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In the s, author Joel Paris was one of the first doctors in his hospital to prescribe lithium to a psychiatric patient. This book opens discussion about the overdiagnosis of bipolar disorder and the negative impact of this development on clinical care. Paris explores why patients are being classified as bipolar on dubious grounds and are being prescribed drugs they do not need.

He explains the differences between bipolar disorder and depression without mania, personality disorders characterized by unstable mood, and impulsive disorders. A separate chapter discusses the unique issues present in the field of child psychiatry. Fads remain popular as long as they answer elusive and complex questions.

Unfortunately, the bipolar spectrum being used to explain a wide variety of psychopathological phenomena has caused classic bipolar disorder to become almost lost in the shuffle.

The Bipolar Spectrum: Diagnosis Or Fad? - Joel Paris - Google Книги

Combining research findings and personal experiences, Dr. Paris documents the damage of overdiagnosis and explores alternative treatments patients could benefit from. Flowing text, Original pages.

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Please follow the detailed Help center instructions to transfer the files to supported eReaders. Joel Paris's Overdiagnosis in Psychiatry takes a much-needed look at the dangerous epidemic of unnecessary or incorrect treatments. The last 30 years of psychiatry have seen the development of a system of classification aimed at establishing greater scientific credibility.


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Paris documents the damage of overdiagnosis and explores alternative treatments patients could benefit from. Hardcover , pages. To see what your friends thought of this book, please sign up. To ask other readers questions about The Bipolar Spectrum , please sign up. Lists with This Book. This book is not yet featured on Listopia.

The Bipolar Spectrum: Diagnosis or Fad?

Maya rated it really liked it Aug 25, Sasha rated it really liked it Apr 11, Paul rated it liked it Feb 05, Massimo rated it really liked it Jan 04, Margaret rated it it was amazing Mar 07, Drsah marked it as to-read Feb 28, Sergiu Antoci marked it as to-read Dec 06, Mel marked it as to-read Dec 06, Pharmacologic dissection can help to determine the boundaries of mental disorders. While lithium and mood stabilizers are most effective for the classical disorder, they are not dramatically effective for personality disorders 7.

In children and adolescents, it should be recognized that mood stabilizers have an anti-impulsive effect 8 , which is shared with neuroleptics and selective serotonin reuptake inhibitors SSRIs , that could produce therapeutic results that could have nothing to do with mood. Psychiatrists like to diagnose conditions they can treat.


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  • The increase in bipolar diagnoses reflected the great success of lithium. This sort of thing has happened before in the history of our discipline. In the s, when electroconvulsive therapy was shown to be effective for depression, psychiatrists prescribed it indiscriminately to many patients with depressive symptoms.

    Similar scenarios emerged with the use of neuroleptics, tricyclic antidepressants, and SSRIs.

    TEDxTerryTalks - Laura Bain - Living with Bipolar Type II

    Prescribing patterns have paralleled the susceptibility of psychiatry to diagnostic fads. I believe there has been a rush to judgment about the bipolar spectrum.