Bipolar Disorders provides a concise, up-to-date summary of affective relapse, comorbid psychopathology, functional disability, and psychosocial outcome in contemporary bipolar disorders.
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Bipolar Disorders provides a concise, up-to-date summary of affective relapse, comorbid psychopathology, functional disability, and psychosocial outcome in contemporary bipolar disorders.
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Publisher:
American Psychiatric Association Publishing
Published:
1999
Language:
English
Alibris ID:
17124976679
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Seller's Description:
This is an ex-library book and may have the usual library/used-book markings inside. This book has hardback covers. In good all round condition. Dust jacket in good condition. Please note the Image in this listing is a stock photo and may not match the covers of the actual item, 800grams, ISBN: 9780880487689.
Publisher:
American Psychiatric Association Publishing
Published:
1999
Language:
English
Alibris ID:
16990918918
Shipping Options:
Standard Shipping: $4.64
Choose your shipping method in Checkout. Costs may vary based on destination.
Seller's Description:
This is an ex-library book and may have the usual library/used-book markings inside. This book has hardback covers. In fair condition, suitable as a study copy. Dust jacket in fair condition. Please note the Image in this listing is a stock photo and may not match the covers of the actual item, 800grams, ISBN: 9780880487689.
Publisher:
American Psychiatric Association Publishing
Published:
1998
Language:
English
Alibris ID:
15791378285
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New. 0880487682. *** FREE UPGRADE to Courier/Priority Shipping Upon Request *** – – *** IN STOCK AND IMMEDIATELY AVAILABLE FOR SHIPMENT-FLAWLESS COPY, BRAND NEW, NEVER OPENED--315 pages--REVIEW: The New England Journal of Medicine, December 9, 1999-This book opens with a chapter, written by the editors, on "poor-outcome bipolar disorders." It is as though they are challenging readers with the idea that this disorder, once thought to have a good prognosis, does not have a favorable outcome. The rest of Bipolar Disorders, written by some of the authorities on the course of bipolar disorders, seems to echo this sentiment. But this book is by no means pessimistic, because it has several chapters on innovative psychopharmacotherapy, psychoeducation, and emerging psychotherapies specific for bipolar disorder. Nonetheless, the thrust of the book documents the severe course that many patients with bipolar disorder endure. This adverse result is not limited to the rapid-cycling and continuous forms of illness but pertains to the overall decline in social functioning that many patients with the illness experience. This message may surprise those who have not closely followed recent developments in the field of bipolar disorders. Even Emil Kraepelin--who exactly 100 years ago separated manic-depressive illness, in which the patient has a good prognosis, from schizophrenia, in which the patient deteriorates--had described chronic evolution (manic "dementia") in a small proportion of cases. The mystery today is that despite the cyclic or periodic course of the illness, which includes intervals in which patients are free of episodes, many patients undergo a substantial decline in social functioning. The orientation toward achievement and the creativity that are touted as characterizing bipolar disorder in reality occur more often in the relatively well kin of the patients. This suggests that we are dealing with a polygenic disorder, whereby the patients are paying the price of the benefits that accrue to family members with more "dilute" genotypes. Patients with the severest forms of the illness are obviously more likely to be studied in tertiary care university centers. Because physicians study the mildest phenotypes of an illness only rarely, one might argue that the findings reported in this book do not apply to all patients with bipolar disorder. We lack data on the outcome of bipolar disorder in patients who are treated in private-practice settings. But a review of the literature does suggest that lithium--as currently used--is no longer as effective as it was when it was first introduced in the 1960s. This finding invites several interpretations. Some environmental factor, such as a rise in the abuse of stimulants, may have complicated the underlying biologic substrates of mood, drive, and cognition, so that anticonvulsants are needed to control the complicated forms of the illness. What is not clear is whether the new course of the illness is substantially better with the use of anticonvulsants and rational polypharmacy, both of which are covered extensively in this book. Another possible contribution to the failure of lithium treatment is the extension of the boundaries of bipolarity to more complex forms, which are less likely to respond to lithium. Lithium worked well for the first two to three decades after its discovery in 1949: not only did it prevent disruptive episodes, but it also appeared to attenuate mood flare-ups between episodes. Lower suicide rates and reduced mortality in patients with bipolar disorder are perhaps the most persuasive evidence for the long-term effectiveness of lithium therapy. A book on the prognosis of bipolar disorder should have devoted an entire chapter--not a meager seven lines--to this important preventable complication of bipolar disorder. I submit that the success of lithium when it was first introduced has much to do with the fact that it was dispensed in clinics for mood...
Publisher:
American Psychiatric Association Publishing
Published:
1999
Language:
English
Alibris ID:
17676769095
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Standard Shipping: $4.64
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Seller's Description:
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