Bipolar Disorder

Article

How We Got Here: The Psychodynamics of Juvenile Bipolar Disorder and the Clinician

Topics: Bipolar Disorder | Child Psychiatry

The studies have been done and the consensus is in. Juvenile bipolar disorder (JBD) has probably been overdiagnosed recently, and the DSM-5 will describe a narrower phenotype to qualify for the diagnosis. The 40-fold increase in the diagnosis from 1994/1995 to 2002/2003 (Moreno C et al, Arch Gen Psychiatry 2007;64(9):1032–1039) was an overreaction tha

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Article

Pediatric Bipolar Disorder (PBD): A Skeptical, Mainstream, Non-US Perspective

Topics: Bipolar Disorder | Child Psychiatry

Although practicing in Australia, I have followed the PBD phenomenon in the USA for several years. PBD had become the most common diagnosis in pre-pubertal children in US psychiatric inpatient units by 2004 (Blader JC, Carlson GA, Biol Psychiatry 2007;62(2):107–114). “The epidemic of childhood bipolar disorder” (as later described by Allen Frances

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Article

Amber Light Therapy for Bipolar Disorder

Topics: Bipolar Disorder | Child Psychiatry

When you suffer from bipolar disorder, life may seem like it’s all about sleep. It’s no longer an apple a day, but rather a full night’s rest that keeps the doctor away. Sure, a single night of poor sleep may just leave you feeling lousy, but when one bad night succeeds another, anxiety starts to build as you wonder if this is the start of another

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Expert Q&A

Severe Mood Dysregulation (SMD) and Pediatric Bipolar Disorder

Topics: Bipolar Disorder | Child Psychiatry

Parents who might be interested in having their children participate in Dr. Leibenluft’s research program can call 301-496-8381 or email irritablekids@mail.nih.gov. The group is currently conducting studies with children with SMD, children with bipolar disorder, and children who have a parent or sibling with bipolar disorder.

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Expert Q&A

Brain Function and Bipolar Disorder

Topics: Bipolar Disorder | Child Psychiatry

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Article

Treating Bipolar Disorder During Pregnancy and Lactation

Topics: Bipolar Disorder

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? For both psychiatrists and patients, this can be an extremely high anxiety scenario, with concerns about the mother’s—and now her baby’s—well-being. We know, for instance, that

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Article

A Note From the Editor

Topics: Bipolar Disorder

While bipolar disorder is something we all encounter in practice, views are mixed as to how best to diagnose and treat it. In this issue of TCPR, Drs Amos and James argue that bipolar disorder is over-diagnosed and the introduction of “soft” criteria may contribute to a worsening of this trend. On the other hand, Dr Baldassano argues that expanded c

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Article

Is Bipolar Disorder Over-Diagnosed?

Topics: Bipolar Disorder

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”? Some argue that bipolar disorder is actually under

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Article

Current Issues in Bipolar Disorder Diagnosis: The Life Course Method

Topics: Bipolar Disorder

How should we diagnose bipolar disorder? It isn’t always easy and current bipolar screening tools are problematic for a number of reasons. In my experience, the “Life Course Method” for clinical interviewing has proven to be effective. In this article, I’ll explain the reasons why and offer tips for using this tool. Current Screening Tools C

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Expert Q&A

Psychosocial Treatment of Bipolar Disorder

Topics: Bipolar Disorder

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Expert Q&A

Management of Bipolar Depression

Topics: Bipolar Disorder

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The Latest on Psychotherapy

Topics: Bipolar Disorder

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Research Update

“Soft” Bipolar Does Not Affect Antidepressant Treatment Outcomes

Topics: Bipolar Disorder | Depressive Disorder

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Article

Using Lithium in Bipolar Disorder: A Primer

Topics: Bipolar Disorder

The discovery of the therapeutic effects of lithium in 1949 counts as one of the great examples of serendipity in the history of science. John Cade, an Australian psychiatrist, used lithium purely as a solvent to stop uric acid crystals from appearing in the urine of manic patients, which he was experimentally injecting into guinea pigs. Eventually he r

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Article

Discussing Bipolar Disorder with Your Patients

Topics: Bipolar Disorder

Case Study: Ms. N was a 30 year old attorney who was referred to me by her treating psychiatrist for consultation. She had a long history of depression and anxiety. Her psychiatrist had treated her with a combination of psychotherapy and antidepressants. Her recent response to Lexapro was an almost “too rapid” improvement followed by the “wors

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Expert QA

Distinguishing Bipolar from Unipolar Depression

Topics: Bipolar Disorder

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Research Update

Adjunctive Nuvigil Possibly Effective for Bipolar Depression

Topics: Bipolar Disorder | Depressive Disorder

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Research Update

Fluoxetine May Prevent Relapse After Bipolar II Depressive Episode

Topics: Bipolar Disorder | Depressive Disorder

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Research Update

Depakote for Acute Bipolar Depression? Maybe

Topics: Bipolar Disorder

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Research Update

Antidepressants: Little Long-Term Benefit for Bipolar Disorder

Topics: Antidepressants | Bipolar Disorder

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