Subject(s)
Borderline Personality Disorder/diagnosis , Child Psychiatry/methods , Psychiatric Status Rating Scales/standards , Borderline Personality Disorder/classification , Borderline Personality Disorder/psychology , Child , Child, Preschool , Follow-Up Studies , Humans , Male , Reproducibility of ResultsSubject(s)
Borderline Personality Disorder/diagnosis , Expert Testimony/legislation & jurisprudence , Adult , Borderline Personality Disorder/psychology , Borderline Personality Disorder/rehabilitation , Commitment of Mentally Ill/legislation & jurisprudence , Dangerous Behavior , Follow-Up Studies , Humans , Male , Recurrence , ViolenceABSTRACT
Tianeptine is a new tricyclic compound whose principal action is to increase the reuptake of serotonin. In a multicentre trial in which 380 depressed patients were treated for one year, tianeptine produced a significant reduction in the MADRS scores from day 14, with a sustained reduction maintained for up to 12 months; other measures of efficacy (HRSA, HSCL, and CGI) also reflected the improvement. Only 11% of patients withdrew because of recurrence of depression and 2% because of side-effects, which were mainly drowsiness, irritability, and gastrointestinal disturbance. Apart from a minor reduction in heart rate, unaccompanied by any conduction changes, no clinically relevant changes in vital signs or laboratory tests were seen. Seven subjects who attempted suicide by tianeptine overdose had favourable outcomes, in spite of also taking other psychotropic drugs or alcohol. No evidence of tolerance or withdrawal symptoms was seen after treatment was stopped. These results suggest that tianeptine has the potential to provide safe antidepressant activity in both the acute and chronic phases of treatment.
Subject(s)
Antidepressive Agents, Tricyclic/administration & dosage , Depressive Disorder/drug therapy , Thiazepines/administration & dosage , Adolescent , Adult , Aged , Aged, 80 and over , Alcoholism/psychology , Alcoholism/rehabilitation , Antidepressive Agents, Tricyclic/adverse effects , Depressive Disorder/psychology , Female , Follow-Up Studies , Humans , Long-Term Care , Male , Middle Aged , Personality Inventory , Thiazepines/adverse effectsABSTRACT
Five pedigrees of bipolar patients with at least two bipolar subjects on two generations have been identified in psychiatric departments of Nantes, Montpellier and Challans for linkage studies. In each pedigree, it was found one or more patients suffering from other conditions, like Borderline personality, Anorexia-bulimia, Mental retardation with dysmorphia, and Panic disorders. Mood disorders spectrum and therapeutic implications are discussed.
