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  • Book
    Kostas N. Fountoulakis.
    Summary: This book examines in detail the diagnostic approach to manic depressive (bipolar) illness, with special reference to the borderline zones with unipolar depression and schizoaffective disorder. Among other diagnostic issues considered are mixed episodes (often misdiagnosed by psychiatrists), rapid cycling, and the confusion with personality disorders. Within the context of diagnosis and understanding of the dynamics of bipolar disorder, temperament, character, and personality are all extensively discussed. Neurocognitive deficit and disability are covered, as are elements of evolutionary biology and behavior. With regard to treatment, the major focus is on evidence-based therapy, with reference to the results of randomized controlled trials and meta-analyses; in addition, contemporary guidelines and future trends are examined. Careful consideration is also given to the psychosocial treatment approach and issues relating to societal and economic costs and burdens.

    Contents:
    Introduction
    Historical perspective
    Clinical description
    Comorbid conditions
    Classification
    Epidemiology
    Etiopathogenesis (psychodynamic theories, biological models, genetics)
    Etiopathogenesis (psychodynamic theories, biological models, genetics)
    Assessment (psychometric, neuropsychological, scales)
    Therapy
    Biological therapies (separate for mania, depression and maintenance)
    Randomized Controlled Trials (RCTs)
    Meta-analysis
    Open trials
    Review and opinion papers
    Pharmacoepidemiologic data
    Psychosocial therapies
    Treatment guidelines
    Cautions for pharmaceutical treatment in bipolar patients
    Switching to the opposite pole
    Psychogeriatric issues
    Suicidality
    Gender issues
    Pediatric bipolar disorder
    Conclusion.
    Digital Access Springer 2015