This book presents the evidence base for the NICE guideline on
the management of bipolar disorder in adults (including pregnant
women and older adults), children and adolescents. It covers
diagnosis and assessment in primary and secondary care, and
pharmacological, psychological and psychosocial management.
The guideline also contains a chapter on patient experience.
An essential resource for all professionals involved in the
treatment and management of bipolar disorder, this book is a
milestone in the development of truly independent and transparent
clinical guidance and an essential tool in improving the quality of
mental healthcare in the UK.
NICE Mental Health Guidelines
These guidelines from the National Institute for Health and
Clinical Excellence (NICE) set out clear recommendations, based on
the best available evidence, for health care professionals on how
to work with and implement physical, psychological and
service-level interventions for people with various mental health
conditions.
The book contains the full guidelines
that cannot be obtained in print anywhere else. It brings together
all of the evidence that led to the recommendations made, detailed
explanations of the methodology behind their preparation, plus an
overview of the condition covering detection, diagnosis and
assessment, and the full range of treatment and care
approaches.
The accompanying CD-ROM contains all the data used as evidence,
including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Full Contents
Guideline Development Group members
1. EXECUTIVE SUMMARY
1.1 General recommendations for
the care of people with bipolar disorder
1.2 The assessment, recognition
and diagnosis of bipolar disorder in adults
1.3 Treatment setting and pathways
to care
1.4 The treatment and management
of bipolar disorder
1.5 The long-term management of
bipolar disorder
1.6 The physical care of people
with bipolar disorder
1.7 Women with bipolar disorder
who are planning a pregnancy, pregnant or breastfeeding
1.8 Children and adolescents with
bipolar disorder
1.9 Research recommendations
2. INTRODUCTION
2.1 National guidelines
2.2 The national bipolar disorder
guideline
3. METHODS USED TO DEVELOP THIS
GUIDELINE
3.1 Overview
3.2 The scope
3.3 The Guideline Development
Group
3.4 Clinical questions
3.5 Systematic clinical literature
review
3.6 Health economics review
strategies
3.7 Stakeholder contributions
3.8 Validation of this
guideline
4. BIPOLAR DISORDER AND ITS
DIAGNOSIS
4.1 The disorder
4.2 Incidence and prevalence
4.3 Aetiology
4.4 Diagnosis of adults
4.5 Diagnosis of children and
adolescents
4.6 Course and prognosis
4.7 The treatment and management
of bipolar disorder in the NHS
4.8 The economic cost of bipolar
disorder
5. SERVICE USER AND CARER EXPERIENCE
OF BIPOLAR DISORDER
5.1 Introduction
5.2 Testimonies from services
users
5.3 Testimonies from family
members/carers
5.4 Recommendations
6. THE PROCESS OF CARE AND PROVISION
OF SERVICES IN THE MANAGEMENT OF BIPOLAR DISORDER – GENERAL
CARE
6.1 Introduction
6.2 Overview of clinical evidence
review
6.3 Overview of health economics
review
6.4 Community mental health teams
(CMHTs)
6.5 Case management and effective
care co-ordination
6.6 Crisis resolution and home
treatment teams (CRHTTs)
6.7 Day hospitals
6.8 Services for children and
adolescents
7. THE PROCESS OF CARE AND PROVISION
OF SERVICES IN THE MANAGEMENT OF BIPOLAR DISORDER – SPECIALIST
SERVICES
7.1 Introduction
7.2 Assertive community treatment
(ACT)/assertive outreach teams (AOTs)
7.3 Vocational rehabilitation
7.4 Early intervention
services
7.5 Organisational
developments
7.6 Lithium clinics
8. THE MEDICAL AND PHARMACOLOGICAL
MANAGEMENT OF BIPOLAR DISORDER – PART I
8.1 Introduction
8.2 Overview of clinical evidence
review
8.3 The pharmacological treatment
of acute manic, hypomanic and mixed episodes
8.4 Economic evidence for the
treatment of acute manic episodes
8.5 The pharmacological treatment
of acute episodes in the context of rapid cycling
8.6 The pharmacological treatment
of acute depressed episodes
8.7 Electroconvulsive therapy
(ECT) (all illness phases)
8.8 The management of acute
behavioural disturbance
9. THE MEDICAL AND PHARMACOLOGICAL
MANAGEMENT OF BIPOLAR DISORDER – PART II
9.1 Introduction
9.2 The long-term pharmacological
management of bipolar disorder
9.3 Health economics evidence in
the long-term pharmacological treatment of bipolar disorder
9.4 The long-term treatment of
bipolar disorder – summary of clinical and health economics
evidence
9.5 Clinical practice
recommendations for the long-term treatment of bipolar disorder
9.6 Research Recommendations
9.7 The discontinuation/withdrawal
of medication
9.8 The pharmacological management
of bipolar II disorder
9.9 The pharmacological management
of women of child-bearing potential: before, during, and after
pregnancy
10. PSYCHOLOGICAL THERAPIES IN THE
TREATMENT OF BIPOLAR DISORDER
10.1 Introduction: history of
treatment for bipolar disorder
10.2 Principles of psychological
treatment
10.3 The early warning
approach
10.4 Overview of clinical
review
10.5 Overview of health economics
review
10.6 Family interventions
10.7 Psychoeducation
10.8 Cognitive behavioural therapy
(CBT)
10.9 Psychological therapy for
people with comorbid substance use
10.10 Interpersonal and social
rhythm therapy (IPSRT)
10.11 Psychological therapy for
medication adherence
10.12 Clinical summary
10.13 Summary of economic
evidence
10.14 Psychological treatments for
children and adolescents
10.15 Clinical recommendations
11. LIVING WITH BIPOLAR DISORDER:
INTERVENTIONS AND LIFESTYLE ADVICE
11.1 Introduction
11.2 The prevention and management
of weight gain
11.3 Exercise in the treatment of
depression in people with bipolar disorder
11.4 Psychoeducation and
information giving
11.5 Managing daily life
11.6 Social support
11.7 Additional clinical practice
recommendation
12. APPENDICES
13. REFERENCES
14. ABBREVIATIONS