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Multifocal Therapy Needed for Bipolar

pillsA recent statement by Australian psychiatrists caution that individuals with bipolar disorder need mood stabilizing medication in addition to antidepressants.

Psychiatrists have cautioned against the use of antidepressants alone in people with bipolar disorders, saying they could worsen a patient’s condition by causing a destabilization in mood.

Dr Ajeet Singh and Professor Michael Berk, consultant psychiatrists from the University of Melbourne, state in the current edition of Australian Prescriber that the goal of treatment in bipolar disorder is to stabilize mood, and antidepressants may defeat this purpose if they are not taken with other drugs.

“Patients may need an antidepressant, but this must be taken with a mood-stabilizing drug.

Antidepressants place patients at risk of switching to elevated phases of the disorder and rapid cycling patterns,” they say in the article.

Patients should not simply be left on antidepressants long term without review, say the authors, as there is no good evidence of efficacy in the maintenance phase. If symptoms of elevated mood emerge, the patient should have their dose of the antidepressant reduced or stopped.

Dr Singh says that health professionals should consider the diagnosis of bipolar disorder in patients with treatment-resistant or recurrent depression.

The authors also strongly recommend the need for regular review, education, self-monitoring of mood, mood diaries and social-rhythm training to assist with better long-term patient outcomes. Educating patients about lifestyle changes and a close dialogue with relatives and carers is also essential, they say.

“Including family and caregivers in the management plan is an important aspect of care. Continuity of care, with good communication and rapport between doctor and patient, is particularly important in fostering compliance with treatment,” the article states.

For the complete article visit the Australian Prescriber website

Source: Australian Prescriber

Multifocal Therapy Needed for Bipolar

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Multifocal Therapy Needed for Bipolar. Psych Central. Retrieved on February 19, 2019, from
Scientifically Reviewed
Last updated: 8 Aug 2018
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
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