Cover image for Bipolar disorder : a guide for patients and families
Title:
Bipolar disorder : a guide for patients and families
Author:
Mondimore, Francis Mark, 1953-
Publication Information:
Baltimore : Johns Hopkins University Press, [1999]

©1999
Physical Description:
xi, 277 pages : illustrations ; 24 cm.
Language:
English
ISBN:
9780801861178

9780801861185
Format :
Book

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Summary

Summary

A handbook for persons with bipolar disorder, and their families. It offers a practical guide to the symptoms, diagnosis, treatment and causes of this potentially devastating psychiatric illness, formerly known as manic-depression. Dr Frank Mondimore offers advice on getting the most out of the various treatments that are now available -from medication, psychotherapy and electroconvulsive treatment to new approaches such as St John's wort and transcranial magnetic stimulation. For each, he discusses advantages, disadvantages, side effects and other information to help patients make informed decisions about treatment options.


Author Notes

Francis Mark Mondimore is a psychiatrist and a member of the faculty of the Johns Hopkins University School of Medicine.


Table of Contents

Prefacep. ix
Acknowledgmentsp. xi
Part I Symptoms, Syndromes, and Diagnosisp. 1
1. Normal and Abnormal Moodp. 5
Abnormal Moodp. 6
The Manic Syndromep. 9
The Hypomanic Syndromep. 15
The Syndrome of Depressionp. 18
Mixed Mood statesp. 25
2. The Diagnosis of Bipolar Disorderp. 28
Psychiatric Diagnosisp. 29
Bipolar Ip. 30
Bipolar IIp. 37
Cyclothymic Disorderp. 41
Bipolar Spectrum Disordersp. 45
Rapid-Cycling Bipolar Disorderp. 50
Schizoaffective Disorderp. 51
3. A Summary of the Diagnostic Categories of Bipolar Disorder in DSM IVp. 54
What is the DSM?p. 54
A "Multiaxial" Diagnostic Systemp. 57
Bipolar Categories in DSM IVp. 58
4. The Mood Diseasep. 61
Before "Bipolar"p. 61
Dr. Kraepelin and "Manic-Depressive Insanity"p. 63
Dr. Cade and Lithiump. 68
Part II Treatmentp. 73
5. The Brain: Neurons, Neurotransmitters, and Morep. 75
6. Mood-Stabilizing Medicationsp. 84
Lithiump. 84
Valproate (Depakote)p. 92
Carbamazepine (Tegretol)p. 95
Lamotrigine (Lamictal)p. 97
Other Mood Stabilizersp. 99
7. Antidepressant Medicationsp. 100
Tricyclic Antidepressants (TCAs)p. 100
Selective Serotonin Reuptake Inhibitors (SSRIs)p. 103
Other New Antidepressantsp. 105
Monoamine Oxidase Inhibitors (MAOIs)p. 105
Treating Bipolar Depressionp. 107
8. Antipsychotic Medicationsp. 109
Therapeutic Profilep. 110
Side Effectsp. 112
The New Antipsychotic Medicationsp. 113
9. Other Medications, Hormones, and an Herbp. 116
Benzodiazepine Medicationsp. 116
Calcium-Channel-Blocking Agentsp. 118
Stimulant Medicationsp. 119
Thyroid Hormonesp. 121
St. John's Wortp. 122
10. Electroconvulsive Therapyp. 124
Modern ECTp. 126
ECT for Bipolar Disorderp. 129
Transcranial Magnetic Stimulationp. 130
11. Counseling and Psychotherapyp. 133
Brain and Mindp. 134
What Can Therapy Do?p. 136
Group Psychotherapyp. 136
Individual Therapy for Depressionp. 137
New Psychotherapies for Bipolar Disorderp. 140
"Traditional" Individual Psychotherapyp. 142
Psychotherapy in Bipolar Disorder: Is It Really Necessary?p. 144
The Psychiatrist-Psychotherapist: An Extinct Species?p. 145
12. Treatment Approaches in Bipolar Disorderp. 147
Therapeutic Results as a Guide to Treatmentp. 147
A Few Principles of Treatmentp. 150
Part III Variations, Causes, and Connectionsp. 157
13. Bipolar Disorder in Children and Adolescentsp. 159
Symptoms of Pediatric Bipolar Disorderp. 160
Bipolar Disorder and ADHDp. 161
Treatment and Prognosisp. 162
14. Women with Bipolar Disorder: Special Considerationsp. 165
Premenstrual Syndromesp. 165
Symptom Differences in Womenp. 167
Postpartum Mood Disorders and Family Planningp. 168
15. Alcoholism and Drug Abusep. 170
Bipolar Bingsp. 170
Effect, Cause, or Association?p. 173
Use or Abuse?p. 174
A Deadly Combinationp. 175
16. Seasonal Affective Disorder and Chronobiologyp. 177
Biological Clocksp. 179
Seasonal Affective Disorderp. 183
The Sleep Cycle and Bipolar Disorderp. 187
17. The Genetics of Bipolar Disorderp. 191
Genes, Chromosomes, and DNAp. 191
Genetic Diseasesp. 193
What We Knowp. 195
The Search Continuesp. 195
18. Bipolar Biologyp. 197
"Medical" Mood Disordersp. 197
Post-stroke Mood Disordersp. 199
Mood Disorders Due to Hormonal Problemsp. 202
Picturing Bipolar Disorder in the Brainp. 204
Viruses and Bipolar Disorderp. 206
19. Bipolar Disorder and Creativityp. 209
Part IV Getting Better and Staying Wellp. 217
20. Living with Bipolar Disorderp. 219
Confront and Accept the Illnessp. 219
Practice Mood Hygienep. 222
Build Your Support Systemp. 228
Don't Be a "Bipolar Victim"p. 230
21. Planning for Emergenciesp. 232
Know Whom to Call for Helpp. 235
Insurance Issuesp. 236
Safety Issues and Hospitalizationp. 238
22. The Role of the Familyp. 240
Recognizing Symptomsp. 240
Involuntary Treatment and Other Legal Issuesp. 244
More on Safetyp. 247
Getting Supportp. 248
23. Looking Aheadp. 250
Resourcesp. 253
Suggested Readingp. 253
Support and Advocacy Organizationsp. 254
Internet Resourcesp. 255
Notesp. 257
Indexp. 273

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