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Surviving Manic Depression is the most comprehensive, up-to-date book on the disorder that affects more than two million people in the United States alone. Based on the latest research, it provides detailed coverage of every aspect of the disorder.All aspects of the disease are addressed: symptoms, with many direct descriptions from patients themselves, risk factors, onset and cause, medications (including drugs still in the testing stage), causes, psychotherapy, and rehabilitation and how the disease affects children and adolescents. Here too are discussions of special problems related to manic-depressive disorder, including alcohol and drug abuse, violent behavior, medication noncompliance, suicide, sex, AIDS, and confidentiality. Surviving Manic Depression also includes special features such as a listing of selected websites, videotapes, and other resources.

E. Fuller Torrey, M.D., is president of the Treatment Advocacy Center and Executive Director of the Stanley Foundation Research Programs. He is also Professor of Psychiatry at the Uniformed Services University of the Health Sciences. His books include Schizophrenia and Manic-Depressive Disorder, Out of the Shadows, Nowhere to Go, and Surviving Schizophrenia. He lives in Bethesda, Maryland.Michael B. Knable, D.O., is Medical Director of the Stanley Foundation Research Programs and is Clinical Instructor in Neurology and Psychiatry at the George Washington University School of Medicine in Washington, D.C. He lives in Chevy Chase, Maryland. E. Fuller Torrey, M.D., is president of the Treatment Advocacy Center and Executive Director of the Stanley Foundation Research Programs. He is also Professor of Psychiatry at the Uniformed Services University of the Health Sciences. His books include Schizophrenia and Manic-Depressive Disorder, Out of the Shadows, Nowhere to Go, and Surviving Schizophrenia. He lives in Bethesda, Maryland.Michael B. Knable, D.O., is Medical Director of the Stanley Foundation Research Programs and is Clinical Instructor in Neurology and Psychiatry at the George Washington University School of Medicine in Washington, D.C. He lives in Chevy Chase, Maryland.

