By Mogens Schou
'This ebook needed to be written ...the language is straightforward layman's English, effortless to appreciate and assimilate. This publication is hence prone to develop into required interpreting for all who've to do with lithium - sufferers and carers alike. The notes on lithium, being pregnant, and breast feeding are quite good done.' - "British magazine of Psychiatry". 'Enthusiastically steered for sufferers, their households and physicians' - "International Drug remedy Newsletter." while used competently, lithium surely produces the main dramatic advantages of any medicine utilized in psychiatry. the purpose of this sensible advisor is to supply sufferers and their households with updated information regarding the right kind use of lithium - crucial wisdom they'll require. a different and extremely very important bankruptcy offers with lithium's detailed antisuicidal influence. while taken care of with lithium accurately, such a lot sufferers adventure not anything disagreeable, yet lithium has a possible to urge opposed results.
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Extra info for Lithium Treatment of Mood Disorders: A Practical Guide
Some patients stop taking lithium because they dislike having their emotions controlled by medication or because they feel stigmatized for having to take psychiatric medication. They may also be under the influence of antimedication attitudes in the media or in their surroundings. Prophylactic lithium treatment should not stand alone; it must be supported by measures to maintain compliance. Patients and their relatives must be fully informed about the nature and course of the illness and about the potential catastrophic consequences of discontinuation of treatment without the physician’s consent.
The appropriate dosage level is difficult to achieve, and treating a patient without his consent is likely to cause a breach of trust. Lithium Treatment of Depression Lithium has a therapeutic action in depressions, but antidepressants are more efficient. When antidepressants do not suffice to reduce the depressions, the adjunctive use of lithium may be helpful. Fig. 1. The course of the disease of patients with recurrent bipolar disorder or recurrent depressive disorder who were given lithium treatment.
Recurrences become fewer and milder, or they may disappear completely. The patients once more become the persons they were before they became ill. Spouses describe how the patient is now ‘on an even keel’, ‘in much better shape than he has been for years’, ‘able to cope with difficult situations much more adequately’, ‘again her own self as she was when we married’, etc. After years of living with a foreboding fear it may be difficult to hope again, but gradually patient and family experience how the course of the disorder has changed; the patient is now less fearful, ambiguous, and indecisive.