PSYCH 114: Mood Disorders - Pharmacologic Treatment of Depression and Bipolar Disorders
Medlock Holmes enters the Grand Pharmacological Observatory of Mood.
At its centre stands an enormous control table.
Two major pathways emerge from it.
One is labelled:
MAJOR DEPRESSIVE DISORDER
The other:
BIPOLAR DISORDER
At first, the pathways appear similar.
Both contain depression.
Both contain impaired function.
Both may involve suicidality, anxiety, sleep disturbance, and psychotic features.
But Holmes quickly discovers that the treatment logic is very different.
The first lesson is therefore diagnostic.
Before prescribing an antidepressant, the clinician must ask whether the apparent…
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