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Focus

  • Volume 17
  • Number 3
  • July 2019

From the Guest Editor

Reviews

Publication date: 01 July 2019

Pages206–217

Bipolar disorder involves diverse features and symptom targets that extend beyond mood alone. RCTs that establish drug efficacy for an overall diagnosis and illness state can help practitioners devise personalized combination therapy regimens that ...

https://doi.org/10.1176/appi.focus.20190005

Publication date: 01 July 2019

Pages218–231

This overview presents the varied symptoms of psychopathology for which patients with bipolar disorder are prescribed medications so that practitioners can devise complementary, nonredundant, purposeful, and evidence-based regimens.

https://doi.org/10.1176/appi.focus.20190008

Publication date: 01 July 2019

Pages232–237

Depression in bipolar disorder is prevalent, disabling, and often difficult to treat, and only three medications are approved for its treatment. Identification of clinical and biological markers to personalize treatment selection is urgently needed.

https://doi.org/10.1176/appi.focus.20190009

Publication date: 01 July 2019

Pages238–248

This literature review focuses on randomized controlled trials of psychotherapy for bipolar disorder. Evidence-based psychotherapies are shown to play an important role in the development of skills needed to manage the persistent and lifelong consequences ...

https://doi.org/10.1176/appi.focus.20190004

Publication date: 01 July 2019

Pages249–258

The safety of pharmacotherapy for bipolar disorder during pregnancy and lactation is a subject of debate. In this review, the authors analyze the practical questions, current controversies, and available evidence regarding psychotropic drug therapy during ...

https://doi.org/10.1176/appi.focus.20190007

Ask the Expert

Communication Commentary

Ethics Commentary

Patient Management Exercise

Bibliography

Abstracts

Influential Publications

Publication date: 01 July 2019

Pages278–283

The proper place and the optimal use of antidepressants in treating bipolar depression continues to be an area of great interest and greater controversy with passionate opinions more common than good studies. Even the handful of meta-analyses in the area ...

https://doi.org/10.1176/appi.focus.17306

Publication date: 01 July 2019

Pages284–293

Bipolar disorder (BD) is a leading cause of global disability. Its biological basis is unknown, and its treatment unsatisfactory. Here, we review two recent areas of progress. First, the discovery of risk genes and their implications, with a focus on ...

https://doi.org/10.1176/appi.focus.17309

Publication date: 01 July 2019

Pages294–307

Personalized medicine has become increasingly relevant to many medical fields, promising more efficient drug therapies and earlier intervention. The development of personalized medicine is coupled with the identification of biomarkers and classification ...

https://doi.org/10.1176/appi.focus.17304

Publication date: 01 July 2019

Pages308–313

Lithium is the most successful mood stabilizer treatment for bipolar disorder. However, unlike conventional drugs that are designed to interact with a specific molecular target, the actions of lithium are distributed across many biological processes and ...

https://doi.org/10.1176/appi.focus.17305

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