Bipolar Disorders: 2nd Stanley Symposium, Freiburg, November by J. Walden, H. Grunze

By J. Walden, H. Grunze

Complement factor: Neuropsychobiology 2002, Vol. forty five, Suppl. 1

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The detailed documentation of the medication offers the possibility to find the right medication earlier. The graphical character of the forms used to register the data allows a direct interpretation, by the clinician as well as by the patient. Furthermore, the participation of the patient may contribute to a more stable and cooperative therapeutic alliance between him/her and the clinician and result in the patient’s active involvement in the management of his/her disorder. The Social Rhythm Metric An established diagnosis-specific psychotherapy for bipolar disorder is not available yet.

A disadvantage is the presentation of the data. Scores have to be processed graphically to be interpretable, especially for the patient. Documentation of medication, life events, comorbidity and clinician ratings is not included; the latter would probably enhance the validity of rating in the manic spectrum of bipolar disorder. The clear advantage of the Social Rhythm Metric is of course its direct psychotherapeutic usability. It is kind of really working with the registered data, but it neglects also the important aspects of medication, co-morbidity and life events.

11 Leppig M, Bosch B, Naber D, Hippius H: Clozapine in the treatment of 121 out-patients. Psychopharmacology (Berl) 1989;99(suppl): S77–S79. Neuropsychobiology 2002;45(suppl 1):37–42 12 Naber D, Leppig M, Grohmann R, Hippius H: Efficacy and adverse effects of clozapine in the treatment of schizophrenia and tardive dyskinesia – A retrospective study of 387 patients. Psychopharmacology (Berl) 1989;99(suppl): S73–S76. 13 Tohen M, Zarate CA: Antipsychotic agents and bipolar disorder. J Clin Psychiatry 1998; 59(suppl 1):S38–S48.

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