Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers

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Surviving Manic Depression is the most comprehensive, up-to-date book on the disorder that affects more than two million people in the United States alone. Based on the latest research, it provides detailed coverage of every aspect of the disorder.All aspects of the disease are addressed: symptoms, with many direct descriptions from patients themselves, risk factors, onset and cause, medications (including drugs still in the testing stage), causes, psychotherapy, and rehabilitation and how the disease affects ...
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Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families, and Providers

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Surviving Manic Depression is the most comprehensive, up-to-date book on the disorder that affects more than two million people in the United States alone. Based on the latest research, it provides detailed coverage of every aspect of the disorder.All aspects of the disease are addressed: symptoms, with many direct descriptions from patients themselves, risk factors, onset and cause, medications (including drugs still in the testing stage), causes, psychotherapy, and rehabilitation and how the disease affects children and adolescents. Here too are discussions of special problems related to manic-depressive disorder, including alcohol and drug abuse, violent behavior, medication noncompliance, suicide, sex, AIDS, and confidentiality. Surviving Manic Depression also includes special features such as a listing of selected websites, videotapes, and other resources.
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Editorial Reviews

Publishers Weekly
A lucid, thorough guide to every aspect of living with bipolar disorder, Surviving Manic Depression: A Manual on Bipolar Disorder for Patients, Families and Providers covers symptoms, treatment and advocacy. E. Fuller Torrey (Surviving Schizophrenia), psychiatry professor and Treatment Advocacy Center president, and psychiatry instructor Michael B. Knable explain what mania and depression feel like from the inside, the causes and risk factors, the range of possible medications and treatments, and 10 special problems for manic depressives like alcohol abuse and medical noncompliance. There's also a section on bipolar disorder in children and a list of frequently asked questions. This is a valuable resource for anyone touched by the illness. Copyright 2001 Cahners Business Information.
Library Journal
Torrey, one of the world's leading authorities on schizophrenia and an advocate for the care of the severely mentally ill, here does for manic depression what he has done for schizophrenia in successive editions of this book's companion volume, Surviving Schizophrenia (Quill, 2001) that is, he provides a comprehensive treatise on the condition's etiology, symptoms, and treatment. Moreover, Torrey and Knable (psychiatry, George Washington Univ. Hosp.) manage to convey the complexities of the subject without overwhelming or confusing the lay reader. The authors are clearly mainstream in their view of manic depression as an organic brain disease requiring medication to control symptoms. They thoroughly cover various medications, their side effects, and suggestions for maintaining compliance and controlling side effects. Of particular interest are the extensive appendixes listing and describing books, web sites, videos, and other resources on bipolar disorder. Unlike most such lists, this one describes and rates the material listed. By far the best general book available on the subject, this is highly recommended for all public and academic libraries. Mary Ann Hughes, Neill P.L., Pullman, WA Copyright 2001 Cahners Business Information.
From The Critics
The term bipolar disorder was an unfortunate choice, say the researchers with the Stanley Foundation, but it did distinguish between people who suffer simple depression from those who also undergo manic episodes; they substitute the term manic depression. In non-technical language, they describe its incidence; what it looks like from the inside and the outside; risk factors; onset, course, and outcome; causes; medications; nonmedical aspects of treatment; and other topics. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780465086641
  • Publisher: Basic Books
  • Publication date: 2/28/2005
  • Edition description: Reprint
  • Pages: 432
  • Sales rank: 447,233
  • Product dimensions: 5.36 (w) x 8.02 (h) x 1.12 (d)

Meet the Author

E. Fuller Torrey, M.D., is president of the Treatment Advocacy Center and Executive Director of the Stanley Foundation Research Programs. He is also Professor of Psychiatry at the Uniformed Services University of the Health Sciences. His books include Schizophrenia and Manic-Depressive Disorder, Out of the Shadows, Nowhere to Go, and Surviving Schizophrenia. He lives in Bethesda, Maryland.

Michael B. Knable, D.O., is Medical Director of the Stanley Foundation Research Programs and is Clinical Instructor in Neurology and Psychiatry at the George Washington University School of Medicine in Washington, D.C. He lives in Chevy Chase, Maryland.

