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Identifying and Treating the Prodromal Phases of Bipolar Disorder and Schizophrenia

  • Child and Adolescent Psychiatry (M Brotman, Section Editor)
  • Published:
Current Treatment Options in Psychiatry Aims and scope Submit manuscript

Opinion statement

Purpose of review

The goal of this paper is to review recent research on the identification and treatment of prodromal periods that precede bipolar and psychotic disorders. We also sought to provide information about current best clinical practices for prodromal youth.

Recent findings

Research in the areas of identifying prodromal periods has rapidly advanced. Calculators that can predict risk are now available for use during both bipolar and psychotic disorder prodromes. Cognitive behavior therapies have emerged as the gold standard psychosocial interventions for the psychosis prodrome, while several other types of therapies hold promise for treatment during the bipolar prodrome. Due to safety and efficacy concerns, pharmacologic treatments are not currently recommended during either prodromal periods.

Summary

While additional research is needed to develop useful clinical tools to screen and diagnose during prodromal phases, existing literature has identified constellations of symptoms that can be reliably identified in research settings. Specialized psychotherapies are currently recommended to treat prodromal symptoms in clinical settings. They may also be useful to curtail future episodes, although further research is needed.

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References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA

    Susan K. Conroy MD PhD, Michael M. Francis MD & Leslie A. Hulvershorn MD, MSc

  2. 705 Riley Hospital Drive, Room 4300, Indianapolis, IN, 46202, USA

    Leslie A. Hulvershorn MD, MSc

Authors
  1. Susan K. Conroy MD PhD
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  2. Michael M. Francis MD
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  3. Leslie A. Hulvershorn MD, MSc
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Correspondence to Leslie A. Hulvershorn MD, MSc.

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Susan Conroy declares that she has no conflicts of interest. Michael Francis declares that he has no conflicts of interest. Leslie Hulvershorn declares that she has no conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Child and Adolescent Psychiatry

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Conroy, S.K., Francis, M.M. & Hulvershorn, L.A. Identifying and Treating the Prodromal Phases of Bipolar Disorder and Schizophrenia. Curr Treat Options Psych 5, 113–128 (2018). https://doi.org/10.1007/s40501-018-0138-0

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  • DOI: https://doi.org/10.1007/s40501-018-0138-0

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