Bipolar Disorder : A Guide for Patients and Families

by
Format: Paperback
Pub. Date: 2004-02-01
Publisher(s): Johns Hopkins Univ Pr
List Price: $23.49

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Summary

"Bipolar disorder is a mood disorder that affects about two percent of the population. Such famous politicians, writers, artists, and musicians as Winston Churchill, George Frederick Handel, Lord Byron, Virginia Woolf, Edgar Allan Poe, Napoleon Bonaparte, and Vincent van Gogh had bipolar disorder, but most persons affected by bipolar disorder are just ordinary people who want nothing more than to get back to their everyday lives after they or their family members have been diagnosed with the illness. This book is written for them." -- from the Preface In this book for persons with bipolar disorder and their families, Dr. Frank Mondimore offers a comprehensive, practical, compassionate guide to the symptoms, diagnosis, treatment and causes of this potentially devastating psychiatric illness, formerly known as "manic-depression." He offers practical advice for getting the most out of the various treatments that are now available -- from medication, psychotherapy, and electroconvulsive treatment to new approaches such as St. John's wort and transcranial magnetic stimulation. For each, he discusses advantages, disadvantages, side effects, and other information to help patients make informed decisions about treatment options. He also describes what it is like to live with bipolar disorder and discusses how lifestyle changes can improve quality of life. Throughout, he focuses on the importance of building a support system, of planning for emergencies, and of giving one's self permission to seek help. Bipolar disorder is a particularly difficult illness to diagnose and treat, Dr. Mondimore acknowledges, and it can be incredibly destructive to relationships and careers, can wreak havoc on family life and, when not properly treated, is a potentially fatal disease. In his wide-ranging discussion of this unpredictable disorder, Dr. Mondimore describes problems that are unique to women, whose disease may be affected by the menstrual cycle, pregnancy, and childbirth,. He includes new information on the forms the illness takes in children and adolescents, in whom it can sometimes be mistaken for more common problems such as "hyperactivity" or Attention Deficit Disorder. He explains what we know about the genetics of the disease, how symptoms fluctuate with the seasons in seasonal affective disorder, and how illness can be made more difficult to treat because of alcoholism or drug abuse. He discusses coping with the stigmatization of psychiatric diagnosis, gives advice on picking a psychiatrist and on dealing with medical insurance issues, and even explores the fascinating relationship between bipolar disorder and artistic creativity. Finally, Dr. Mondimore tells family members what they can do to help the person with bipolar disorder -- and themselves -- and he offers hope for the future as researchers learn more about the disease and how to control it.

Author Biography

Francis Mark Mondimore is a psychiatrist and a member of the faculty of the Johns Hopkins University School of Medicine.

