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Published Online: 16 October 2023

The CANMAT and ISBD Guidelines for the Treatment of Bipolar Disorder: Summary and a 2023 Update of Evidence

Abstract

Bipolar disorder is a complex and heterogeneous psychiatric condition that affects more than 2% of the population. The assessment and treatment of bipolar disorder can be a challenge for clinicians, given its clinical complexity and the rapidly changing treatment landscape with the growing range of treatment options that are becoming available for various phases of the illness. To help clinicians navigate the complexity involved in the assessment and management of bipolar disorder, the guidelines of the 2018 Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) synthesized the evidence on the efficacy, safety, and tolerability of treatments for bipolar disorder and translated it into first-, second-, and third‐line treatment recommendations. The main objective of this contribution is to provide clinicians with a summary of the 2018 CANMAT/ISBD guideline recommendations with the addition of any new evidence for the treatment of bipolar disorder across the lifespan.

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Published In

History

Published in print: Fall 2023
Published online: 16 October 2023

Keywords

  1. Bipolar Disorder
  2. Clinical Drug Studies
  3. Practice Guidelines
  4. Evidence-Based Practice

Authors

Affiliations

Kamyar Keramatian, M.D., F.R.C.P.C.
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Nellai K. Chithra, M.B.B.S., M.D.
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.
Lakshmi N. Yatham, M.B.B.S., F.R.C.P.C. [email protected]
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada.

Notes

Send correspondence to Dr. Yatham ([email protected]).

Competing Interests

Dr. Yatham is a consultant for, has received speaker fees from, sits on the advisory board of, and/or receives research funding from AbbVie, Alkermes, Allergan, Canadian Network for Mood and Anxiety Treatments, Canadian Institutes of Health Research, Dainippon Sumitomo Pharma, Gedeon Richter, Intracellular Therapies, Lundbeck, Merck, Otsuka, Sanofi, and Sunovion over the past 3 years. Dr. Keramatian has been on an advisory board for AbbVie. Dr. Chithra reports no financial relationships with commercial interests.

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