THE HYPOMANIC ALERT: A PROGRAM DESIGNED FOR GREATER THERAPEUTIC CONTROL

JEROME E. JACOBSONAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 122, Number 3

https://doi.org/10.1176/ajp.122.3.295

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Abstract

A program is described for the rapid detection and control of hypomanic episodes. This program has four salient features.

1. A systematic search for a pathognomonic tell-tale sign in each patient which heralds the onset of an attack.

2. The education of the patient and his family to the importance of detecting and reporting such signs or even suspicions of impending signs without delay.

3. The use of ancillary personnel to maintain regular monthly contacts with the patient and the family during symptom-free periods and to provide additional clinical observations. This program provides a financial saving for the patient and a reduction of the time demand on the psychiatrist while maintaining therapeutic efficiency.

4. The carefully controlled, intensive and early use of LiCO₃ as the primary approach to alleviate hypomanic states. Lithium therapy approaches 100 percent effectiveness if used at the first sign of a hypomanic attack.

This program has proven both successful and practical for the management of a condition previously considered very difficult to treat.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 122 • Number 3 • September 1965

Pages: 295 - 299

PubMed: 14327470

History

Published in print: September 1965

Published online: 1 April 2006

Authors

Details

JEROME E. JACOBSON

2010 Wilshire Boulevard, Los Angeles, Calif.

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THE HYPOMANIC ALERT: A PROGRAM DESIGNED FOR GREATER THERAPEUTIC CONTROL

Abstract

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