Citation

Češková E, Kašpárek T. Ceska Slov. Psychiatr. 2004; 100(4): 229-237.

Copyright

(Copyright © 2004, Ceska Lekarska Spolecnost Jana Evangelisty Purkyne)

DOI

unavailable

PMID

unavailable

Abstract

The authors bring attention to the diagnosis of bipolar depression, which is most often misdiagnosed as unipolar depression with all the consequences. With acute treatment in patients already treated with mood stabilizers we should optimize levels and doses; in previously untreated patients we prefer lithium and lamotrigine. In the case of unsuccessful monotherapy an antidepressant is usually added. In spite of consensus of many algorithms the bipolar depression is not often treated with stabilizers. The situation at the Psychiatric Department in Brno was mapped. In the retrospective analysis totally 33 patients hospitalized during 2 years (November 2001-2003) with bipolar depression were identified. At admission 24% were diagnosed as affected by unipolar depression, 12% came to the hospitalization after suicidal attempt and 12% were not treated before admission, whereas 51% came with mood stabilizers. More patients were dismissed with mood stabilizers (51% vs 81%, p=0.01).

Language: cs

Keywords

human; bipolar disorder; suicide attempt; Antidepressants; major depression; lithium; hospitalization; bipolar depression; Unipolar depression; mood disorder; Bipolar depression; article; antidepressant agent; neuroleptic agent; retrospective study; clinical article; hospital admission; amfebutamone; imipramine; paroxetine; serotonin uptake inhibitor; venlafaxine; unclassified drug; carbamazepine; olanzapine; diagnostic error; algorithm; valproic acid; gabapentin; lamotrigine; atypical antipsychotic agent; Mood stabilizers; drug dose regimen; mood stabilizer