Predicting Lithium Response

Peter Forster Bipolar Treatment Leave a Comment

Lithium is usually considered the most effective treatment for bipolar disorder. However, at least 30% of lithium-treated patients do not have a clinically significant response; and only 30% have a long-lasting full response. Since close laboratory monitoring is required, and adverse effects are not uncommon, identifying predictors of lithium response is highly desirable. In this largest-ever study of lithium recipients …

Lithium Associated Hypothyroidism May Be Reversible

Peter Forster Bipolar Treatment, Physical Conditions and Health Leave a Comment

People who develop hypothyroidism while using the mood stabilizer lithium may return to normal thyroid function after the drug is discontinued, according to a study in the Journal of Psychopharmacology. Hypothyroidism—a condition in which the thyroid gland does not produce enough thyroid hormone—has long been known to be associated with the use of lithium. Recent studies have clarified the nature of this association. …

specialty care for bipolar matters according to bob post

Specialty Care for Bipolar Matters

Peter Forster Best Practices, Bipolar Treatment Leave a Comment

Bob Post (one of the most eminent psychiatrists of our time) published a passionate article in the March 2018 edition of the Journal of the American Medical Association in support of the importance of specialty care for bipolar disorder. Of course, we couldn’t agree more. That is one of the reasons we founded the clinic. We saw that specialty care …

Brain Training for Bipolar

Peter Forster Bipolar Treatment, Other Psychiatric Disorders, Physical Conditions and Health Leave a Comment

Cognitive problems are the rule rather than the exception for people with bipolar disorder and so the idea of brain training for bipolar is an attractive one. There are a number of commercially available brain training courses. Probably one of the most comprehensive was developed by a company called Posit Science. Its current flagship product is a subscription-based online program …

Bipolar 101 An Online Course

Peter Forster About GPS, Bipolar Treatment, GPS Update

Bipolar 101, an online course hosted by Gateway Psychiatric begins March 17, 2017: Bipolar 101 – The Basics and Beyond. The class is based on the acclaimed Barcelona Bipolar Disorders Program. Bipolar 101 – An online course will cover topics such as: “What is Bipolar?” – What do we know about the causes and what are the implications of this information. …

Long Acting Injectable Aripiprazole for Bipolar

Peter Forster Bipolar Treatment

Long acting injectable aripiprazole for bipolar one patients has been shown to significantly reduce the risk of a recurrence of a mood episode in a 52 week placebo controlled clinical trial. Poor adherence to treatment is a significant problem in patients with bipolar disorder, putting patients at increased risk of recurrence of mood episodes, hospitalization, and suicide. One other study …

Atypical Antipsychotics with Mood Stabilizers

Peter Forster Best Practices, Bipolar Treatment

Many people with bipolar receive atypical antipsychotics with mood stabilizers. As in many areas of medicine, we have relatively little data about longer-term outcomes when people receive this combination. If an atypical antipsychotic is added to a mood stabilizer to control a manic episode, how long should that combination be prescribed? A recent study conducted by the Canadian Mood and …

UCSF Bipolar Education Group Starts Again

Peter Forster Bipolar Treatment, Self Care

Dr. Descartes Li, an expert in Bipolar Disorder at UCSF runs an excellent 8 session program for people with bipolar who are interested in learning more. Here is the latest information about the group which starts at the end of February. The UCSF bipolar psychoeducational group starts on February 27, 2017. It runs for 8 sessions, Mondays 12pm to 115pm. …

Pregnancy and Bipolar

Peter Forster Bipolar Treatment, Physical Conditions and Health

Pregnancy Outcomes in Women with Bipolar Disorder A recent review of the topic of bipolar and pregnancy from the MGH Center For Women’s Mental Health on November 14, 2016 sparked us to write this post. When talking with a bipolar woman contemplating pregnancy there are two considerations: what additional risks to the unborn child are created by taking psychiatric medication and what risks exist …

Mindfulness Based Cognitive Therapy for Bipolar

Peter Forster Bipolar Treatment, Treatments of Depression

Mindfulness Based Cognitive Therapy for Bipolar May Reduce Anxiety and Improved Cognitive Function Researchers in the Departments of Biology and Psychiatry at University of Cape Town, in Western Cape, South Africa, recently reported results from a study in which 23 bipolar patients received neuropsychological tests and functional MRI scans before and after a Mindfulness Based Cognitive Therapy 8 week program. The study showed increased …