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双相障碍大学生治疗的特殊考虑。

Special considerations in the treatment of college students with bipolar disorder.

机构信息

MIT Medical Service, Cambridge, Massachusetts 02139, USA.

出版信息

J Am Coll Health. 2011;59(7):666-9. doi: 10.1080/07448481.2010.528100.

DOI:10.1080/07448481.2010.528100
PMID:21823964
Abstract

Bipolar disorder is a relatively common mental disorder that often has its onset during the college years. This means that students simultaneously face both the challenge of late adolescent development and the challenge of adapting to a major mental illness. As a further complication, the college environment is not well suited to the kinds of lifestyle changes that add stability to the lives of people with bipolar disorder. Treatment involves establishing an alliance, education about lifestyle changes, aiding adaptation to the illness, careful medication to minimize side effects, and loosening the affective constriction that can result from fear of relapse. Both the health care provider and student can use the culture of learning and self-discovery in the college setting to the treatment's benefit. As well, the provider can use the time-limited nature of college to lessen ambivalence about making long-term changes.

摘要

双相情感障碍是一种较为常见的精神障碍,通常在大学期间发病。这意味着学生同时面临着青少年晚期发展的挑战和适应主要精神疾病的挑战。更为复杂的是,大学校园环境并不适合那些能够增加双相情感障碍患者生活稳定性的生活方式改变。治疗包括建立联盟、进行生活方式改变的教育、帮助适应疾病、谨慎用药以最大限度减少副作用,以及缓解因担心复发而导致的情感束缚。医疗保健提供者和学生都可以利用大学校园学习和自我发现的文化来促进治疗。此外,提供者可以利用大学的有限时间来减少对做出长期改变的矛盾心理。

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