Cover image for Surviving manic depression : a manual on bipolar disorder for patients, families, and providers
Surviving manic depression : a manual on bipolar disorder for patients, families, and providers
Torrey, E. Fuller (Edwin Fuller), 1937-
Publication Information:
New York : Basic Books, [2002]

Physical Description:
xx, 395 pages : illustrations ; 24 cm
Added Author:
Format :


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RC516 .T67 2002 Adult Non-Fiction Open Shelf
RC516 .T67 2002 Adult Non-Fiction Non-Fiction Area
RC516 .T67 2002 Adult Non-Fiction Open Shelf
RC516 .T67 2002 Adult Non-Fiction Open Shelf
RC516 .T67 2002 Adult Non-Fiction Open Shelf
RC516 .T67 2002 Adult Non-Fiction Open Shelf

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Surviving Manic Depression is the most authoritative book on this disorder, which affects more than two million people in the U.S. alone. Based on the latest research, it provides detailed coverage of every aspect of manic depression-from understanding its causes and treatments to choosing doctors and managing relapses-with guidance drawn from the latest scientific information.Drs. Torrey and Knable provide thorough, up-to-date coverage of all aspects of the disease, including a detailed description of symptoms (with many direct descriptions from patients themselves), risk factors, onset and cause, medications (including drugs still in the testing stage), psychotherapy, and rehabilitation, as well as information about how the disease affects children and adolescents. Here too are discussions of special problems related to manic depression, including alcohol and drug abuse, violent behavior, medication noncompliance, suicide, sex, AIDS, and confidentiality. Surviving Manic Depression also includes special features such as a listing of selected websites, books, videotapes, and other resources.

Author Notes

E. Fuller Torrev, M.D. is president of the Treatment Advocacy Center and Executive Director of the Stanley Foundation Research programs. He is also Professor of Psychiatry at the Uniformed Services University of the Health Sciences.
Michael B. Knable, D.O. is Medical Director of the Stanley Research Programs and Clinical Instructor in Psychiatry in the residency program at St. Elizabeth's Hospital, Washington D.C.

Reviews 4

Booklist Review

Torrey and Knable, long active in the research and treatment of manic depression, present an informative, clearly written, cogently presented advisor. Very saliently, they examine the reasons for the lack of treatment for many sufferers and discuss changes in the definition of the disease over the years, showing how those have at times hampered understanding. In their coverage of risk factors and causes, they caution that much information currently presented as fact isn't based on solid studies, and the information they furnish on treatments details many different types of drugs (and their side effects) as well as nonmedicational approaches. The patient-oriented physician, they say, will combine those types of therapeutics to best suit each patient. Emphasizing that alcohol, drugs, and homelessness exacerbate manic depression, they note advocacy organizations and point out their good and bad features, plead for advocates from among patients, and suggest that a modern Dorothea Dix could be greatly helpful. Of course, they deem increased research funding vital. An important book that may be useful for years. --William Beatty

Publisher's Weekly Review

A lucid, thorough guide to every aspect of living with bipolar disorder, Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers covers symptoms, treatment and advocacy. E. Fuller Torrey (Surviving Schizophrenia), psychiatry professor and Treatment Advocacy Center president, and psychiatry instructor Michael B. Knable explain what mania and depression feel like from the inside, the causes and risk factors, the range of possible medications and treatments, and 10 special problems for manic depressives like alcohol abuse and medical noncompliance. There's also a section on bipolar disorder in children and a list of frequently asked questions. This is a valuable resource for anyone touched by the illness. (c) Copyright PWxyz, LLC. All rights reserved

