Pharmacological treatment in the early phase of bipolar disorders: what stage are we at?

Details

Serval ID
serval:BIB_D4A7C91455E0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pharmacological treatment in the early phase of bipolar disorders: what stage are we at?
Journal
Australian and New Zealand Journal of Psychiatry
Author(s)
Conus P., Berk M., McGorry P.D.
ISSN
0004-8674 (Print)
ISSN-L
0004-8674
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
40
Number
3
Pages
199-207
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
OBJECTIVE: To review available guidelines, explore treatment strategies currently applied, identify critical issues and propose direction for new developments. METHOD: Literature review based on Medline search and hand search of relevant literature. RESULTS: Pharmacological treatment of the early phase of bipolar disorders lacks specific guidelines. Mood stabilizers are often prescribed after many years of illness, antipsychotic medications are frequently prescribed and often for extensive periods of time, and adherence to medication is relatively poor. In addition, mania is frequently misdiagnosed, and there is limited knowledge on which to base identification of bipolar depression and identification of the initial prodrome to bipolar disorders. CONCLUSIONS: There is an urgent need for more research in the early phases of bipolar disorders to develop means to identify patients earlier and to develop approaches that would address the specific needs of this population in a more adequate manner. [References: 60]
Keywords
Anticonvulsants/therapeutic use, Antimanic Agents/therapeutic use, Antipsychotic Agents/therapeutic use, Bipolar Disorder/diagnosis, Bipolar Disorder/drug therapy, Diagnosis, Differential, Humans, Lithium/therapeutic use, Long-Term Care, Patient Compliance, Practice Guidelines as Topic, Treatment Outcome
Pubmed
Web of science
Create date
10/03/2008 10:00
Last modification date
20/08/2019 15:54
Usage data