4.8 • 440 Ratings
🗓️ 2 October 2023
⏱️ 21 minutes
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0:00.0 | If all your patients with bipolar disorder are cured on mood stabilizers, you can skip this podcast. |
0:06.3 | But if not, you're going to learn some behavioral steps that will move them closer to recovery. |
0:17.2 | Welcome to the Carlyte Psychiatry Podcast, keeping psychiatry honest since 2003. |
0:23.3 | I'm Chris Agen, the editor-in-chief of the Carlott Psychiatry Report. |
0:27.7 | I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue. |
0:33.5 | Today, we reach the end of the practice-changing updates from the International Bipolar Conference, |
0:38.7 | and here's a recap of the past episodes. |
0:42.7 | 1. Screen for Bipolar Disorder with a tool that looks at signs and symptoms of the illness, |
0:48.5 | like the Rapid Mood Screener or the Bipolarity Index. |
0:53.0 | 2. Use more lithium. |
0:56.8 | 3. Move Larazidone up in your treatment algorithms now that it's generic, and keep Robert |
1:02.1 | posts 3Ls on the tip of your tongue for bipolar depression. Lithium, Lomotrogen, and |
1:08.2 | larazidone. Avoid valproate in women of childbearing age. |
1:13.9 | And five, when things go wrong in treatment, even if it's because your patient stops taking |
1:18.6 | their meds, assume it's your fault. You haven't found the meds they want to take. |
1:25.1 | Six, rate the symptoms at every visit and find a way to visually track them to find those cyclical |
1:30.5 | patterns that are the heart of bipolar illness. |
1:35.3 | 7. |
1:36.2 | Make it your goal to improve functioning, not just symptom reduction. |
1:41.6 | 8. Use light therapy for bipolar depression. 9. Use light therapy for bipolar depression. |
1:46.1 | 9. Use dark therapy for active mania, mixed states, insomnia, and to prevent future episodes. |
1:54.4 | And today, number 10, social rhythm therapy. |
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