1. Initiation of an atypical antipsychotic and/or mood stabilizer for the treatment of acute mania. |
3 (16) |
2. The use of an atypical antipsychotic or mood stabilizer, with or without an antidepressant, for the treatment of bipolar depression. |
2 (11) |
3. Antidepressant subtypes tricyclic antidepressants and SNRIs are more likely to cause switching than SSRIs. |
0 (0) |
4. Lithium, an atypical antipsychotic, or lamotrigine (where depression predominates) for maintenance treatment of BD. |
4 (21) |
5. Change monotherapy or use combination therapy for treatment resistance. |
1 (5) |
6. The use of ECT for treatment resistant acute symptoms (particularly depression, but also mania). |
9 (47) |
7. Careful monitoring of blood levels is required where those correlate with treatment response (eg, lithium, valproate). |
2 (11) |
8. Careful monitoring of potential physical complications or side effects of treatments is required (eg, kidney, thyroid, and calcium with lithium; glucose and lipids with antipsychotics). |
1 (5) |
9. Women informed about ensuring that their medications are safe to take during breastfeeding and pregnancy. |
1 (5) |
10. Seek medical professional advice and/or a second opinion in diagnosis of BD in children, due to the controversy in this area. |
1 (5) |
11. Outlines difficulties in the treatment of rapid cycling BD. |
1 (5) |
12. Optimal treatment for most patients with BD will include psychological treatment as well as medication. |
10 (53) |
13. Most patients benefit considerably from treatment for their BD. |
10 (53) |