Table of Contents

Preface xi
Acknowledgments xv
PART I Symptoms, Syndromes, and Diagnosis
1. Normal and Abnormal Mood
5(41)
Abnormal Mood
6(6)
The Manic Syndrome
12(12)
The Hypomanic Syndrome
24(4)
The Syndrome of Depression
28(14)
Mixed Mood States
42(4)
2. The Diagnosis of Bipolar Disorder
46(44)
Psychiatric Diagnosis
47(2)
Bipolar I
49(12)
Bipolar II
61(7)
Cyclothymic Disorder
68(7)
Bipolar Spectrum Disorders
75(8)
Rapid-Cycling Bipolar Disorder
83(2)
Schizoaffective Disorder
85(5)
3. A Summary of the Diagnostic Categories of Bipolar Disorder in DSM IV
90(12)
What Is the DSM?
90(5)
A "Multiaxial" Diagnostic System
95(3)
Bipolar Categories in DSM IV
98(4)
4. The Mood Disease
102(25)
Before "Bipolar"
102(3)
Dr. Kraepelin and "Manic-Depressive Insanity"
105(8)
Dr. Cade and Lithium
113(14)
PART II Treatment
5. The Brain: Neurons, Neurotransmitters, and More
127(14)
6. Mood-Stabilizing Medications
141(28)
Lithium
141(14)
Valproate (Depakote)
155(5)
Carbamazepine (Tegretol)
160(5)
Lamotrigine (Lamictal)
165(2)
Other Mood Stabilizers
167(2)
7. Antidepressant Medications
169(15)
Tricyclic Antidepressants (TCAs)
169(5)
Selective Serotonin Reuptake Inhibitors (SSRIs)
174(4)
Other New Antidepressants
178(1)
Monoamine Oxidase Inhibitors (MAOIs)
178(4)
Treating Bipolar Depression
182(2)
8. Antipsychotic Medications
184(12)
Therapeutic Profile
186(3)
Side Effects
189(2)
The New Antipsychotic Medications
191(5)
9. Other Medications, Hormones, and an Herb
196(15)
Benzodiazepine Medications
196(3)
Calcium-Channel-Blocking Agents
199(3)
Stimulant Medications
202(2)
Thyroid Hormones
204(2)
St. John's Wort
206(5)
10. Electroconvulsive Therapy
211(16)
Modern ECT
214(5)
ECT for Bipolar Disorder
219(3)
Transcranial Magnetic Stimulation
222(5)
11. Counseling and Psychotherapy
227(25)
Brain and Mind
228(4)
What Can Therapy Do?
232(1)
Group Psychotherapy
233(2)
Individual Therapy for Depression
235(5)
New Psychotherapies for Bipolar Disorder
240(4)
"Traditional" Individual Psychotherapy
244(4)
Psychotherapy In Bipolar Disorder: Is It Really Necessary?
248(1)
The Psychiatrist-Psychotherapist: An Extinct Species?
249(3)
12. Treatment Approaches in Bipolar Disorder
252(19)
Therapeutic Results as a Guide to Treatment
252(5)
A Few Principles of Treatment
257(14)
PART III Variations, Causes, and Connections
13. Bipolar Disorder in Children and Adolescents
271(10)
Symptoms of Pediatric Bipolar Disorder
274(1)
Bipolar Disorder and ADHD
275(2)
Treatment and Prognosis
277(4)
14. Women with Bipolar Disorder: Special Considerations
281(9)
Premenstrual Syndromes
281(3)
Symptom Differences in Women
284(2)
Postpartum Mood Disorders and Family Planning
286(4)
15. Alcoholism and Drug Abuse
290(11)
Bipolar Binges
290(6)
Effect, Cause, or Association?
296(1)
Use or Abuse?
297(1)
A Deadly Combination
298(3)
16. Seasonal Affective Disorder and Chronobiology
301(23)
Biological Clocks
305(6)
Seasonal Affective Disorder
311(6)
The Sleep Cycle and Bipolar Disorder
317(7)
17. The Genetics of Bipolar Disorder
324(11)
Genes, Chromosomes, and DNA
325(2)
Genetic Diseases
327(4)
What We Know
331(1)
The Search Continues
332(3)
18. Bipolar Biology
335(22)
"Medical" Mood Disorders
335(3)
Post-stroke Mood Disorders
338(6)
Mood Disorders Due to Hormonal Problems
344(4)
Picturing Bipolar Disorder in the Brain
348(4)
Viruses and Bipolar Disorder
352(5)
19. Bipolar Disorder and Creativity
357(14)
PART IV Getting Better and Staying Well
20. Living with Bipolar Disorder
371(23)
Confront and Accept the Illness
371(5)
Practice Mood Hygiene
376(11)
Build Your Support System
387(3)
Don't Be a "Bipolar Victim"
390(4)
21. Planning for Emergencies
394(13)
Know Whom to Call for Help
399(1)
Insurance Issues
400(4)
Safety Issues and Hospitalization
404(3)
22. The Role of the Family
407(18)
Recognizing Symptoms
407(8)
Involuntary Treatment and Other Legal Issues
415(5)
More on Safety
420(2)
Getting Support
422(3)
23. Looking Ahead
425(6)
Resources 431(6)
Suggested Reading
431(1)
Support and Advocacy Organizations
432(2)
Internet Resources
434(3)
Notes 437(30)
Index 467

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