Bipolar Disorder: Management of Bipolar Disorder in Adults, Children and Adolescents in Primary and Secondary Care(NICE Guidelines)

This book presents the evidence base for the NICE guideline on the management of bipolar disorder in adults (including pregnant women and older adults), children and adolescents. It covers diagnosis and assessment in primary and secondary care, and pharmacological, psychological and psychosocial management. The guideline also contains a chapter on patient experience. An essential resource for all professionals involved in the treatment and management of bipolar disorder, this book is a milestone in the development of truly independent and transparent clinical guidance and an essential tool in improving the quality of mental healthcare in the UK. NICE Mental Health Guidelines These guidelines from the National Institute for Health and Clinical Excellence (NICE) set out clear recommendations, based on the best available evidence, for health care professionals on how to work with and implement physical, psychological and service-level interventions for people with various mental health conditions. The book contains the full guidelines that cannot be obtained in print anywhere else. It brings together all of the evidence that led to the recommendations made, detailed explanations of the methodology behind their preparation, plus an overview of the condition covering detection, diagnosis and assessment, and the full range of treatment and care approaches. The accompanying free CD-ROM contains all the data used as evidence, including: * Included and excluded studies. * Profile tables that summarise both the quality of the evidence and the results of the evidence synthesis. * All meta-analytical data, presented as forest plots. * Detailed information about how to use and interpret forest plots.

Table of Contents:
Full Contents Guideline Development Group members 1. EXECUTIVE SUMMARY 1.1 General recommendations for the care of people with bipolar disorder 1.2 The assessment, recognition and diagnosis of bipolar disorder in adults 1.3 Treatment setting and pathways to care 1.4 The treatment and management of bipolar disorder 1.5 The long-term management of bipolar disorder 1.6 The physical care of people with bipolar disorder 1.7 Women with bipolar disorder who are planning a pregnancy, pregnant or breastfeeding 1.8 Children and adolescents with bipolar disorder 1.9 Research recommendations 2. INTRODUCTION 2.1 National guidelines 2.2 The national bipolar disorder guideline 3. METHODS USED TO DEVELOP THIS GUIDELINE 3.1 Overview 3.2 The scope 3.3 The Guideline Development Group 3.4 Clinical questions 3.5 Systematic clinical literature review 3.6 Health economics review strategies 3.7 Stakeholder contributions 3.8 Validation of this guideline 4. BIPOLAR DISORDER AND ITS DIAGNOSIS 4.1 The disorder 4.2 Incidence and prevalence 4.3 Aetiology 4.4 Diagnosis of adults 4.5 Diagnosis of children and adolescents 4.6 Course and prognosis 4.7 The treatment and management of bipolar disorder in the NHS 4.8 The economic cost of bipolar disorder 5. SERVICE USER AND CARER EXPERIENCE OF BIPOLAR DISORDER 5.1 Introduction 5.2 Testimonies from services users 5.3 Testimonies from family members/carers 5.4 Recommendations 6. THE PROCESS OF CARE AND PROVISION OF SERVICES IN THE MANAGEMENT OF BIPOLAR DISORDER - GENERAL CARE 6.1 Introduction 6.2 Overview of clinical evidence review 6.3 Overview of health economics review 6.4 Community mental health teams (CMHTs) 6.5 Case management and effective care co-ordination 6.6 Crisis resolution and home treatment teams (CRHTTs) 6.7 Day hospitals 6.8 Services for children and adolescents 7. THE PROCESS OF CARE AND PROVISION OF SERVICES IN THE MANAGEMENT OF BIPOLAR DISORDER - SPECIALIST SERVICES 7.1 Introduction 7.2 Assertive community treatment (ACT)/assertive outreach teams (AOTs) 7.3 Vocational rehabilitation 7.4 Early intervention services 7.5 Organisational developments 7.6 Lithium clinics 8. THE MEDICAL AND PHARMACOLOGICAL MANAGEMENT OF BIPOLAR DISORDER - PART I 8.1 Introduction 8.2 Overview of clinical evidence review 8.3 The pharmacological treatment of acute manic, hypomanic and mixed episodes 8.4 Economic evidence for the treatment of acute manic episodes 8.5 The pharmacological treatment of acute episodes in the context of rapid cycling 8.6 The pharmacological treatment of acute depressed episodes 8.7 Electroconvulsive therapy (ECT) (all illness phases) 8.8 The management of acute behavioural disturbance 9. THE MEDICAL AND PHARMACOLOGICAL MANAGEMENT OF BIPOLAR DISORDER - PART II 9.1 Introduction 9.2 The long-term pharmacological management of bipolar disorder 9.3 Health economics evidence in the long-term pharmacological treatment of bipolar disorder 9.4 The long-term treatment of bipolar disorder - summary of clinical and health economics evidence 9.5 Clinical practice recommendations for the long-term treatment of bipolar disorder 9.6 Research Recommendations 9.7 The discontinuation/withdrawal of medication 9.8 The pharmacological management of bipolar II disorder 9.9 The pharmacological management of women of child-bearing potential: before, during, and after pregnancy 10. PSYCHOLOGICAL THERAPIES IN THE TREATMENT OF BIPOLAR DISORDER 10.1 Introduction: history of treatment for bipolar disorder 10.2 Principles of psychological treatment 10.3 The early warning approach 10.4 Overview of clinical review 10.5 Overview of health economics review 10.6 Family interventions 10.7 Psychoeducation 10.8 Cognitive behavioural therapy (CBT) 10.9 Psychological therapy for people with comorbid substance use 10.10 Interpersonal and social rhythm therapy (IPSRT) 10.11 Psychological therapy for medication adherence 10.12 Clinical summary 10.13 Summary of economic evidence 10.14 Psychological treatments for children and adolescents 10.15 Clinical recommendations 11. LIVING WITH BIPOLAR DISORDER: INTERVENTIONS AND LIFESTYLE ADVICE 11.1 Introduction 11.2 The prevention and management of weight gain 11.3 Exercise in the treatment of depression in people with bipolar disorder 11.4 Psychoeducation and information giving 11.5 Managing daily life 11.6 Social support 11.7 Additional clinical practice recommendation 12. APPENDICES 13. REFERENCES 14. ABBREVIATIONS

About the Author :
The National Collaborating Centre for Mental Health (NCCMH) was established in 2001 by the UK-based National Institute for Health and Clinical Excellence (NICE) to develop guidance on the appropriate treatment and care of people with mental health problems and then write the clinical guidelines. The NCCMH is a partnership between the Royal College of Psychiatrists and the British Psychological Society.