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Index
Cover
Title
Copyright
Preface
List of Contributors
CHAPTER 1: From Mania to Bipolar Disorder
From Pinel to Kraepelin
Manic-depressive illness
The reception of manic-depressive illness – the academic response
The reception of manic-depressive illness: a typical asylum
The emergence of bipolar disorder
References
CHAPTER 2: Clinical Features and Subtypes of Bipolar Disorder
Introduction: the phenomenology of cyclicity and polarity
Clinical features of affective episodes
Mania
Depression
Mixed states of bipolar disorder
Diagnostic subgroups of bipolar disorder
Cyclothymia
Conclusion
References
CHAPTER 3: The Long-Term Course and Clinical Management of Bipolar I and Bipolar II Disorders
Introduction
Methods of the NIMH CDS
Characteristics of the long-term course of bipolar illness
Conclusions about the long-term course of bipolar illness
Implications for the long-term clinical management of BP-I and BP-II disorders
References
CHAPTER 4: Comorbidity in Bipolar Disorder: A Focus on Addiction and Anxiety Disorders
Introduction
Alcohol abuse and dependence
Comorbid alcoholism and bipolar course of illness
Treatment implications for dual diagnosis bipolar disorder and alcoholism
Nicotine dependence
Bipolar disorder course of illness and nicotine dependence
Treatment considerations in bipolar disorder with nicotine dependence
Anxiety disorders
Epidemiological and clinical data
Comorbid ADs and clinical presentation of bipolar disorder
Treatment implications of anxious comorbidity
Conclusion
References
CHAPTER 5: DSM-V Perspectives on Classification of Bipolar Disorder
An overall view of the DSM-V process
Ongoing work on bipolar disorder for DSM-V
Criteria for recommending a change in DSM-IV
Bipolar disorder
Bipolar spectrum
Mixed episodes
Rapid cycling bipolar disorder
Bipolar depression
Schizoaffective disorder
Paediatric bipolar disorder
Behavioural dimensions
References
CHAPTER 6: Update on the Epidemiology of Bipolar Disorder
Introduction
Background on epidemiology
Epidemiology of bipolar disorder in adults
Epidemiology of bipolar disorder in youth
Age of onset and treatment rates in both adults and youth with bipolar disorder
Risk factors
Family history/genetics
Summary
References
CHAPTER 7: Suicide and Bipolar Disorder
Introduction
Suicide and attempted suicide in major mood disorders
Suicide risk and protective factors in bipolar disorders
References
CHAPTER 8: Neurocognition in Bipolar Disorder
Introduction
Brief overview of neuropsychological assessment
Nature of cognitive impairment in bipolar disorder
Cognitive deficits associated with mood symptoms
Cognitive deficits in euthymic patients
Cognitive deficits in subsets of patients
Effects of medication
Neuroimaging bipolar disorder cognition
Aetiology of cognitive impairment
Genetic vulnerability
Progressive cognitive decline
Clinical significance of cognitive impairments
Cognition and functional outcome
Neuropsychological assessment in bipolar disorder
Treatment strategies for cognitive deficits
Conclusions
References
CHAPTER 9: The Genius-Insanity Debate: Focus on Bipolarity, Temperament, Creativity and Leadership
History
Methodologic issues
Is psychosis relevant to creative genius?
