Bipolar disorder is a term applied to conditions that are characterised by extreme mood swings. These swings in mood range from periods of overactive excited behaviour (known as mania) to deep depression. Some people also see or hear things that others around them don’t (known as having visual or auditory hallucinations) or have strange, unshared, beliefs (known [read the full story…]
New guideline says lithium still appears to have the most robust evidence base as a long-term treatment for bipolar disorder
Bipolar disorder features as one of the top ten disabling disorders for working age adults. There are numerous risks including suicide, increased mortality and reduced social functioning associated with the disorder. Key to enabling recovery is preventing acute episodes from occurring, with each episode increasing the risk of future ones. Therefore ensuring long-term maintenance treatment [read the full story…]
Depression and bipolar disorder linked to an increased risk of developing dementia, says systematic review
Dementia and affective disorders (such as depression and bipolar disorder) are usually considered to be completely unrelated afflictions. Yet a number of recent studies have suggested that the risk of developing dementia in later life may be increased for those who have had an affective disorder. A number of systematic reviews have been undertaken to [read the full story…]
Systematic review finds that suicide risk for prisoners with bipolar disorder may be lower than other mental disorders
In prisons, suicide is the leading cause of mortality (estimated at 3-5 times the general population). Mental health disorders are known to increase the risk. Generally, suffering from a bipolar disorder increases the risk of attempted or completed suicide when compared to the general population. So it would be expected that prisoners with bipolar disorder [read the full story…]
Treatment of bipolar in specialised outpatient mood disorder clinics substantially reduces readmissions to psychiatric hospitals
There is a limited amount of good quality research being published about bipolar disorder, particularly investigating the early stages. Bipolar is associated with a high risk of relapse and this risk of relapse increases with the number of previous episodes. Observational studies suggest that early intervention may improve both course and outcome, but currently progression [read the full story…]
Review identifies a lack of research about the long-term employment outcomes for people with bipolar disorder
Back in October I blogged about the factors (cognitive deficits, depression and education level) that predict worklessness in people with bipolar disorder. A new systematic review by Steven Marwaha and colleagues has recently been published in the Acta Psychiatric Scandinavica journal, which adds to our understanding of this field. The review looks at the long-term [read the full story…]
Cognitive deficits, depression and education level all predict worklessness in bipolar disorder, says systematic review
People with bipolar disorder have high levels of post 16 years education, but it’s estimated that only half of those living in Europe with the condition are in paid employment. This is a real concern because the illness typically affects young and middle-aged people who would normally be active in the workforce. Of course, living [read the full story…]
Short-term use of second-generation antipsychotics can cause side effects in children and adolescents
Over the last few years, we have seen more and more children and young people being prescribed antipsychotic drugs. The theory behind this increase is that the newer antipsychotic drugs have fewer side effects than the older typical antipsychotics. However, some small and relatively short duration studies have shown that the newer drugs may also [read the full story…]
Haloperidol reduces mania a little faster than second-generation antipsychotics, according to systematic review
There are a range of treatment options for people with bipolar disorder who are experiencing a manic episode. An important part of this treatment is to reduce the symptoms of mania and provide the individual with some level of normality. I blogged this time last year about a meta-analysis in the Lancet that showed that [read the full story…]
Premature babies have greater risk of serious mental illness
Preterm babies are three times more likely to be admitted to hospital for a mental health problem as an adult than normal term babies, according to a study published in the Archives of General Psychiatry by researchers in the UK and Sweden. About 1 in every 13 children born in the UK are classified as [read the full story…]