Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-27T10:28:52.824Z Has data issue: false hasContentIssue false

Assessment and management of rapid-cycling bipolar affective disorder

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Rapid-cycling bipolar affective disorder presents a unique spectrum of therapeutic difficulties. This article outlines some practical guidelines on the assessment and management of the disorder in the light of current research and clinical practice.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1997 

References

Altshuler, L. L., Post, R. M., Leverich, G. S. et al (1995) Antidepressant-induced mania and cycle acceleration: a controversy revisited. American Journal of Psychiatry, 152, 11301138.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Bauer, M. S., Whybrow, P. C. & Winkur, A. (1990) Rapid-cycling bipolar affective disorder. I. Association with grade 1 hypothyroidism. Archives of General Psychiatry, 47, 427432.Google Scholar
Bauer, M. S., Calabrese, J., Dunner, D. L. et al (1994) Multisite data reanalysis of the validity of rapid cycling as a modifier for bipolar disorder in DSM–IV. American Journal of Psychiatry, 151, 506515.Google Scholar
Beck, A. T., Steer, R. A., Kovacs, M. et al (1985) Hopelessness and eventual suicide: A 10 year prospective study of patients hospitalised with suicidal ideation. American Journal of Psychiatry, 142, 559560.Google Scholar
Calabrese, J. R. (1991) Clozapine prophylaxis in rapid-cycling bipolar disorder. Journal of Clinical Psychopharmacology, 11, 396397.Google Scholar
Calabrese, J. R., Woyshiville, M. J., Kimmel, S. E. et al (1993) Predictors of valproate response in bipolar rapid cycling. Journal of Clinical Psychopharmacology, 13, 280283.CrossRefGoogle ScholarPubMed
Coryell, W., Endicott, J. & Keller, M. (1992) Rapid cycling affective disorder: demographics, diagnosis, family history, and course. Archives of General Psychiatry, 49, 126131.Google Scholar
Dunner, L. & Fieve, R. R. (1974) Clinical factors in lithium carbonate prophylaxis failure. Archives of General Psychiatry, 30, 229233.Google Scholar
Fawcett, J., Scheeftner, W., Cark, D. et al (1987) Clinical predictors of suicide in patients with major affective disorders: a controlled prospective study. American Journal of Psychiatry, 44, 3540.Google Scholar
Frye, M. A. (1996) Clozapine in rapid cycling bipolar disorder. Journal of Clinical Psychopharmacology, 16, 8790.CrossRefGoogle ScholarPubMed
Goodwin, F. K. & Jamison, K. R. (1990) Manic–Depressive Illness. New York: Oxford University Press.Google Scholar
Goodwin, G. M. (1994) Recurrence of mania after lithium withdrawal. Implications for the use of lithium in the treatment of bipolar affective disorder. British Journal of Psychiatry, 164, 149152.Google Scholar
Kramlinger, K. & Post, R. (1996) Ultra-rapid and ultradian cycling in bipolar affective illness. British Journal of Psychiatry, 168, 314323.Google Scholar
Kukopulos, A., Reginaldi, D., Laddomada, P. et al (1980) Course of manic depressive cycle and course caused by treatment. Pharmacopsychiatry, 13, 156167.CrossRefGoogle ScholarPubMed
McElroy, S. L., Keck, P. E., Pope, H. G. et al (1988) Valproate in the treatment of rapid-cycling bipolar disorder. Journal of Clinical Psychopharmacology, 8, 275279.Google Scholar
Nurenberger, J. Jr, Guroff, J. J., Hamovit, J. et al (1988) A family study of rapid-cycling bipolar illness. Journal of Affective Disorders, 15, 8791.Google Scholar
Okuma, T. (1993) Effect of carbamazepine and lithium on the affective disorder. Neuropsychobiology, 27, 138145.Google Scholar
Pazzaglia, P. J., Post, R. M., Ketter, T. A. et al (1995) Preliminary controlled trial of nimodipine in ultra-rapid cycling affective dysregulation. Psychiatry Research, 49, 257272.Google Scholar
Post, R., Rubinow, D. R. & Ballinger, J. C. (1986) Conditioning and sensitisation in the longitudinal course of affective disorder. British Journal of Psychiatry, 149, 191201.Google Scholar
Post, R., Uhde, T. W., Roy-Byrne, P. P. et al (1987) Correlates of antimanic response to carbamazepine. Psychiatry Research, 21, 7183.Google Scholar
Post, R., Roy-Burne, P. P. & Uhde, T. W. (1988) Graphic representation of the life course of illness in patients with affective disorder. American Journal of Psychiatry, 145, 844848.Google Scholar
Post, R., Leverich, G.S., Rossof, A. S. et al (1990) Carbamazepine prophylaxis in refractory affective disorder: a focus on long-term follow-up. Journal of Clinical Psychopharmacology, 10, 318327.Google Scholar
Regier, D. A., Farmer, M. E., Rae, D. S. et al (1990) Comorbidity of mental disorders with alcohol and other drug abuse: results from the Epidemiological Catchment Area (ECA) study. Journal of the American Medical Association, 264, 25172518.Google Scholar
Suppes, T., Phillips, K. A. & Judd, C. R. (1994) Clozapine treatment of nonpsychotic rapid cycling bipolar disorder: a report of three cases. Biological Psychiatry, 36, 338340.CrossRefGoogle ScholarPubMed
Vocisano, C., Klein, D. N., Keefe, R. S. E. et al (1996) Demographic, family history, premorbid functioning, developmental characteristic, and course of patients with deteriorated affective disorder. American Journal of Psychiatry, 153, 248255.Google Scholar
Whybrow, P. C. (1994) The therapeutic use of triiodothyronine and high dose thyroxine in psychiatric disorder. Acta Medica Austrica, 21, 4752.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.