Do your patients ever complain that they want to address the root of the problem and not just

medicate symptoms?

Well, today we have an answer.

Bipolar disorder is caused by disruptions of circadian rhythms, and dark therapy treats

mania by fixing that broken biological clock.

Welcome to the Carlite Psychiatry podcast, keeping psychiatry honest since 2003.

I'm Chris Zakin, the editor-in-chief of the Carlisat Psychiatry Report.

And I'm Kelly Newsom, a psychiatric MP, and a dedicated reader of every issue.

In our last episode, we learned that light therapy treats bipolar depression,

and that it needs to be dosed in the morning, or at least before 2 p.m.

Today, we will look at the converse, dark therapy in the nighttime. But first, a preview for the CME quiz for this episode. Light at night is associated with which health risks.

A. Cancer. B. Sleep apnea.

C. Urologic disease. Or D. arthritis.

Let's recap our recent bipolar updates.

1.

Screen for bipolar disorder with a tool that looks at signs and symptoms of the illness,

like the rapid mood screener or the bipolarity index.

2. Use more lithium.

3. Move Larazidone up in your treatment algorithms now, that it's generic, and keep Robert

post three L's on the tip of your tongue for bipolar depression.

Lithium, Lomotrogen, and Larazidone.

4. Avoid Valparate and women of childbearing age.

...