Library Journal Review

Torrey, one of the world's leading authorities on schizophrenia and an advocate for the care of the severely mentally ill, here does for manic depression what he has done for schizophrenia in successive editions of this book's companion volume, Surviving Schizophrenia (Quill, 2001) that is, he provides a comprehensive treatise on the condition's etiology, symptoms, and treatment. Moreover, Torrey and Knable (psychiatry, George Washington Univ. Hosp.) manage to convey the complexities of the subject without overwhelming or confusing the lay reader. The authors are clearly mainstream in their view of manic depression as an organic brain disease requiring medication to control symptoms. They thoroughly cover various medications, their side effects, and suggestions for maintaining compliance and controlling side effects. Of particular interest are the extensive appendixes listing and describing books, web sites, videos, and other resources on bipolar disorder. Unlike most such lists, this one describes and rates the material listed. By far the best general book available on the subject, this is highly recommended for all public and academic libraries. Mary Ann Hughes, Neill P.L., Pullman, WA (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

Choice Review

Torrey (Uniformed Services Univ. of the Health Sciences) and Knable (George Washington Univ. Hospital) offer a comprehensive look at the psychiatric condition of manic depression. They include statistics, a description of the condition, related conditions that mimic manic depression, risk factors, causes, onset, course, and outcome. An excellent section describes medications that may be prescribed, their appropriate uses, and side effects. Commonly asked questions and descriptions of the effects of manic depression on children, adolescents, and creativity round out the content of the book. Fact sheets offer synopses of pertinent information throughout. With both general and detailed information, it is a handbook in the finest sense of the word, gathering information about the course of the disease from many sources into one place. Also included are quotes from other authors who have survived manic depression, which illustrate in easy-to-understand terms the clinical information presented and discussed. Four appendixes include reviews of books for further reading, Web sites and their content descriptions, a list of videos with descriptions, and listings of support groups and contact information. Recommended for anyone interested in manic depression, and for all libraries. All levels. D. Sibley University of Massachusetts Medical School

