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PTSD and Bipolar Disorder: Approaches to Pharmacology, Psychotherapy, and Psychoeducation

  • Laura BajorEmail author
  • Jeffrey Lucero
  • Jenny Melguizo
  • Edwin Raffi
  • Dana Wang
Reference work entry

Abstract

The treatment of individuals with comorbid PTSD and bipolar disorder involves distinct challenges that should be approached in a stepwise fashion. Treatment is best accomplished in a collaborative manner that takes into account an individual’s goals and values. This begins with comprehensive diagnostic assessment based on a thorough longitudinal history in addition to noting current presentation. Treatment planning must take into account risk factors such as mood switching with SSRIs and also must consider disorders that are frequently comorbid in individuals with bipolar disorder (e.g., substance abuse, metabolic disorder).

Keywords

Bipolar disorder Prevalence Comorbidity Psychopharmacology 

List of Abbreviations

CAPs

Clinician administered PTSD scale

CBT

Cognitive behavioral therapy

CPT

Cognitive processing therapy

DM2

Diabetes mellitus type 2

ECA

Epidemiological catchment area

FDA

Food and Drug Administration

NCS

National Comorbidity Study

PE

Prolonged exposure

PTSD

Post-traumatic stress disorder

SGA

Second-generation antipsychotic

SSRI

Selective serotonin reuptake inhibitor

STEP-BD

Systematic treatment enhancement program for bipolar disorder

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Copyright information

© Springer International Publishing Switzerland (outside the USA) 2016

Authors and Affiliations

  • Laura Bajor
    • 1
    • 2
    Email author
  • Jeffrey Lucero
    • 3
  • Jenny Melguizo
    • 3
  • Edwin Raffi
    • 3
  • Dana Wang
    • 3
  1. 1.Mental Health ServiceVA Boston Healthcare SystemJamaica PlainUSA
  2. 2.Psychiatry DepartmentHarvard Medical SchoolBostonUSA
  3. 3.Mental Health ServiceVA Boston Healthcare SystemBrocktonUSA

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