Preface: Manic Depression or Bipolar Disorder?	p. xv
Acknowledgments	p. xix
Dimensions of Manic-Depressive Illness	p. 1
How Many People in the United States Have Manic-Depressive Illness?	p. 2
How Many People Are Being Treated?	p. 4
Do Some Groups Have More Than Others? The Hutterites and the Amish	p. 5
What Is the Prevalence of Manic-Depressive Illness in Other Countries?	p. 8
Has Manic-Depressive Illness Always Existed?	p. 9
Is Manic-Depressive Illness Increasing?	p. 13
What Is the Cost of Manic-Depressive Illness?	p. 15
The Inner World: Mania and Depression From the Inside	p. 19
Mania	p. 21
Depression	p. 31
Mixed States	p. 38
Awareness of Illness	p. 41
The Outer Worlds: Manic-Depressive Illness Defined	p. 45
Official Definitions	p. 45
Are Unipolar Depression and Manic-Depressive Illness One Disease or Two?	p. 52
Where Does Manic-Depressive Illness End and Normal Mood Swings Begin?	p. 56
What Is the Relationship of Manic-Depressive Illness to Schizoaffective Disorder and Schizophrenia?	p. 57
Conditions Sometimes Confused with Manic-Depressive Illness	p. 63
Mania Caused by Street Drugs	p. 63
Mania Caused by Prescription, Over-the-Counter, and Herbal medications	p. 67
Mania Caused by Infections	p. 70
Mania Caused by Head Injuries	p. 72
Mania Associated with Other Brain Disorders	p. 74
Mania Associated with Other Illnesses	p. 75
What Does Secondary Mania Tell Us About Brain Localization?	p. 76
Manic-Like Behavior in Culture-Bound Syndromes	p. 77
What Is an Adequate Diagnostic Workup?	p. 78
Risk Factors for Developing Manic-Depressive Illness	p. 83
Winter Birth	p. 84
Summer Onset	p. 86
Urban Birth	p. 87
Pregnancy and Birth Complications	p. 88
Prenatal Famine	p. 89
Prenatal Exposure to Influenza	p. 89
Severe Stressors in Childhood	p. 90
Social Class	p. 92
Onset, Course, and Outcome	p. 95
Factors Affecting Course	p. 96
Rapid Cycling and Seasonal Affective Disorder	p. 98
Outcomes and Their Predictors	p. 100
Stress as a Risk Factor for Relapse	p. 103
Causes of Death	p. 104
Causes	p. 107
Studies of Brain Structure	p. 108
Studies of Brain Function	p. 113
Genetic Studies	p. 116
Neurochemical Studies	p. 121
Studies of Infections and Immunological Factors	p. 126
Disturbances in Body Rhythms	p. 129
Endocrine Dysfunction	p. 130
Kindling and Stress	p. 133
Medications: Mood Stabilizers	p. 137
Lithium	p. 137
Valproate (Depakote, Depakene)	p. 149
Carbamazepine (Tegretol)	p. 151
Lamotrigine (Lamictal)	p. 154
Topiramate (Topamax)	p. 157
Gabapentin (Neurontin)	p. 158
Calcium Channel Blockers	p. 159
Essential Fatty Acids	p. 161
Medications: Antidepressants, Antipsychotics, and Benzodiazapines	p. 163
Antidepressants	p. 163
Selective Serotonin Reuptake Inhibitors (SSRIs)	p. 164
Burproprion and Other New Antidepressants	p. 167
Tricyclic Antidepressants	p. 169
Monoamine Oxidase Inhibitors (MAOIs)	p. 170
Stimulants	p. 173
Thyroid Supplementation	p. 175
St. John's Wort and Other Herbal Remedies	p. 175
Switch Rate	p. 176
Antipsychotics	p. 177
First-Generation, or Typical, Antipsychotics	p. 177
Second-Generation, or Atypical, Antipsychotics	p. 180
Benzodiazepines	p. 185
Medications: Treatment Strategies	p. 189
Treatments for the Different Phases of Manic-Depressive Illness	p. 189
Acute Mania	p. 190
Depression	p. 191
Rapid Cycling	p. 191
Maintenance Treatment	p. 192
Frequently Asked Questions About Medications	p. 192
Do I Really Need to Take All of These Medications?	p. 192
Do I Need to Take These Medications for the Rest of My Life?	p. 193
What If I Am Pregnant or Breast-Feeding?	p. 194
Should Treatment Be Different for the Very Old and the Very Young?	p. 200
Nonmedication Aspects of Treatment	p. 203
Finding a Good Doctor	p. 203
Building a Support Network	p. 206
Psychotherapy	p. 207
Reducing Stress	p. 212
Mood Charts	p. 213
Electroconvulsive Therapy	p. 214
Insurance Issues	p. 215
SSI and SSDI	p. 217
Manic-Depressive Illness in Children and Adolescents	p. 221
Clinical Aspects	p. 222
Diagnostic Aspects	p. 225
Treatment Aspects	p. 228
Ten Special Problems	p. 233
Concurrent Alcohol and Drug Abuse	p. 233
Assaultive and Violent Behavior	p. 237
Medication Noncompliance	p. 240
Assisted Treatment	p. 244
Homelessness	p. 248
Arrests and Jailings	p. 251
Suicide	p. 253
Sex and AIDS	p. 258
Confidentiality	p. 259
The Seduction of Mania	p. 263
Manic-Depressive Illness and Creativity	p. 267
Biographical Studies of Mental Illness in Creative People	p. 269
Studies of Psychiatric Illness in Living Artists	p. 272
Mental Illness and Creativity in Relatives	p. 274
Direct Measurements of Creativity in People with Mental Illness	p. 275
The Effects of Psychotropic Medications on Creativity	p. 276
Commonly Asked Questions	p. 279
Should I Tell People?	p. 279
What Are the Chances That Other Family Members Will Get Manic-Depressive Illness?	p. 281
How Does It Affect Family Members?	p. 283
How Does It Affect Siblings?	p. 286
How Does It Affect Spouses?	p. 287
How Does It Affect Children?	p. 288
Issues for Advocates	p. 293
Advocacy Organizations	p. 294
Scientologists, Antipsychiatrists, and "Consumer Survivors"	p. 295
Research Funding and the National Institute of Mental Health	p. 297
Stigma and Public Education	p. 299
Exemplary Individual Advocates	p. 301
Review of Books	p. 307
Selected Websites	p. 329
Review of Videotapes	p. 333
Useful Resources	p. 337
Notes	p. 341
Index	p. 379
Table of Contents provided by Syndetics. All Rights Reserved.

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Surviving Manic Depression A Manual on Bipolar Disorder for Patients, Families, and Providers

Surviving Manic Depression A Manual on Bipolar Disorder for Patients, Families, and Providers

0465086640

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