Clinician's Guide to Bipolar Disorder: Integrating by David J. Miklowitz

By David J. Miklowitz

This much-needed quantity offers clinicians crucial concepts for coping with the complexities of bipolar disease and tailoring therapy to every patient's altering wishes. hugely readable, available, and pragmatic, the publication offers specialist assistance on seriously very important therapy questions. It addresses which medicines to aim and at what dosages, what psychosocial interventions are so much invaluable at various stages of the disorder, how you can continuously display screen and fine-tune remedy to maintain sufferers functioning good, and the way to contain kin productively. The authors draw on state of the art study in addition to huge scientific event as a psychotherapist and a psychopharmacologist. shiny case fabric is incorporated all through. Reproducible questionnaires and varieties may be downloaded and published in a handy eight 0.5" x eleven" size.

Winner (First Place)--American magazine of Nursing e-book of the yr Award, Psychiatric and psychological future health Nursing Category

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Additional info for Clinician's Guide to Bipolar Disorder: Integrating Pharmacology and Psychotherapy

Example text

If a patient has only 1 to 3 day episodes, does the diagnosis of bipolar disorder apply? 1. Bipolar Variants and Clinical Features Suggested to Be Associated with Bipolar Spectrum Disorders Bipolar variants •• Hypomanias of less than 4 days’ duration a •• Hypomanic episode without mood symptoms but with hyperactivity •• Pharmacological manias/hypomaniasa Suggested clinical features of bipolar spectrum disorders •• Major depression with bipolar family history •• Mixed depressive syndromesa •• Early age of onset of depression •• Highly recurrent depressions •• Psychotic depression •• Atypical depressive features •• Treatment-resistant depressions •• Recurrent antidepressant tolerance aDescribed in DSM-5.

As clinicians, we need to be vigilant in addressing any and all factors associated with a poorer long-term course of our patients’ illnesses. Knowledge of how this material applies to specific life situations can be of immeasurable help to the clinician in assisting patients and families during the most difficult periods of illness. For example, younger patients and their families may not be aware of the highly recurrent course of the disorder, and may expect that after a major episode life should resume as before.

A thorough intake evaluation involves understanding the degree to which the patient’s current and past mood episodes have affected and been affected by work, family, and social factors. To do so, one needs to evaluate the psychosocial context of the illness. , becoming overly enmeshed in a new relationship) that in turn have led to more severe symptoms. Different clinical settings dictate different time frames for a diagnostic evaluation. For instance, many managed care contracts only reimburse for an hour of diagnostic evaluation.

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