COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
Some Medications That Can Cause
Mania (Benner,2002)
• Stimulants (amphetamines)
• Antidepressants (especially tricyclics)
• SAM-e
• Antihypertensives
• Corticosteroids in higher doses
• Anticholinergics (Cogentin®)
• Thyroid hormones
Treatment Options : Mania
• Medication
• Psychosocial/environmental
approaches
• Hospitalization for stabilization
Bipolar 1: Diagnosis
• Characterized by one or more manic episodes
or mixed episodes
• Often, one or more major depressive episodes
• Cannot be related to drug-induced behaviors or
a medical condition
• Significant impairment
Rule Out:
Symptoms due to medical condition, medication,
or substance abuse; and
• Schizoaffective disorder
• Anxiety disorder
Bipolar II Disorder
• Characterized by hypomanic and
depressive episodes
• More difficult to recognize
– Hypomania may seem normal
• Usually seek treatment only for depression
Misdiagnosis in Mood Disorders
• As many as 69% are misdiagnosed
– For every 10 people with a diagnosis of
depression, as many as 3 may have a bipolar
disorder
– Often misdiagnosed as unipolar depression
• If agitated or restless, may be diagnosed
with anxiety disorder
– Many diagnosed with Borderline personality
disorder may have Bipolar disorder
Consequences of Misdiagnosis
( Kahn, et al., 2000)
• Diagnose as SUD only vs COD
– More than 50% abuse alcohol or drugs
during manic phase of the illness
• Treatment difficulties
– Episodes may become more frequent and
harder to treat
– 23% developed new or accelerated rapid
cycling (Kindling)
• Suicide
– 1 out of 5 will die from suicide
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