Substance/Medication-Induced Bipolar Disorder: Treatment?

Had a patient come to me with a history of what sounded like a manic episode (with no prior history of mania), while taking double the maximum recommended dose of escitalopram. I concluded the high dose of the SSRI must have been responsible. The patient's mood has since stabilized with aripiprazole, but eventually I'd like to taper off this medication if possible to minimize side effect risk. The patient also has a lot of anxiety symptoms, which I'd like to treat with an SSRI... Since I... Substance/Medication-Induced Bipolar Disorder: Treatment?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums

Related Links:

What is stigma? And how does it affect a person’s mental health and quality of life? In today’s Psych Central Podcast, Gabe talks with anthropologists Alex Brewis and Amber Wutich about the deeply dehumanizing impact of stigma in society. Whether it’s your mental health diagnosis, your neighborhood, your race or your inability to meet society’s standards in some way, stigma is alive and well in today’s world. People even tend to stigmatize themselves, intensifying their suffering.  Why are people so quick to stigmatize? And how does stigma affect mental health treatment? Tune into the sh...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Mental Health and Wellness Podcast Psychology The Psych Central Show Source Type: blogs
The hidden links between mental disorders (Nature): In 2018, psychiatrist Oleguer Plana-Ripoll was wrestling with a puzzling fact about mental disorders. He knew that many individuals have multiple conditions — anxiety and depression, say, or schizophrenia and bipolar disorder. He wanted to know how common it was to have more than one diagnosis, so he got his hands on a database containing the medical details of around 5.9 million Danish citizens. He was taken aback by what he found. Every single mental disorder predisposed the patient to every other mental disorder — no matter how distinct the symptoms. &ldquo...
Source: SharpBrains - Category: Neuroscience Authors: Tags: Cognitive Neuroscience Health & Wellness Technology anxiety biological bipolar-disorder depression Genetics JAMA Psychiatry mental illness mental-disorders National-Institute-of-Mental-Health neuroanatomy psychopathology Resear Source Type: blogs
CONCLUSION: For the majority of the physicians surveyed, psychiatry represented a public health priority, and their prioritising provides a probable explanation for their positive perception of their role in the management of mental disorders. However, we went on to observe that a number of difficulties constituted obstacles to their role in management of mental disorders and induced them to refer their patients to psychiatrists. Our analysis highlighted the impact of continuing education on physicians' attitudes and the interest of collaboration between practitioners. Efforts in university teaching and continuous educatio...
Source: Revue d Epidemiologie et de Sante Publique - Category: Epidemiology Tags: Rev Epidemiol Sante Publique Source Type: research
  At the thought of losing a job or missing a mortgage payment, Gabe is an anxious discombobulated mess, while Lisa is cool as a cucumber. In today’s Not Crazy podcast, Gabe and Lisa ponder: Why do people have such vastly different ways of reacting to the world? They also discuss — with the special flare that only a divorced couple has — the good old days when Gabe would have full-blown panic attacks and Lisa had to get them through it. How did they handle these scary moments? Is it ever OK to feel anger toward the panicky person? And what if the panicky person accidentally causes harm — sh...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic General LifeHelper Mental Health and Wellness Not Crazy Podcast Source Type: blogs
Psychiatric disorders, such as schizophrenia, depression, anxiety, and bipolar disorder, are common conditions that arise as a result of complex and heterogeneous combinations of genetic and environmental factors. In contrast to childhood neurodevelopmental conditions such as autism and intellectual disability, there are no clinical practice guidelines for applying genetic testing in the context of these conditions. But genetic counseling and genetic testing are not synonymous, and people who live with psychiatric disorders and their family members are often interested in what psychiatric genetic counseling can offer. Furt...
Source: Cold Spring Harbor perspectives in medicine - Category: Research Authors: Tags: Genetic Counseling: Clinical Practice and Ethical Considerations PERSPECTIVES Source Type: research
CONCLUSIONS: Although cultural effects on reporting cannot be ruled out, these low 12-month prevalences are consistent with reduced prevalence of mental disorders in other low-income countries. Identification of sociocultural factors that mediate the lower prevalence of mental disorders in low-income, non-Westernized settings may have implications for understanding disorder etiology and for clinical or policy interventions aimed at facilitating resilience. PMID: 32476631 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
The goal of this proposed initiative is to advance translational research to better understand the emergence and worsening of mood and psychotic disorders (e.g., PMD, generalized anxiety disorder, bipolar disorder, and schizophrenia) during the MT to identify targets for future development of novel treatment interventions.
Source: National Institute of Mental Health - Category: Psychiatry Authors: Source Type: news
Abstract Apart from its well-established therapeutic activity on bipolar disorder and depression, lithium exerts neuroprotective activity upon neurodegenerative disorders, such as traumatic brain injury (TBI). However, the cellular signaling mechanisms mediating lithium's neuroprotective activity and long-term dose- and time-dependent effects on close and remote proximity are largely unknown. Herein, we tested prophylactic and acute effects of lithium (2 mmol/kg) after cold- induced TBI. In both conditions, treatments with lithium resulted in reduced infarct volume and apoptosis. Its acute treatment resulte...
Source: Behavioural Brain Research - Category: Neurology Authors: Tags: Behav Brain Res Source Type: research
During a virtual Congressional briefing on Wednesday, APA President Jeffrey Geller, M.D., M.P.H., and members of APA ’s Committee on Telepsychiatry emphasized the need for expanded access to mental health care through telehealth not only during the COVID-19 pandemic, but afterward as well.The briefing, titled “Collective Crisis: Preparing for America’s Next Wave of Mental Health and Substance Use Disorder Needs With Telehealth,” was hosted by APA and the National Alliance on Mental Illness (NAMI). The panel included Peter Yellowlees, M.B.B.S., M.D., of UC Davis; Shabana Khan, M.D., of NYU Langone H ...
Source: Psychiatr News - Category: Psychiatry Tags: CONNECT Act COVID-19 Jeffrey Geller Jodi Kwarciany Peter Yellowlees Rep. Bill Johnson Rep. Paul Tonko Shabana Kahn telehealth telepsychiatry Source Type: research
In today’s Psych Central Podcast, Gabe talks with Jamie Tworkowski, the founder of To Write Love on Her Arms, a non-profit movement dedicated to helping people who are struggling with addiction, depression, self-injury and suicide. Jamie shares how the idea for the non-profit was born in 2006 after he spent 5 days with his new friend Renee who’d recently been turned down for rehab. After writing about the experience and posting it on Myspace, people began to respond with their own stories, and the seeds for the non-profit were planted. Tune in to find out how To Write Love on Her Arms helps people struggling w...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Depression General Interview Podcast Policy and Advocacy Recovery Substance Abuse The Psych Central Show Source Type: blogs
More News: Abilify | Anxiety | Bipolar | Lexapro | Mania | Students | Universities & Medical Training