A Summary of Clinical Issues and Treatment Options

Bipolar Disorder Sub-Committee
Canadian Network for Mood and Anxiety Treatments (CANMAT)

CANMAT MONOGRAPH 1997.04.001


AUTHORS

Vivek Kusumakar, MD, FRCPC
Lakshmi Yatham, MD, FRCPC
Sagar Parikh, MD, FRCPC
Raymond Matte, MD, FRCPC
Verinder Sharma, MBBS, FRCPC
Peter Silverstone, MD, FRCPC
David Haslam, MSc, MD
Sidney Kennedy, MD, FRCPC
Stan Kutcher, MD, FRCPC

CANMAT MONOGRAPH 1997.04.001

CONTENTS

Introduction
Epidemiology of Bipolar Disorder
Classification of Bipolar Disorder
Clinical States and Course Specifiers: Implications for Treatment
Diagnosing Biphasic Mood Dysfunction
Co-Morbidity or Masking?
Age of Onset and Gender Issues in Bipolar Disorder
Bipolar Disorder in Pregnancy and Post-Partum
Effects of Undertreated and Untreated Bipolar Disorder
Changed Outcome with Mood Stabilizer Treatment
Psychoeducation, Psychotherapy and Life Style Changes
Lithium
Divalproex Sodium
Carbamazepine
ECT
Typical Neuroleptics
Benzodiazepines
Antidepressants
Novel Treatments
Treatment Induced or Maintained Mood Dysfunction
Medical Evaluation of New Patients
Acute Mania and Mixed States
Bipolar Depression
Rapid Cycling Bipolar Disorder
Continuation Phase Treatment
Maintenance Phase/Prophylactic Treatment
Treatment of Symptom Exacerbations