New PDF release: 100 Q&A About Bi-Polar (Manic-Depressive) Disorder (100

By Ava T. Albrecht, Charles Herrick

EMPOWER your self! even if you are a newly clinically determined sufferer, a pal, or relative, this booklet deals support. the single quantity to supply either the doctor's and patient's perspectives, a hundred Questions & solutions approximately Bipolar (Manic-Depressive) illness supplies authoritative, functional solutions in your questions about treatment plans, coping innovations, resources of help, and lots more and plenty extra. Written by way of a well-liked psychiatrist, with real sufferer observation, this publication is a useful source for somebody dealing with the clinical, mental, and emotional turmoil of this debilitating situation.

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Treatment of bipolar depression can be difficult because the use of antidepressant therapy poses risks for a manic switch. Lithium has historically been the mainstay for bipolar depression and has been shown to reduce risk of suicide in bipolar patients, but it has numerous side effects. Recent approval was obtained for the combination of olanzapine and fluoxetine (Symbyax) specifically for bipolar depression. Anticonvulsant medications have been preferentially utilized for treatment of manic episodes.

As with all illnesses, the symptoms cannot be due to substance use and must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. qxd 10/18/06 2:32 PM Page 48 100 QUESTIONS & ANSWERS ABOUT BIPOLAR (MANIC-DEPRESSIVE) DISORDER While cyclothymia is a distinct diagnosis, it is also considered one of the bipolar variants or spectrum disorders as described by Hagop Akiskal, a prominent research psychiatrist who outlined the variants in Psychiatric Clinics of North America.

Based upon the symptoms, history, and mental status, a specific diagnosis can be made. The DSM-IV-TR defines six criteria sets for the diagnoses of bipolar I disorder, based upon the type of episode a person has last experienced—mania, hypomania, major depressive, or mixed. A manic episode is defined by the following: • Patients will have an abnormally and persistently elevated, expansive, or irritable mood lasting at least one week (or less if hospitalized), along with three or more of the following: a.

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