Mania : diagnosis and treatment recommendations

Malhi, G. S., Tanious, M. and Berk, M. 2012, Mania : diagnosis and treatment recommendations, Current psychiatry reports, vol. 14, no. 6, pp. 676-686.

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Title Mania : diagnosis and treatment recommendations
Author(s) Malhi, G. S.
Tanious, M.
Berk, M.ORCID iD for Berk, M.
Journal name Current psychiatry reports
Volume number 14
Issue number 6
Start page 676
End page 686
Total pages 11
Publisher Springer Healthcare
Place of publication Philadelphia, Pa.
Publication date 2012-12
ISSN 1523-3812
Keyword(s) mania
Summary 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.
Language eng
Field of Research 110299 Cardiovascular Medicine and Haematology not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, Springer Healthcare
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School of Medicine
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