Chapter title |
Nonpharmacotherapeutic Somatic Treatments for Bipolar Disorder (ECT, DBS, rTMS)
|
---|---|
Chapter number | 69 |
Book title |
Behavioral Neurobiology of Bipolar Disorder and its Treatment
|
Published in |
Current topics in behavioral neurosciences, August 2010
|
DOI | 10.1007/7854_2010_69 |
Pubmed ID | |
Book ISBNs |
978-3-64-215756-1, 978-3-64-215757-8
|
Authors |
Loo, Colleen, Greenberg, Benjamin, Mitchell, Philip, Colleen Loo, Benjamin Greenberg, Philip Mitchell |
Abstract |
Nonpharmacotherapeutic, somatic treatments play an essential role in the management of bipolar disorder (BPD). Studies indicate that electroconvulsive therapy (ECT) is an effective treatment for acute mania, bipolar depression, and mixed affective states. Furthermore, it is an important second-line treatment option, as most pharmacotherapy-resistant patients respond to ECT. Specific challenges for patients with BPD receiving ECT include the risk of mood switching, and the need to evaluate and manage concurrent treatment with lithium and anticonvulsant mood stabilizers. Although the current evidence for alternative and newer physical treatments (e.g., transcranial magnetic stimulation, vagus nerve stimulation, stereotactic ablation, and deep brain stimulation) is preliminary, all of these novel methods show promising potential and merit further research. |
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