File(s) under permanent embargo
The case for improved care and provision of treatment for people with first-episode mania
journal contribution
posted on 2019-10-01, 00:00 authored by S Jauhar, A Ratheesh, C Davey, L N Yatham, P D McGorry, P McGuire, Michael BerkMichael Berk, A H Young© 2019 Elsevier Ltd The care of people with first-episode mania has been overlooked in comparison with the care of patients with other non-affective psychoses, despite evidence suggesting targeted treatments might be of benefit for this patient group. In this Personal View, we outline the general epidemiology of first-episode mania in the context of bipolar disorder, the natural history of mania (with an emphasis on its recurrent nature), current evidence for pharmacological, psychological, and service-level interventions, current guidelines for the treatment of first-episode mania, and provide a patient's point of view of the care pathway (appendix). We note the paucity of high-quality evidence for interventions in first-episode mania and the lack of agreement among treatment guidelines in relation to treatment, especially maintenance treatment. We suggest that, based on high morbidity and clinical need, research evidence to inform guideline development is necessary, and in the interim, clearer guidance on treatment and diagnosis should be given; specifically, we have suggested that patients should be cared for within a first-episode psychosis service, when such a service exists.
History
Journal
The lancet psychiatryVolume
6Issue
10Pagination
869 - 876Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
2215-0366eISSN
2215-0374Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2019, ElseiverUsage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC