|
Sign In to gain access to subscriptions and/or personal tools.
|
Journal of Psychopharmacology, Vol. 17, No. 2,
149-173 (2003)
DOI: 10.1177/0269881103017002003
Evidence-Based Guidelines for Treating Bipolar Disorder: Recommendations from the British Association for Psychopharmacology
G. M. Goodwin
For the Consensus Group of the British Association for Psychopharmacology
The British Association for Psychopharmacology guidelines specify the scope and target of treatment for bipolar disorder. They are based explicitly on the available evidence and presented, similar to previous Clinical Practice guidelines, as recommendations to aid clinical decision-making for practitioners. They may also serve as a source of information for patients and carers. The recommendations are presented together with a more detailed review of the available evidence. A consensus meeting, involving experts in bipolar disorder and its treatment, reviewed key areas and considered the strength of evidence and clinical implications. The guidelines were drawn up after extensive feedback from participants and interested parties. The strength of supporting evidence was rated. The guidelines cover the diagnosis of bipolar disorder, clinical management and strategies for the use of medicines in short-term treatment of episodes, relapse prevention and stopping treatment.
Key Words: anticonvulsants antidepressants antipsychotics bipolar disorder CBT depression evidence-based guidelines lithium mania mood stabilizers treatment

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
M. Franks, K. Macritchie, T Mahmood, and A. Young
Bouncing back: is the bipolar rebound phenomenon peculiar to lithium? A retrospective naturalistic study
J Psychopharmacol,
June 1, 2008;
22(4):
452 - 456.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
I. Anderson, I. Ferrier, R. Baldwin, P. Cowen, L Howard, G Lewis, K Matthews, R. McAllister-Williams, R. Peveler, J Scott, et al.
Evidence-based guidelines for treating depressive disorders with antidepressants: A revision of the 2000 British Association for Psychopharmacology guidelines
J Psychopharmacol,
June 1, 2008;
22(4):
343 - 396.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Tohen, C. L. Bowden, A. B. Smulevich, R. Bergstrom, T. Quinlan, O. Osuntokun, W. V. Wang, H. S. Oliff, F. Martenyi, L. A. Kryzhanovskaya, et al.
Olanzapine plus carbamazepine v. carbamazepine alone in treating manic episodes
The British Journal of Psychiatry,
February 1, 2008;
192(2):
135 - 143.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Rao, A. Devanga, and J. R Geddes
Antidepressants are not an effective adjunct to mood stabilisers for bipolar depression
Evid. Based Ment. Health,
November 1, 2007;
10(4):
109 - 109.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. M. Goodwin and J. R. Geddes
What is the heartland of psychiatry?
The British Journal of Psychiatry,
September 1, 2007;
191(3):
189 - 191.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. McKendrick, K.H. Cerri, A. LLoyd, A. D'AusiLio, S. Dando, and C. Chinn
Cost effectiveness of olanzapine in prevention of affective episodes in bipolar disorder in the United Kingdom
J Psychopharmacol,
August 1, 2007;
21(6):
588 - 596.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Scherk, F. G. Pajonk, and S. Leucht
Second-Generation Antipsychotic Agents in the Treatment of Acute Mania: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Arch Gen Psychiatry,
April 1, 2007;
64(4):
442 - 455.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Streeruwitz, T. R. E. Barnes, J. Fehler, R. Ohlsen, and V. A. Curtis
Pharmacological management of acute mania - does current prescribing practice reflect treatment guidelines?
J Psychopharmacol,
March 1, 2007;
21(2):
206 - 209.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Scott, E. Paykel, R. Morriss, R. Bentall, P. Kinderman, T. Johnson, R. Abbott, and H. Hayhurst
Cognitive-Behavioural Therapy for Severe and Recurrent Bipolar Disorders: Randomised Controlled Trial
Focus,
January 1, 2007;
5(1):
64 - 72.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. J. Nutt, K. Fone, P. Asherson, D. Bramble, P. Hill, K. Matthews, K. A. Morris, P. Santosh, E. Sonuga-Barke, E. Taylor, et al.
Evidence-based guidelines for management of attention-deficit/hyperactivity disorder in adolescents in transition to adult services and in adults: recommendations from the British Association for Psychopharmacology
J Psychopharmacol,
January 1, 2007;
21(1):
10 - 41.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Burns and J. O'Brien
Clinical practice with anti-dementia drugs: a consensus statement from British Association for Psychopharmacology.
J Psychopharmacol,
November 1, 2006;
20(6):
732 - 755.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Keown, H. Mcallister-Williams, and A. Young
A case of pancytopenia
J Psychopharmacol,
September 1, 2006;
20(5):
690 - 692.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
G. E. Simon, E. J. Ludman, M. S. Bauer, J. Unutzer, and B. Operskalski
Long-term Effectiveness and Cost of a Systematic Care Program for Bipolar Disorder.
Arch Gen Psychiatry,
May 1, 2006;
63(5):
500 - 508.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. SCOTT, E. PAYKEL, R. MORRISS, R. BENTALL, P. KINDERMAN, T. JOHNSON, R. ABBOTT, and H. HAYHURST
Cognitive-behavioural therapy for severe and recurrent bipolar disorders: Randomised controlled trial
The British Journal of Psychiatry,
April 1, 2006;
188(4):
313 - 320.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. N Nguyen and S. K Guthrie
Risperidone Treatment of Bipolar Mania
Ann. Pharmacother.,
April 1, 2006;
40(4):
674 - 682.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. H. McAllister-Williams
Relapse prevention in bipolar disorder: a critical review of current guidelines.
J Psychopharmacol,
March 1, 2006;
20(2 Suppl):
12 - 16.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Cookson and B. Elliott
The use of anticonvulsants in the aftermath of mania.
J Psychopharmacol,
March 1, 2006;
20(2_suppl):
23 - 30.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Geddes
Bipolar disorder--services need to catch up with rapidly developing evidence base
BMJ,
January 7, 2006;
332(7532):
32 - 33.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Menon, R. H. M. Williams, and S. Watson
Increased libido associated with quetiapine
J Psychopharmacol,
January 1, 2006;
20(1):
125 - 127.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
D. S. Baldwin, I. M. Anderson, D. J. Nutt, B. Bandelow, A. Bond, J. R. T. Davidson, J. A. den Boer, N. A. Fineberg, M. Knapp, J. Scott, et al.
Evidence-based guidelines for the pharmacological treatment of anxiety disorders: recommendations from the British Association for Psychopharmacology
J Psychopharmacol,
November 1, 2005;
19(6):
567 - 596.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Olfson, A. K. Das, M. J. Gameroff, D. Pilowsky, A. Feder, R. Gross, R. Lantigua, S. Shea, and M. M. Weissman
Bipolar Depression in a Low-Income Primary Care Clinic
Am J Psychiatry,
November 1, 2005;
162(11):
2146 - 2151.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. Macpherson, R. Dix, and S. Morgan
A growing evidence base for management guidelines: REVISITING... GUIDELINES FOR THE MANAGEMENT OF ACUTELY DISTURBED PSYCHIATRIC PATIENTS
Advan. Psychiatr. Treat.,
November 1, 2005;
11(6):
404 - 415.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Citrome and D. Yeomans
Do guidelines for severe mental illness promote physical health and well-being?
J Psychopharmacol,
November 1, 2005;
19(6_suppl):
102 - 109.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Cipriani, H. Pretty, K. Hawton, and J. R. Geddes
Lithium in the Prevention of Suicidal Behavior and All-Cause Mortality in Patients With Mood Disorders: A Systematic Review of Randomized Trials
Am J Psychiatry,
October 1, 2005;
162(10):
1805 - 1819.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. J. GIJSMAN, J. R. GEDDES, J. M. RENDELL, G. M. GOODWIN, and W. A. NOLEN
Dr. Gijsman and Colleagues Reply
Am J Psychiatry,
August 1, 2005;
162(8):
1547 - 1548.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. R. Calabrese, P. E. Keck Jr., W. Macfadden, M. Minkwitz, T. A. Ketter, R. H. Weisler, A. J. Cutler, R. McCoy, E. Wilson, J. Mullen, et al.
A Randomized, Double-Blind, Placebo-Controlled Trial of Quetiapine in the Treatment of Bipolar I or II Depression
Am J Psychiatry,
July 1, 2005;
162(7):
1351 - 1360.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Drug treatments for bipolar disorder: 2 - Maintenance, prevention and special situations
DTB,
May 1, 2005;
43(5):
33 - 37.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. H. Ashton, P. B. Moore, P. Gallagher, and A. H. Young
Cannabinoids in bipolar affective disorder: a review and discussion of their therapeutic potential
J Psychopharmacol,
May 1, 2005;
19(3):
293 - 300.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Goodwin and A. H. Young
Using guidelines in real clinical situations: clozapine and breast feeding in bipolar disorder
J Psychopharmacol,
May 1, 2005;
19(3):
317 - 318.
[PDF]
|
 |
|

|
 |

|
 |
 
Drug treatments for bipolar disorder: 1 - Acute manic or depressive
DTB,
April 1, 2005;
43(4):
28 - 32.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. I. F. Scott
College guidelines on electroconvulsive therapy: an update for prescribers
Advan. Psychiatr. Treat.,
March 1, 2005;
11(2):
150 - 156.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. J. Cowen
New drugs, old problems: REVISITING... PHARMACOLOGICAL MANAGEMENT OF TREATMENT-RESISTANT DEPRESSION
Advan. Psychiatr. Treat.,
January 1, 2005;
11(1):
19 - 27.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Frangou
Advancing the pharmacological treatment of bipolar depression
Advan. Psychiatr. Treat.,
January 1, 2005;
11(1):
28 - 37.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. E. JESS, D. J. SMITH, C. MacKENZIE, and C. CRAWFORD
Carbamazepine and Rebound Mania
Am J Psychiatry,
November 1, 2004;
161(11):
2132 - 2133.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Sajatovic, F. C. Blow, R. V. Ignacio, and H. C. Kales
Age-Related Modifiers of Clinical Presentation and Health Service Use Among Veterans With Bipolar Disorder
Psychiatr Serv,
September 1, 2004;
55(9):
1014 - 1021.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. J. Gijsman, J. R. Geddes, J. M. Rendell, W. A. Nolen, and G. M. Goodwin
Antidepressants for Bipolar Depression: A Systematic Review of Randomized, Controlled Trials
Am J Psychiatry,
September 1, 2004;
161(9):
1537 - 1547.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. R. Lingford-Hughes, S. Welch, and D. J. Nutt
Evidence-Based Guidelines for the Pharmacological Management of Substance Misuse, Addiction and Comorbidity: Recommendations from the British Association for Psychopharmacology
J Psychopharmacol,
September 1, 2004;
18(3):
293 - 335.
[PDF]
|
 |
|

|
 |

|
 |
 
I. M. Anderson, P. M. Haddad, and I. Chaudhry
Changes in Pharmacological treatment for Bipolar Disorder Over Time in Manchester: A Comparison with Lloyd et al. (2003)
J Psychopharmacol,
September 1, 2004;
18(3):
441 - 444.
[PDF]
|
 |
|

|
 |

|
 |
 
J. E. Bailey
The Application of Good Clinical Practice to Challenge Tests
J Psychopharmacol,
March 1, 2004;
18(1):
16 - 16.
[PDF]
|
 |
|

|
 |

|
 |
 
Z. Bhagwagar and G. M. Goodwin
Bipolar-spectrum disorders: an epidemic unseen, invisible or unreal?
Advan. Psychiatr. Treat.,
January 1, 2004;
10(1):
1 - 3.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Geddes
Prodromal symptoms may be identified by people with bipolar or unipolar depression
Evid. Based Ment. Health,
November 1, 2003;
6(4):
105 - 105.
[Full Text]
[PDF]
|
 |
|
|