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Mania : diagnosis and treatment recommendations

Version 2 2024-05-30, 08:21
Version 1 2014-10-28, 09:59
journal contribution
posted on 2012-12-01, 00:00 authored by G Malhi, M Tanious, Michael BerkMichael Berk
This 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 reports

Volume

14

Issue

6

Pagination

676 - 686

Publisher

Springer Healthcare

Location

Philadelphia, Pa.

ISSN

1523-3812

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2012, Springer Healthcare