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American Psychiatric Association Practice Guideline for the Treatment of Patients With Bipolar Disorder, Second Edition

American Psychiatric Association

  • ISBN 978-0-89042-322-6
  • Item #2322

Contents

Part A: Treatment Recommendations for Patients With Bipolar Disorder. Executive Summary of Recommendations. Psychiatric management. Acute treatment. Maintenance treatment. Formulation and Implementation of a treatment plan. Psychiatric management. Acute treatment. Maintenance treatment. Special Clinical Features Influencing the Treatment Plan. Psychiatric features. Demographic and psychosocial factors. Concurrent general medical conditions. Part B: Background Information and Review of Available Evidence. Disease Definition, Natural History and Course, and Epidemiology. Definition of bipolar disorder. Natural history and course. Epidemiology. Review and Synthesis of Available Evidence. Somatic treatments of acute manic and mixed episodes. Somatic treatments of acute depressive episodes. Rapid cycling. Maintenance treatment. Psychosocial intervention. Somatic therapies for children and adolescents. Part C: Research Needs. General principles. Acute treatment. Maintenance treatment. Psychosocial interventions. Individuals and organizations that submitted comments. References.

This practice guideline summarizes data on the specific somatic and psychosocial interventions that have been studied in the treatment of bipolar disorder. It begins at the point at which a diagnostic evaluation performed by a psychiatrist has raised the concern that an adult patient may be suffering from bipolar disorder. . . The purpose of this guideline is to assist the clinician faced with the task of implementing a specific regimen for the treatment of a patient with bipolar disorder. It should be noted that many patients with bipolar disorder also suffer from comorbid psychiatric illnesses. Although this guideline provides considerations for managing comorbidity in the context of bipolar disorder, it is likely that the psychiatrist will also need to refer to treatment guidelines appropriate to other diagnoses.—From the Introduction

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