Bipolar II Disorder in a Primary Care Setting: Clinical Vignette
AUTOR(ES)
Zylstra, Robert G.
FONTE
Physicians Postgraduate Press
RESUMO
Bipolar II disorders may be common in primary care settings, but most cases remain undiagnosed because hypomania is often difficult to recognize. Eliciting a history of recurrent periods of expanded mood interspersed with periods of major depression is important, since antidepressant monotherapy is often unproductive or even counterproductive. Once the diagnosis is made, appropriate medications to alleviate hypomanic episodes and depression should be initiated. These medications include mood stabilizers such as lithium and valproate, alone or in combination with antidepressants. Close monitoring of medication levels and patient response is essential in the ongoing treatment of this disorder. Psychotherapy is often an integral part of treatment.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=181056Documentos Relacionados
- Suicidal behavior among bipolar patients at a primary care setting
- Cardiovascular secondary prevention in primary care setting: an immediate necessity in Brazil and worldwide
- Priority Setting: The Health Care Debate
- Management of Bipolar Disorder in Primary Care Versus Psychiatric Settings
- Casualty Services and Their Setting: A Study in Medical Care