Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Introduction
- 1 Bipolar disorder in historical perspective
- 2 The bipolar spectrum
- 3 Defining and measuring Bipolar II Disorder
- 4 Bipolar II Disorder in context: epidemiology, disability and economic burden
- 5 Is Bipolar II Disorder increasing in prevalence?
- 6 The neurobiology of Bipolar II Disorder
- 7 The role of antidepressants in managing Bipolar II Disorder
- 8 The use of SSRIs as mood stabilisers for Bipolar II Disorder
- 9 Mood stabilisers in the treatment of Bipolar II Disorder
- 10 The use of atypical antipsychotic drugs in Bipolar II Disorder
- 11 The role of fish oil in managing Bipolar II Disorder
- 12 The role of psychological interventions in managing Bipolar II Disorder
- 13 The role of wellbeing plans in managing Bipolar II Disorder
- 14 Survival strategies for managing and prospering with Bipolar II Disorder
- 15 A clinical model for managing Bipolar II Disorder
- 16 Management commentary
- 17 Management commentary
- 18 Management commentary
- 19 Management commentary
- 20 Management commentary
- 21 Management commentary
- 22 Management commentary
- 23 Management commentary
- 24 Management commentary
- 25 Management commentary
- 26 Management commentary: What would Hippocrates do?
- 27 Management commentary
- 28 Rounding up and tying down
- Appendix 1 Black Dog Institute Self-test for Bipolar Disorder: The Mood Swings Questionnaire
- Index
- References
2 - The bipolar spectrum
Published online by Cambridge University Press: 13 August 2009
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Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Introduction
- 1 Bipolar disorder in historical perspective
- 2 The bipolar spectrum
- 3 Defining and measuring Bipolar II Disorder
- 4 Bipolar II Disorder in context: epidemiology, disability and economic burden
- 5 Is Bipolar II Disorder increasing in prevalence?
- 6 The neurobiology of Bipolar II Disorder
- 7 The role of antidepressants in managing Bipolar II Disorder
- 8 The use of SSRIs as mood stabilisers for Bipolar II Disorder
- 9 Mood stabilisers in the treatment of Bipolar II Disorder
- 10 The use of atypical antipsychotic drugs in Bipolar II Disorder
- 11 The role of fish oil in managing Bipolar II Disorder
- 12 The role of psychological interventions in managing Bipolar II Disorder
- 13 The role of wellbeing plans in managing Bipolar II Disorder
- 14 Survival strategies for managing and prospering with Bipolar II Disorder
- 15 A clinical model for managing Bipolar II Disorder
- 16 Management commentary
- 17 Management commentary
- 18 Management commentary
- 19 Management commentary
- 20 Management commentary
- 21 Management commentary
- 22 Management commentary
- 23 Management commentary
- 24 Management commentary
- 25 Management commentary
- 26 Management commentary: What would Hippocrates do?
- 27 Management commentary
- 28 Rounding up and tying down
- Appendix 1 Black Dog Institute Self-test for Bipolar Disorder: The Mood Swings Questionnaire
- Index
- References
Summary
Introduction
An experienced host prepares to serve a ceremonial fowl. The guests look on with anticipation. The knife is sharpened. After he identifies the gap between thigh and body, the carving proceeds neatly. This image is often invoked in discussions of diagnostic systems, speaking of ‘carving nature at its joints’. But what if the entity in question does not have joints? This is the essence of the bipolar spectrum perspective.
Most diagnostic systems – and many clinicians – categorise illnesses as discrete entities. This monograph has a similar orientation. In focusing on Bipolar II Disorder (BP II), it assumes that this is a distinct condition or entity and able to be distinguished from other putatively categorical mood disorders (particularly Bipolar I Disorder (BP I) and unipolar depression). But what if BP II is not an entity but rather a point on a continuous spectrum of mood disorders? This chapter examines such a proposition.
At least eight recent reviews have been written on the bipolar spectrum concept – including a chapter by the chairman of the International Society for Bipolar Disorder (ISBD) Diagnostic Guidelines Task Force (Ghaemi et al., 2006); and a review with recommendations for changes to the DSM–IV, prepared for that Task Force by this author and colleagues (Phelps et al., 2007); as well as six other cogent overviews (Katzow et al., 2003; Dunner, 2003; Moller and Curtis, 2004; Angst and Cassano, 2005; Mondimore, 2005; Skeppar and Adolfsson, 2006).
Information
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- Bipolar II DisorderModelling, Measuring and Managing, pp. 15 - 45Publisher: Cambridge University PressPrint publication year: 2008
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