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Bipolar
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Mania Precipitated by COVID-19 Pandemic-Related Stress
The COVID-19 pandemic is a significant psychological stressor, impacting every facet of life. Here, read the case of a 37-year-old woman who developed mania, which was precipitated by stress related to COVID-19, 17 years after her last episode
Are (Some) Antipsychotics Depressogenic in Bipolar Disorder?
This commentary discusses the findings of a recent study by Maccariello et al on the prevalence and predictors of switch to depression in bipolar patients who recently initiated or changed pharmacologic treatment for mania or mixed-mania.
Efficacy, Effect on Mood Symptoms, and Safety of Deep Brain Stimulation in Refractory Obsessive-Compulsive Disorder: A Systematic Review and Meta-Analysis
First-line treatments for OCD include selective serotonin reuptake inhibitors and cognitive-behavioral therapy. But what do you do when patients do not respond to these or second-line strategies? In this journal CME activity, explore the option of deep brain stimulation.
A Case of Bipolar Disorder and Misophonia
Misophonia is a condition in which repetitive, pattern-based sounds lead to abnormally strong aversive emotional responses and behavioral reactions. This report describes a case of chronic and severe misophonia in a patient with bipolar II disorder.
When the Bell Rings: Clinical Features of Bell’s Mania
Bell's mania, also known as delirious mania, is characterized by the overlap of the symptoms of delirium and mania. This case report highlights the importance of proper diagnosis and clinical management.
A Case of Serotonin Syndrome in the Setting of Dextromethorphan-Based Cough Medicine, Tramadol, and Multiple Antidepressants
Serotonin syndrome can be challenging to recognize. Read this report of serotonin syndrome resulting from use of dextromethorphan-based cough medicine in addition to multiple antidepressant and pain medications.
Revisiting Tardive Dyskinesia: Focusing on the Basics of Identification and Treatment
What should you rule out to diagnose tardive dyskinesia (TD)? How do treatment options differ? In this journal CME activity, Drs Citrome and Saklad team up to review the best clinical strategies.
A Case of Worsening Bipolar Disorder With Tacrolimus in a Patient With Renal Transplant
Management of psychiatric illnesses in patients with comorbid medical conditions can be challenging. This report describes the case of a renal transplant patient whose bipolar disorder worsened after taking the immunosuppressant tacrolimus.
Strategies for Shifting From Acute to Maintenance Treatment for Bipolar I Disorder
Guidelines lay out strategies for maintenance treatment of bipolar I disorder, with an algorithm for pharmacologic and psychosocial interventions. Dr Suppes describes guideline recommendations and situations when you might need to vary from the algorithm.
Evidence-Based Treatment Targets, Selection, and Strategies for Acute Manic and Mixed Episodes of Bipolar I Disorder
When should you rely on top-ranked treatment options for acute bipolar mania, and when should you skip down to lower-ranked options? In this brief CME activity, expert Dr Suppes describes guideline recommendations and provides a case illustration.
Effectiveness of Pharmacologic Interventions in the Management of Weight Gain in Patients With Severe Mental Illness: A Systematic Review and Meta-Analysis
Patients with severe mental illness tend to have a higher prevalence of metabolic disorders. This review updates the current evidence on the effectiveness of add-on medications to treat weight gain in patients with severe mental illness.
Adding Increased Energy or Activity to Criterion (A) of the DSM-5 Definition of Hypomania and Mania: Effect on the Diagnoses of 907 Patients From the Bipolar Collaborative Network
Since 2013, when DSM-5 was published, a third of the patients previously diagnosed with bipolar disorder no longer qualify as having the disorder. So what does this say about those who did meet the stricter DSM-5 criteria?