Affective temperaments and achievement
Toward a synthesis
Implications for clinical practice
References
CHAPTER 10: Economics of Bipolar Disorder
Introduction
Economic cost of bipolar disorder
Economic evaluations of interventions for bipolar disorder
Conclusions
References
CHAPTER 11: An Introduction to the Neurobiology of Bipolar Illness Onset, Recurrence and Progression
Introduction
Clinical evidence for bipolar illness progression
Potential neurobiological mechanisms for illness progression
Overview of the neurobiology of bipolar disorder
Clinical implications for illness progression
Neurobiology informing clinical therapeutics
An evolving neurobiology of bipolar disorder
References
CHAPTER 12: Genetics of Bipolar Disorder
Introduction
Genetic epidemiology of bipolar disorders
Linkage studies of bipolar disorders
Candidate gene studies of bipolar disorder
Genome-wide association studies
Conclusions and future directions
References
CHAPTER 13: Structural Brain Imaging in Bipolar Disorder
Prefrontal cortex
Ventricles
Limbic structures
Subcortical structures
Corpus callosum
Cerebellum and vermis
Conclusions
Acknowledgements
References
CHAPTER 14: Functional Magnetic Resonance Imaging, Diffusion Tensor Imaging, and Magnetic Resonance Spectroscopy in Bipolar Disorder
Introduction
Magnetic resonance spectroscopy in bipolar disorder
Diffusion tensor imaging in bipolar disorder
Functional magnetic resonance imaging in bipolar disorder
Acknowledgements
References
CHAPTER 15: Functional Brain Imaging Studies in Bipolar Disorder: Focus on Cerebral Metabolism and Blood Flow
Introduction
Overall organization
Cerebral blood flow and metabolism across affective states
Conclusions
References
CHAPTER 16: Neurotransmitter Systems in Bipolar Disorder
The role of monoamines and acetylcholine in the pathophysiology of bipolar disorder
Amino acids and the pathophysiology of bipolar disorder
Neuroendocrine systems and neuropeptides
Conclusions
References
CHAPTER 17: Molecular Biology of Bipolar Disorder
Introduction
Signal transduction pathways
References
CHAPTER 18: Mitochondrial Dysfunction and Oxidative Stress
Introduction
Cellular vulnerability in bipolar disorder
Phosphorous magnetic resonance spectroscopy in bipolar disorder
Role of mitochondrial DNA deletion in bipolar disorder
Gene expression analysis
Genetics
Animal models
Consequence of mitochondrial dysfunction
Calcium signalling
Progressive cell loss
Oxidative stress and mitochondrial dysfunction: a vicious cycle propelled by dopaminergic hyperactivity?
Oxidative stress markers in bipolar disorder
Treatment studies
Effects of known treatment on oxidative systems
Glutathione precursors
Conclusion
References
CHAPTER 19: Neuroendocrinology of Bipolar Illness
HPA regulation
Basal HPA activity in bipolar disorder
Dexamethasone suppression test (DST)
Dexamethasone/CRH test
DEX/vasopressin test
CRH receptor studies
Corticoid receptors
Thyroid hormones
Thyroid status in patients with affective disorders
Rapid cycling bipolar disorder
Conclusions and future directions
References
CHAPTER 20: Circadian Rhythms and Sleep in Bipolar Disorder
Introduction and overview
Circadian rhythms and sleep
Sleep, circadian function and affect
Sleep, circadian function and mood symptoms in BD
Mechanisms underpinning biological rhythm involvement in BD
Psychosocial interventions targeting biological rhythms in BD
Summary and conclusions
References
CHAPTER 21: Treatment Adherence in Bipolar Disorder
Introduction
Adherence
Therapeutic relationships
Developing a shared understanding and agreeing treatment goals
Three questions to aid effective prescribing
Monitoring and enhancing adherence
Future directions – using a necessities-concerns framework
References
CHAPTER 22: Acute Mania
Introduction
Lithium
Valproic acid
Carbamazepine
First-generation (typical) antipsychotics
Second-generation (atypical) antipsychotics
Electroconvulsive therapy
New potential antimanic agents
Agents without demonstrated antimanic efficacy
Clinical recommendations
Summary
References
CHAPTER 23: Pharmacological Treatment of Bipolar Depression
Introduction
Treatments for the management of bipolar I depression
Pharmacological treatment of bipolar II depression
Conclusions
Financial disclosures
References
CHAPTER 24: Practical Pharmacological Maintenance Treatment of Bipolar Disorder
Introduction
Goals of long-term treatment
Adherence to and participation in treatment
Nature of evidence: relationship to the goals of treatment
Transition to maintenance treatment
Maintenance treatment: evidence from controlled trials
Treatments for severe illness without evidence from randomized clinical trials
Treatment targets other than affective episodes
Using major treatments
Summary: practical maintenance pharmacological treatment
References
CHAPTER 25: Rapid Cycling Bipolar Disorder: Phenomenology and Treatment
Controversies regarding the definition of rapid cycling
Phenomenology
Antidepressants and rapid cycling
Treatment of rapid cycling
Lithium and divalproex
Carbamazepine
Lamotrigine
Thyroid hormone
Calcium channel blockers
Second-generation antipsychotics
Is there a role for antidepressants?