Table of Contents

Katie Petray
Preface: Manic Depression or Bipolar Disorder?p. xv
Acknowledgmentsp. xix
1 Dimensions of Manic-Depressive Illnessp. 1
How Many People in the United States Have Manic-Depressive Illness?p. 2
How Many People Are Being Treated?p. 4
Do Some Groups Have More Than Others? The Hutterites and the Amishp. 5
What Is the Prevalence of Manic-Depressive Illness in Other Countries?p. 8
Has Manic-Depressive Illness Always Existed?p. 9
Is Manic-Depressive Illness Increasing?p. 13
What Is the Cost of Manic-Depressive Illness?p. 15
2 The Inner World: Mania and Depression From the Insidep. 19
Maniap. 21
Depressionp. 31
Mixed Statesp. 38
Awareness of Illnessp. 41
3 The Outer Worlds: Manic-Depressive Illness Definedp. 45
Official Definitionsp. 45
Are Unipolar Depression and Manic-Depressive Illness One Disease or Two?p. 52
Where Does Manic-Depressive Illness End and Normal Mood Swings Begin?p. 56
What Is the Relationship of Manic-Depressive Illness to Schizoaffective Disorder and Schizophrenia?p. 57
4 Conditions Sometimes Confused with Manic-Depressive Illnessp. 63
Mania Caused by Street Drugsp. 63
Mania Caused by Prescription, Over-the-Counter, and Herbal medicationsp. 67
Mania Caused by Infectionsp. 70
Mania Caused by Head Injuriesp. 72
Mania Associated with Other Brain Disordersp. 74
Mania Associated with Other Illnessesp. 75
What Does Secondary Mania Tell Us About Brain Localization?p. 76
Manic-Like Behavior in Culture-Bound Syndromesp. 77
What Is an Adequate Diagnostic Workup?p. 78
5 Risk Factors for Developing Manic-Depressive Illnessp. 83
Winter Birthp. 84
Summer Onsetp. 86
Urban Birthp. 87
Pregnancy and Birth Complicationsp. 88
Prenatal Faminep. 89
Prenatal Exposure to Influenzap. 89
Severe Stressors in Childhoodp. 90
Social Classp. 92
6 Onset, Course, and Outcomep. 95
Factors Affecting Coursep. 96
Rapid Cycling and Seasonal Affective Disorderp. 98
Outcomes and Their Predictorsp. 100
Stress as a Risk Factor for Relapsep. 103
Causes of Deathp. 104
7 Causesp. 107
Studies of Brain Structurep. 108
Studies of Brain Functionp. 113
Genetic Studiesp. 116
Neurochemical Studiesp. 121
Studies of Infections and Immunological Factorsp. 126
Disturbances in Body Rhythmsp. 129
Endocrine Dysfunctionp. 130
Kindling and Stressp. 133
8 Medications: Mood Stabilizersp. 137
Lithiump. 137
Valproate (Depakote, Depakene)p. 149
Carbamazepine (Tegretol)p. 151
Lamotrigine (Lamictal)p. 154
Topiramate (Topamax)p. 157
Gabapentin (Neurontin)p. 158
Calcium Channel Blockersp. 159
Essential Fatty Acidsp. 161
9 Medications: Antidepressants, Antipsychotics, and Benzodiazapinesp. 163
Antidepressantsp. 163
Selective Serotonin Reuptake Inhibitors (SSRIs)p. 164
Burproprion and Other New Antidepressantsp. 167
Tricyclic Antidepressantsp. 169
Monoamine Oxidase Inhibitors (MAOIs)p. 170
Stimulantsp. 173
Thyroid Supplementationp. 175
St. John's Wort and Other Herbal Remediesp. 175
Switch Ratep. 176
Antipsychoticsp. 177
First-Generation, or Typical, Antipsychoticsp. 177
Second-Generation, or Atypical, Antipsychoticsp. 180
Benzodiazepinesp. 185
10 Medications: Treatment Strategiesp. 189
Treatments for the Different Phases of Manic-Depressive Illnessp. 189
Acute Maniap. 190
Depressionp. 191
Rapid Cyclingp. 191
Maintenance Treatmentp. 192
Frequently Asked Questions About Medicationsp. 192
Do I Really Need to Take All of These Medications?p. 192
Do I Need to Take These Medications for the Rest of My Life?p. 193
What If I Am Pregnant or Breast-Feeding?p. 194
Should Treatment Be Different for the Very Old and the Very Young?p. 200
11 Nonmedication Aspects of Treatmentp. 203
Finding a Good Doctorp. 203
Building a Support Networkp. 206
Psychotherapyp. 207
Reducing Stressp. 212
Mood Chartsp. 213
Electroconvulsive Therapyp. 214
Insurance Issuesp. 215
SSI and SSDIp. 217
12 Manic-Depressive Illness in Children and Adolescentsp. 221
Clinical Aspectsp. 222
Diagnostic Aspectsp. 225
Treatment Aspectsp. 228
13 Ten Special Problemsp. 233
Concurrent Alcohol and Drug Abusep. 233
Assaultive and Violent Behaviorp. 237
Medication Noncompliancep. 240
Assisted Treatmentp. 244
Homelessnessp. 248
Arrests and Jailingsp. 251
Suicidep. 253
Sex and AIDSp. 258
Confidentialityp. 259
The Seduction of Maniap. 263
14 Manic-Depressive Illness and Creativityp. 267
Biographical Studies of Mental Illness in Creative Peoplep. 269
Studies of Psychiatric Illness in Living Artistsp. 272
Mental Illness and Creativity in Relativesp. 274
Direct Measurements of Creativity in People with Mental Illnessp. 275
The Effects of Psychotropic Medications on Creativityp. 276
15 Commonly Asked Questionsp. 279
Should I Tell People?p. 279
What Are the Chances That Other Family Members Will Get Manic-Depressive Illness?p. 281
How Does It Affect Family Members?p. 283
How Does It Affect Siblings?p. 286
How Does It Affect Spouses?p. 287
How Does It Affect Children?p. 288
16 Issues for Advocatesp. 293
Advocacy Organizationsp. 294
Scientologists, Antipsychiatrists, and "Consumer Survivors"p. 295
Research Funding and the National Institute of Mental Healthp. 297
Stigma and Public Educationp. 299
Exemplary Individual Advocatesp. 301
Appendix A Review of Booksp. 307
Appendix B Selected Websitesp. 329
Appendix C Review of Videotapesp. 333
Appendix D Useful Resourcesp. 337
Notesp. 341
Indexp. 379