Citation

O'Brien B, Lee D, Swann AC, Mathew SJ, Lijffijt M. Psychiatr. Clin. North Am. 2020; 43(1): 199-211.

Affiliation

Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Boulevard, Houston, TX 77030, USA. Electronic address: marijn.lijffijt@bcm.edu.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.psc.2019.10.014

PMID

32008685

Abstract

Treatment guidelines for mixed states of depression or (hypo)mania focus almost exclusively on psychopharmacologic intervention without tapping into the benefits of psychotherapy. The authors highlight the complex clinical picture and illness course of mixed states, and discuss the benefit of taking a patient-centered approach to treatment incorporating techniques from a variety of evidence-based psychotherapies. A careful assessment of suicide risk as well as interventions designed specifically for anxiety are also recommended.

Published by Elsevier Inc.

Language: en

Keywords

Anxiety; Evidence-based treatment; Hypomania; Mixed features; Patient-centered approach; Psychotherapy; Suicide