Managing Manic Depressive Disorders

doi:10.1136/bmj.314.7098.1916

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David Ames, associate professor of psychiatry of old age

University of Melbourne Australia

Ed Ved Varma: Jessica Kingsley, £16.95, pp 188 ISBN 1 85302 347 7

Manic depressive (bipolar affective) disorders are serious mental illnesses that have a remitting and relapsing course. Unipolar depressions are the commonest disorders seen by psychiatrists, and bipolar disorder is the commonest diagnosis after schizophrenia among “new long stay” patients in British psychiatric facilities. Since the 1960s lithium prophylaxis has revolutionised the treatment of bipolar disorders, but the long term management of conditions that, in the acute phase, impair insight requires far more …