Assessment and management of rapid-cycling bipolar affective disorder

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Assessment and management of rapid-cycling bipolar affective disorder

& Pieve (1974). They arbitrarily defined rapid cycling as four or more mood episodes per year. Rapid cycling in relation to bipolar affective disorder has been defined by the DSM-IV criteria (American Psychiatric Association, 1994)(Box 1). Some patients show cycling frequencies in the order of weeks to days, a phenomenon known as ultra-rapid cycling. Cycling of discrete mood phases of less than...

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Treatment options for rapid-cycling bipolar affective disorder

ERSTAD, B. L. & COTOGNO,C. L. (1995) Management of alcohol withdrawal. American Journal of Health-System Pharmacy. 52. 697-709. HESSIONM. A.. VERMA.S. & MOHANBHAKTA,K. G. (1979) Dependence on chlormethiazole and effects of its withdrawal. Lancet, i. 953-954. KAIM.S. C.. KLETT.C. J. & ROTHFELD. B. (1969) Treatment of the acute alcohol withdrawal state: a comparison of four drugs. American Journa...

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Antidepressants in rapid-cycling bipolar disorder.

Amsterdam and colleagues frankly acknowledge the multiple methodological deficiencies of their paper. However, this does not prevent them from drawing unfounded conclusions. In his editorial, Thase makes the same error in accepting conclusions that are clearly not warranted by the data presented. What is most striking about Amsterdam et al’s paper is that the results of lithium, fluoxetine and ...

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Rapid cycling bipolar affective disorder. I. Association with grade I hypothyroidism.

Thirty patients with rapid cycling bipolar affective disorder were studied prospectively to assess presence and severity of thyroid hypofunction. Seven (23%) were classified as having grade I hypothyroidism, while 8 (27%) had grade II and 3 (10%) had grade III abnormalities. This prevalence of grade I hypothyroidism is significantly greater than that reported in studies of unselected bipolar pa...

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The long-term course of rapid-cycling bipolar disorder.

BACKGROUND Rapid cycling among patients with bipolar affective disorders is important because of its implications for long-term prognosis and for the use of antidepressants. To our knowledge, no prospective study has, as yet, described the course of this phenomenon beyond 5 years. METHODS From 345 patients with bipolar I or bipolar II disorder followed up for a mean (SD) of 13.7 (6.1) years a...

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ژورنال

عنوان ژورنال: Advances in Psychiatric Treatment

سال: 1997

ISSN: 1355-5146,1472-1481

DOI: 10.1192/apt.3.6.367