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Mania : diagnosis and treatment recommendations
journal contribution
posted on 2012-12-01, 00:00 authored by G Malhi, M Tanious, Michael BerkMichael BerkThis article provides recommendations for the diagnosis and treatment of mania, which characterizes bipolar I disorder (BD I). Failure to detect mania leads to misdiagnosis and suboptimal treatment. To diagnose mania, clinicians should include a detailed mood history within their assessment of patients presenting with depression, agitation, psychosis or insomnia. With regards to treatment, by synthesizing the findings from recent treatment guidelines, and reviewing relevant literature, this paper has distilled recommendations for both acute and long-term management. Antimanic agents including atypical antipsychotics and traditional mood stabilizers are employed to reduce acute manic symptoms, augmented by benzodiazepines if needed, and in refractory or severe cases with behavioural and/or psychotic disturbance, electroconvulsive therapy may occasionally be necessary. Maintenance/prophylaxis therapy aims to reduce recurrences/relapse, for which the combination of psychological interventions with pharmacotherapy is beneficial as it ensures adherence and monitoring of tolerability.
History
Journal
Current psychiatry reportsVolume
14Issue
6Pagination
676 - 686Publisher
Springer HealthcareLocation
Philadelphia, Pa.ISSN
1523-3812Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2012, Springer HealthcareUsage metrics
Categories
Keywords
maniadiagnosistreatmentScience & TechnologyLife Sciences & BiomedicinePsychiatryBipolar disordersAcuteDepressionBipolar I disorderBD IAssessmentMaintenanceProphylaxisPharmacotherapyAntimanic agentsAntipsychoticsMood stabilizersPsychotherapyTreatment recommendationsGuidelinesMOOD DISORDER QUESTIONNAIREPSYCHIATRY WFSBP GUIDELINESANXIETY TREATMENTS CANMATBIPOLAR DISORDERDOUBLE-BLINDGROUP PSYCHOEDUCATIONBIOLOGICAL TREATMENTCOST-EFFECTIVENESSCANADIAN NETWORKWORLD FEDERATION