The Most Effective Therapies for Treating Bipolar Disorder

You’ve been diagnosed with bipolar disorder, or maybe your loved one has. And you’re wondering, what’s the best treatment? What actually works? What the heck do I do? Because bipolar disorder is a chronic, complex condition, managing it can feel overwhelming and downright confusing. But thankfully there are effective, research-based treatments that really work. Medication is the mainstay of treatment. However, the best way to treat bipolar disorder is with a comprehensive approach, which includes “ongoing psychosocial interventions to help maintain health and to respond to breakthrough symptoms when they occur,” according to Candida Fink, MD, a board-certified child, adolescent, and adult psychiatrist with a private practice in Westchester, N.Y. She noted that bipolar disorder is often thought of as a “kind of monolithic entity.” But “bipolar disorder comes in a range of severity and symptom patterns. Different people will respond to different treatments—both medical and psychosocial.” Finding the right treatment for each person takes time, consistent effort, and good communication with their treatment team, said Dr. Fink, co-author of several books on bipolar disorder. (This treatment team typically consists of a psychiatrist and a therapist.) But again, the great news is that successful treatments are available. Alisha L. Brosse, Ph.D, a clinical psychologist and director of the Robert D. Sutherland Cent...
Source: Psych Central - Category: Psychiatry Authors: Tags: Bipolar Disorders General Psychotherapy Self-Help Treatment Bipolar Disorder bipolar disorder treatment Cbt IPSRT managing bipolar disorder opposite action Source Type: news

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Publication date: 4–10 April 2020Source: The Lancet, Volume 395, Issue 10230Author(s): Talha Burki
Source: The Lancet - Category: General Medicine Source Type: research
This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups — the recurrent fallers (89) and single fallers (35) groups. Patients ’ sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was...
Source: Clinics - Category: General Medicine Source Type: research
Authors: Mason TM, Tofthagen CS, Buck HG Abstract Complicated grief (CG) poses significant physical, psychological, and economic risks to bereaved family caregivers. An integrative review of the literature published 2009-2018 on CG associated with caregiving was performed using PubMed, PsychINFO, and Web of Science. The search returned 1428 articles, of which 32 were included in the review. Sixteen studies described risk and protective factors and 16 described interventions for CG. Caregiver-related risk factors included fewer years of education, depression, anxiety, poor physical health, and maladaptive dependency...
Source: Journal of Social Work in End-of-Life and Palliative Care - Category: Palliative Care Tags: J Soc Work End Life Palliat Care Source Type: research
This study compared health care use and costs among patients with treatment-resistant versus treatment-responsive depression across Medicaid, Medicare, and commercial payers. METHODS: A retrospective cohort study was conducted by using Truven Health Analytics' commercial (2006-2017; N=111,544), Medicaid (2007-2017; N=24,036), and Medicare supplemental (2006-2017; N=8,889) claims databases. Participants were adults with major depressive disorder who had received one or more antidepressant treatments. Treatment resistance was defined as failure of two or more antidepressant treatments of adequate dose and duration. Annua...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
CONCLUSIONS: This study contributes to evidence about the intersection of social factors and health outcomes and discusses health care engagement, stigma, and policy drivers of racial-ethnic disparities. The study is the first to identify disparities in rates and types of depression treatment among racial-ethnic subgroups of Medicaid beneficiaries in a nationally representative sample. PMID: 32237981 [PubMed - as supplied by publisher]
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Authors: Goodman M PMID: 32233769 [PubMed - in process]
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
CONCLUSIONS: Neurodegenerative disease should be on the differential diagnosis for any patient presenting with new-onset psychosis and behavioral changes in mid to late adulthood. Should red-flag features be present, early referral to a clinic specializing in dementia is recommended for further evaluation. This case highlights that MAPT mutations can be associated with psychosis in FTD and should be considered in the genetic workup. Ongoing research into the cellular and neural circuit mechanisms of psychosis in neurodegenerative disease may shed light on pathologic processes underlying psychosis in primary psychiatric dis...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
Authors: Andrade C Abstract Many observational studies have found an association between antidepressant drug prescription during pregnancy and neurodevelopmental disorders such as autism spectrum disorder, attention-deficit/hyperactivity disorder, and intellectual disability. The results of such studies cannot be considered conclusive because of the possible presence of inadequately measured, unmeasured, and unknown confounds. In this context, maternal anemia before or at but not after 30 weeks of gestation was recently associated with an increased risk of all 3 of these neurodevelopmental disorders. Additionally, ...
Source: Journal of Clinical Psychiatry - Category: Psychiatry Tags: J Clin Psychiatry Source Type: research
The outbreak of coronavirus disease 2019 (COVID-19) may be stressful – it can be difficult to cope with fear and anxiety, changing daily routines, and a general sense of uncertainty. Taking steps to care for your mental health can help you manage stress.
Source: National Institute of Mental Health - Category: Psychiatry Authors: Source Type: news
CONCLUSION: A short-term, lay-coach-facilitated Tele-BA is a promising intervention for the growing numbers of homebound older adults lacking social connectedness. The intervention holds promise for scalability in programs that already serve homebound older adults. More research is needed to solidify the clinical evidence base, cost-effectiveness and sustainability of Tele-BA delivered by lay coaches for homebound and other older adults. PMID: 32238297 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
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