Depression and Bipolar Disorder: Your Guide to Recovery
William R. Marchand MD
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mood disorder or if you have experienced mood symptoms in the past, then you may have a relatively high level of vulnerability. If you experience a period of high stress, it makes sense for you to watch carefully for the onset of mood symptoms. You might also want to consider preventive strategies, such as psychotherapy (Chapter 9) or complementary approaches (Chapter 10). Now, let’s discuss psychological vulnerabilities to mood disorders. A number of theories have been put forward to explain
companies and organizations have employee assistance programs (EAPs). These may focus mainly on general life issues rather than mood disorders. But, if you have access to an EAP, they are worth checking out because at the least they will likely keep an updated listing of services and programs within your local community. In regard to medication costs, many prescribers receive supplies of medications from pharmaceutical companies at no cost. These are typically referred to as “samples.” The idea
inadequate or no improvement within the time frames given above, then changes should be considered. Of course, if you are getting worse, then changes will almost certainly be required. These changes might include a dosage change for medication or a frequency change for psychotherapy. After an adequate trial of any treatment (or treatments) without response, an entirely new approach may be necessary (see Chapter 13). The second point above is similar to one of the critical points about treatment.
* * 2 Mood Disorders and the Diagnostic Process AS THE TITLE SUGGESTS, THIS CHAPTER EXPLAINS what mood disorders are and how these conditions are diagnosed. I have included a lot of information about the diagnostic criteria for mood disorders. My goal is to provide this material as a ready reference for you. For example, if a member of your treatment team says she thinks you have dysthymic disorder, you can quickly look it up. I certainly don’t think you need to commit any of this to
For more severe depression or mild depression that does not respond to psychotherapy, the risks versus benefits of medication treatment should be considered. Bipolar disorder Bipolar disorder presents many challenges for women who want to have children. This is because of the severity of the illness as well as the fact that many medications used to treat this disorder are known to cause birth defects (also see Chapter 8).505 As with major depression, women with bipolar disorder have a high