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Med Clin (Barc) ; 141(7): 305.e1-305.e10, 2013 Oct 05.
Article in Spanish | MEDLINE | ID: mdl-23891130

ABSTRACT

Bipolar disorder is a chronic and recurrent mood disorder, which may severely impact on the patient's global functioning. It has been estimated that approximately 1.6% of the population is affected. A long delay in diagnosis and an excessive disparity in the treatment of these patients have been detected. Within the Quality Plan of the Spanish National Health System, one of the key strategies is to improve clinical practice through the development and use of clinical practice guidelines (CPGs). In this context, the CPG on bipolar disorder arises from an agreement between the Ministry of Health and the University of Alcalá, involving the Spanish Association of Neuropsychiatry as developer and project manager. Its main objective is to develop recommendations on the diagnostic, therapeutic and rehabilitative care for patients with bipolar disorder, primarily applicable in the public mental health services. In this paper we present the main recommendations on pharmacological and psychosocial interventions in bipolar disorder.


Subject(s)
Antidepressive Agents/therapeutic use , Antimanic Agents/therapeutic use , Bipolar Disorder/drug therapy , Psychotherapy , Antidepressive Agents/administration & dosage , Antidepressive Agents/adverse effects , Antidepressive Agents/pharmacokinetics , Antimanic Agents/administration & dosage , Antimanic Agents/adverse effects , Antimanic Agents/pharmacokinetics , Antipsychotic Agents/administration & dosage , Antipsychotic Agents/therapeutic use , Bipolar Disorder/epidemiology , Bipolar Disorder/rehabilitation , Bipolar Disorder/therapy , Combined Modality Therapy , Electroconvulsive Therapy , Emergencies , Female , Humans , Lactation , Male , Pregnancy , Pregnancy Complications/drug therapy , Pregnancy Complications/psychology , Pregnancy Complications/therapy , Prevalence , Social Support , Suicide Prevention
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