双相II型障碍的管理：一些个人观点。
Managing bipolar II disorder: some personal perspectives.
作者信息
Parker Gordon
机构信息
Scientia Professor of Psychiatry, University of New South Wales, Randwick, NSW, and; Professorial Fellow, Black Dog Institute, Randwick, NSW, Australia
出版信息
Australas Psychiatry. 2015 Apr;23(2):116-9. doi: 10.1177/1039856214568219. Epub 2015 Feb 5.
OBJECTIVE
The aim is to overview a personal model for managing bipolar II disorder.
METHOD
The model describes the author's personal approach and observes the relative lack of an evidence base.
RESULTS
Key 'macro' and treatment component approaches are overviewed.
CONCLUSIONS
It is suggested that bipolar II disorder is categorically distinct from bipolar I, in lacking any psychotic features during contrasting mood states and thus allowing that its management should not necessarily extrapolate strategies used to manage bipolar I disorder. If valid, in addition to there being less of a need to prescribe antipsychotic drugs, the differing mood stabilizers may have quite differing gradients of efficacy across the bipolar I and II disorders.
目的
旨在概述一种用于管理双相II型障碍的个人模型。
方法
该模型描述了作者的个人方法，并观察到相对缺乏证据基础。
结果
概述了关键的“宏观”和治疗组成部分方法。
结论
有人提出，双相II型障碍与双相I型障碍截然不同，在对比情绪状态期间缺乏任何精神病性特征，因此其管理不一定能外推用于管理双相I型障碍的策略。如果有效，除了不太需要开抗精神病药物外，不同的心境稳定剂在双相I型和II型障碍中的疗效梯度可能有很大差异。
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