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Focus

  • Volume 13
  • Number 1
  • January 2015

Clinical Synthesis

Publication date: 01 January 2015

Pages3–11

Bipolar disorder is a heterogeneous, complex, multidimensional neuropsychiatric condition characterized by episodes of (hypo)mania and depression. The neurobiology of bipolar disorder is undoubtedly complicated, and much remains to be discovered regarding ...

https://doi.org/10.1176/appi.focus.130111

Publication date: 01 January 2015

Pages12–18

Medical comorbidities are overrepresented in individuals with bipolar disorder, including, but not limited to, cardiovascular conditions, autoimmune diseases, cancer, and metabolic disorders. Overweight/obesity, metabolic syndrome, and type 2 diabetes ...

https://doi.org/10.1176/appi.focus.130105

Publication date: 01 January 2015

Pages19–24

Since the initial description of bipolar disorder (BD), longitudinal observations suggested that episodes are more frequent as the disorder progressed. Staging models in BD consider that there is a subset of patients who present a more severe course of ...

https://doi.org/10.1176/appi.focus.130110

Publication date: 01 January 2015

Pages25–36

Treatment options for bipolar disorder have been primarily studied in adults. However, there is a growing body of research of these treatments in youths with bipolar disorder. Despite this there is still a huge gap in clinical trials performed on adults ...

https://doi.org/10.1176/appi.focus.130121

Publication date: 01 January 2015

Pages37–46

Even when treated with best-practice pharmacotherapy, many patients with bipolar disorder have slow recoveries from illness episodes, high rates of recurrence, and considerable functional impairment. This article reviews randomized trials of psychotherapy ...

https://doi.org/10.1176/appi.focus.130106

Features

Publication date: 01 January 2015

Pages50–53

This exercise is designed to test your comprehension of material presented in this issue of FOCUS as well as your ability to evaluate, diagnose, and manage clinical problems. Answer the questions below, to the best of your ability, on the information ...

https://doi.org/10.1176/appi.focus.130109

Influential Publications

Publication date: 01 January 2015

Pages68–74

Objective: This study examined the risk of antidepressant-induced manic switch in patients with bipolar disorder treated either with antidepressant monotherapy or with an antidepressant in conjunction with a mood stabilizer. Method: Using Swedish national ...

https://doi.org/10.1176/appi.focus.130117

Publication date: 01 January 2015

Pages75–84

Objective: This review aims to address concerns about the potential overinclusiveness and vagueness of bipolar spectrum concepts, and also, concerns about the overlap between bipolar illness and borderline personality. Method: Narrative review based on ...

https://doi.org/10.1176/appi.focus.130115

Publication date: 01 January 2015

Pages102–112

Bipolar depression remains a major unresolved challenge for psychiatric therapeutics. It is associated with significant disability and mortality and represents the major proportion of the approximately half of follow-up time spent in morbid states despite ...

https://doi.org/10.1176/appi.focus.130119

Publication date: 01 January 2015

Pages113–121

Objective: Depression and brief periods of (hypo)mania are linked to an increased risk of progression to bipolar I or II disorder (BD) in children of bipolar parents. This randomized trial examined the effects of a 4-month family-focused therapy (FFT) ...

https://doi.org/10.1176/appi.focus.130118

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