Bipolar disorder: finding balance
Mania and depression: stabilizing mood
Dr. Lila Aubry
Psychiatrist
A mood disorder
Bipolar disorder alternates manic (or hypomanic) and depressive episodes. Type I: characterized manic episodes. Type II: hypomania and severe depressions. Prevalence: 1 to 2%.
Recognizing mania
Elevated or irritable mood, boundless energy, decreased need for sleep, racing thoughts, extravagant spending, risky behaviors, sometimes psychotic elements.
Mood-stabilizing treatments
- Lithium: historical reference, suicide prevention
- Valproate, lamotrigine: alternatives depending on profile
- Atypical antipsychotics (quetiapine, olanzapine, aripiprazole): acute episodes and maintenance
- Antidepressants: to be used with caution (risk of manic switch), always combined with a mood stabilizer
Global approach
Psychoeducation, regular social rhythms, early identification of warning signs, family support, regular monitoring of blood levels (lithium, valproate).
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