Electroconvulsive therapy
Other novel treatments
Chronobiological treatments
Psychotherapy
Summary and conclusions
References
CHAPTER 26: Management of Bipolar II Disorder
Introduction
An overall management model
Medication
Education
Psychological interventions
Well-being plans
Summary
Acknowledgement
References
CHAPTER 27: Management of Comorbidity in Bipolar Disorder
Introduction
Faces of comorbidity in bipolar disorder
Management issues
Diagnostic considerations
The role of systematic screening
General treatment considerations
Treatment phases
Pharmacotherapy
Issues related to specific medications
Conclusion
References
CHAPTER 28: Bipolar Disorder and Safety Monitoring for Clinicians: A Review of the Evidence and the Implications
Introduction
Metabolism and bipolar disorder
Monitoring requirements for bipolar patients
Topical debates for years to come
Can safety monitoring for CVD risk factors improve?
Can wellness programmes in bipolar illness decrease CVD risk?
Implications for future monitoring and clinical research
Summary
Declaration of interest
Disclosure
References
CHAPTER 29: Somatic Treatments for Bipolar Disorder: ECT, VNS and TMS
Introduction to the technologies
Electroconvulsive therapy (ECT)
Vagus nerve stimulation (VNS)
Transcranial magnetic stimulation (TMS)
Overall conclusions about brain stimulation methods for BD
Acknowledgement
Conflicts
References
CHAPTER 30: Novel Therapeutic Strategies for Bipolar Disorder
Introduction
Intracellular pathways and targets worthy of further study in BPD
Conclusion
Acknowledgements
References
CHAPTER 31: Psychoeducation as a Core Element of Psychological Approaches for Bipolar Disorders
Psychoeducation in bipolar disorders: state of the art
What is psychoeducation?
Growth of evidence-based psychoeducational approaches
Ingredients of psychoeducation
Practical considerations when implementing a psychoeducation group
Conclusions
References
CHAPTER 32: Cognitive-Behavioural Therapy for Bipolar Disorder
Overview of key CBT manuals for bipolar disorder
Theoretical underpinnings for a model of CBT for bipolar disorder
Review of CBT trials
Summary of CBT trials with ‘treatmentas-usual’ controls
References
CHAPTER 33: Interpersonal and Social Rhythm Therapy for Bipolar Disorder
Introduction
Overview of interpersonal and social rhythm therapy
Treatment strategies
IPSRT for adolescents
Research findings
Conclusion
Acknowledgement
References
CHAPTER 34: Family Therapy Approaches to Bipolar Disorder
Introduction
Theoretical background
Family-focused treatment
Communication enhancement training
Problem solving
Multifamily group approaches
Cognitive-behavioural family models
Conclusions
Directions for future research
References
CHAPTER 35: Collaborative Care for Bipolar Disorder
Integrated care for bipolar disorder: current evidence
Bridging the divide: treatment models to integrate patient care
A collaborative care model for bipolar disorder
Conclusion
References
CHAPTER 36: Bipolar Disorder in Women
Introduction
The reproductive life cycle in women with bipolar disorder
The postpartum in women with bipolar disorder
Menopause and menopausal transition
Conclusions
References
CHAPTER 37: Phenomenology and Treatment of Bipolar I Disorder in Children: A Critical Review
Introduction
The ‘bipolar controversy’
Clinical phenomenology
Comorbidities
Course
Offspring studies
Assessment
Treatment
Conclusion
References
CHAPTER 38: Bipolar Disorder in the Elderly
Introduction
Epidemiology
Clinical presentation
Course of illness
Comorbidity
Cognitive function
Treatment effects
Adherence to treatment
Attitudes and beliefs/satisfaction with treatment
Clinical recommendations
Conclusions and areas for future research
References
Index
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