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Bipolar Disorder

July / August, 2012 | Vol: 10 Issue: 8

In this issue

Learning Objective

Article

Treating Bipolar Disorder During Pregnancy and Lactation

Bipolar Disorder, The Carlat Report (TCPR) Vol 10 #8

A 32-year-old pregnant woman with bipolar disorder, well-controlled on valproic acid (Depakote), comes into your office wanting advice on medications. What do you do?

A Note From the Editor

While bipolar disorder is something we all encounter in practice, views are mixed as to how best to diagnose and treat it.

Is Bipolar Disorder Over-Diagnosed?

Whether you work in a hospital or an office setting, you’ve probably seen many patients who come to you with a “history of bipolar disorder.” We’ve seen it, too, in multiple settings at an academic medical center. Is this a new epidemic? Or a redefinition of what it means to be “bipolar”?

Current Issues in Bipolar Disorder Diagnosis: The Life Course Method

How should we diagnose bipolar disorder? It isn’t always easy and current bipolar screening tools are problematic for a number of reasons.

Expert Q&A

Psychosocial Treatment of Bipolar Disorder

Why should we as psychiatrists focus on the psychosocial aspects of bipolar disorder? Dr. Miklowitz explores the benefits of a treatment program that combines targeted psychosocial treatments and medication.

Management of Bipolar Depression

Should we expand our definition of bipolar disorder? Dr. Claudia Baldassano discusses bipolar diagnoses in this Expert Q&A.

Research Update

Low Dose Abilify Ineffective as Adjunct for MDD

Augmentation of antidepressants with antipsychotics has become a common practice, and aripiprazole (Abilify) has been FDA-approved at doses from 2 mg/day to 15 mg/day for this purpose. In a recent report, 225 patients with major depressive disorder (MDD) who had failed one to four antidepressant trials were studied to determine whether low dose Abilify really works.