treatments suggests strategies for relief for patients with this condition.
  • Suicide and Bipolar Disorder What factors are associated with the risk of suicide in bipolar disorder? How can you assess and treat acute risk states? How can you manage patients at high chronic risk?
  • Rapid-Cycling Bipolar Disorder Joseph F. Goldberg, MD, discusses the causes of and treatment options for rapid-cycling bipolar disorder.
  • An Expert Interview With Daniel Z. Lieberman, MD Nonadherence to prescribed regimens is a widespread and serious problem in the treatment of patients with bipolar disorder. What can be done to reduce the frequency and severity of negative outcomes?
  • Reducing the Burden of Bipolar Disorder What can be done to reduce the financial, emotional, and iatrogenic difficulties experienced by patients with bipolar disorder and their families?
  • Diagnostic Complexities in Childhood Bipolar Disorder How often is bipolar disorder in children comorbid with other psychiatric problems? How should lithium, antiepileptics, and atypical antipsychotics be used to help?
  • Bipolar Disorders and Genetics Several promising lines of research suggest that one day individuals at risk for bipolar disorder can be identified and treated prophylactically.
  • Making Sense of Bipolar Treatment Guidelines Roy Perlis, MD, discusses the rationale for treatment guidelines, differences among 3 typical guidelines with detailed recommendations, and suggestions for the treatment of bipolar disorder.
  • The Treatment of Acute Mania in Bipolar Disorder K.N. Roy Chengappa, MD, discusses the options for the acute treatment of mania in bipolar disorder.
  • Monotherapy vs Polypharmacy The author reviews the empirical and theoretical rationales for the use of polypharmacy, or "complex combination therapy," in order to avoid some of the pejorative connotations of polypharmacy.
  • Medication Adherence When treating patients with major psychiatric disorders, clinicians continue to deal with the challenges of treatment adherence.
  • Bipolar Depression: 6 Questions Treatment of bipolar disorder depression is complicated. Studies suggest that people with bipolar disorder spend up to 33% of their adult lives in depression.
  • Side Effects and Bipolar Disorder Side effects can be an important issue when treating patients with bipolar disorder.
  • Treatment Goals of Bipolar Disorder Understanding the goals of treating bipolar disorder
  • Rapid Cycling Bipolar Disorder An expert column from Charles L. Bowden, MD offers new findings relative to rapid cycling and bipolar depression, and recasts some older data in a new light.