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Generally speaking, maintenance treatment of bipolar disorder continues long after symptom control has been achieved. Following diagnostic evaluation, the treating clinician must determine the optimal treatment setting in order to ensure the patient's safety. Assessment of suicide risk is key, as the rate of suicide completion among those with ...
The poor response from some bipolar patients to treatment has given evidence to the concept of treatment-resistant bipolar disorder. [ 163 ] [ 164 ] Guidelines to the definition of treatment-resistant bipolar disorder and evidence-based options for its management were reviewed in 2020.
A frequent problem in these individuals is non-adherence to pharmacological treatment; long-acting injectable antipsychotics may contribute to solving this issue in some patients. [23] A review of validated treatment guidelines for bipolar disorder by international bodies was published in 2020. [24]
Lithium Lithium is the "classic" mood stabilizer, the first to be approved by the US FDA, and still popular in treatment. Therapeutic drug monitoring is required to ensure lithium levels remain in the therapeutic range: 0.6 to 0.8 or 0.8–1.2 mEq/L (or millimolar).
The treatment of BP-II consists of the following: treatment of hypomania, treatment of major depression, and maintenance therapy for the prevention of relapse of hypomania or depression. As BP-II is a chronic condition, the goal of treatment is to achieve remission of symptoms and prevention of self-harm in patients. [ 1 ]
Although recommended by treatment guidelines for the treatment of depression in bipolar disorder, the evidence that lithium is superior to placebo for acute depression is low-quality; [21] [22] atypical antipsychotics are considered more effective for treating acute depressive episodes. [23]
Pages in category "Treatment of bipolar disorder" The following 30 pages are in this category, out of 30 total. This list may not reflect recent changes. ...
The Texas Medication Algorithm Project (TMAP) [1] is a decision-tree medical algorithm, the design of which was based on the expert opinions of mental health specialists.It has provided and rolled out a set of psychiatric management guidelines for doctors treating certain mental disorders within Texas' publicly funded mental health care system, along with manuals relating to each of them The ...