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Table of Contents

Preface: Manic Depression or Bipolar Disorder? xv
Acknowledgments xix
1 Dimensions of Manic-Depressive Illness 1
How Many People in the United States Have Manic-Depressive Illness? 2
How Many People Are Being Treated? 4
Do Some Groups Have More Than Others? The Hutterites and the Amish 5
What Is the Prevalence of Manic-Depressive Illness in Other Countries? 8
Has Manic-Depressive Illness Always Existed? 9
Is Manic-Depressive Illness Increasing? 13
What Is the Cost of Manic-Depressive Illness? 15
2 The Inner World: Mania and Depression From the Inside 19
Mania 21
Depression 31
Mixed States 38
Awareness of Illness 41
3 The Outer Worlds: Manic-Depressive Illness Defined 45
Official Definitions 45
Are Unipolar Depression and Manic-Depressive Illness One Disease or Two? 52
Where Does Manic-Depressive Illness End and Normal Mood Swings Begin? 56
What Is the Relationship of Manic-Depressive Illness to Schizoaffective Disorder and Schizophrenia? 57
4 Conditions Sometimes Confused with Manic-Depressive Illness 63
Mania Caused by Street Drugs 63
Mania Caused by Prescription, Over-the-Counter, and Herbal medications 67
Mania Caused by Infections 70
Mania Caused by Head Injuries 72
Mania Associated with Other Brain Disorders 74
Mania Associated with Other Illnesses 75
What Does Secondary Mania Tell Us About Brain Localization? 76
Manic-Like Behavior in Culture-Bound Syndromes 77
What Is an Adequate Diagnostic Workup? 78
5 Risk Factors for Developing Manic-Depressive Illness 83
Winter Birth 84
Summer Onset 86
Urban Birth 87
Pregnancy and Birth Complications 88
Prenatal Famine 89
Prenatal Exposure to Influenza 89
Severe Stressors in Childhood 90
Social Class 92
6 Onset, Course, and Outcome 95
Factors Affecting Course 96
Rapid Cycling and Seasonal Affective Disorder 98
Outcomes and Their Predictors 100
Stress as a Risk Factor for Relapse 103
Causes of Death 104
7 Causes 107
Studies of Brain Structure 108
Studies of Brain Function 113
Genetic Studies 116
Neurochemical Studies 121
Studies of Infections and Immunological Factors 126
Disturbances in Body Rhythms 129
Endocrine Dysfunction 130
Kindling and Stress 133
8 Medications: Mood Stabilizers 137
Lithium 137
Valproate (Depakote, Depakene) 149
Carbamazepine (Tegretol) 151
Lamotrigine (Lamictal) 154
Topiramate (Topamax) 157
Gabapentin (Neurontin) 158
Calcium Channel Blockers 159
Essential Fatty Acids 161
9 Medications: Antidepressants, Antipsychotics, and Benzodiazapines 163
Antidepressants 163
Selective Serotonin Reuptake Inhibitors (SSRIs) 164
Burproprion and Other New Antidepressants 167
Tricyclic Antidepressants 169
Monoamine Oxidase Inhibitors (MAOIs) 170
Stimulants 173
Thyroid Supplementation 175
St. John's Wort and Other Herbal Remedies 175
Switch Rate 176
Antipsychotics 177
First-Generation, or Typical, Antipsychotics 177
Second-Generation, or Atypical, Antipsychotics 180
Benzodiazepines 185
10 Medications: Treatment Strategies 189
Treatments for the Different Phases of Manic-Depressive Illness 189
Acute Mania 190
Depression 191
Rapid Cycling 191
Maintenance Treatment 192
Frequently Asked Questions About Medications 192
Do I Really Need to Take All of These Medications? 192
Do I Need to Take These Medications for the Rest of My Life? 193
What If I Am Pregnant or Breast-Feeding? 194
Should Treatment Be Different for the Very Old and the Very Young? 200
11 Nonmedication Aspects of Treatment 203
Finding a Good Doctor 203
Building a Support Network 206
Psychotherapy 207
Reducing Stress 212
Mood Charts 213
Electroconvulsive Therapy 214
Insurance Issues 215
SSI and SSDI 217
12 Manic-Depressive Illness in Children and Adolescents 221
Clinical Aspects 222
Diagnostic Aspects 225
Treatment Aspects 228
13 Ten Special Problems 233
Concurrent Alcohol and Drug Abuse 233
Assaultive and Violent Behavior 237
Medication Noncompliance 240
Assisted Treatment 244
Homelessness 248
Arrests and Jailings 251
Suicide 253
Sex and AIDS 258
Confidentiality 259
The Seduction of Mania 263
14 Manic-Depressive Illness and Creativity 267
Biographical Studies of Mental Illness in Creative People 269
Studies of Psychiatric Illness in Living Artists 272
Mental Illness and Creativity in Relatives 274
Direct Measurements of Creativity in People with Mental Illness 275
The Effects of Psychotropic Medications on Creativity 276
15 Commonly Asked Questions 279
Should I Tell People? 279
What Are the Chances That Other Family Members Will Get Manic-Depressive Illness? 281
How Does It Affect Family Members? 283
How Does It Affect Siblings? 286
How Does It Affect Spouses? 287
How Does It Affect Children? 288
16 Issues for Advocates 293
Advocacy Organizations 294
Scientologists, Antipsychiatrists, and "Consumer Survivors" 295
Research Funding and the National Institute of Mental Health 297
Stigma and Public Education 299
Exemplary Individual Advocates 301
Appendix A Review of Books 307
Appendix B Selected Websites 329
Appendix C Review of Videotapes 333
Appendix D Useful Resources 337
Notes 341
Index 379
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Customer Reviews

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  • Anonymous

    Posted February 4, 2010

    Great Book

    When I was first diagnosed as bipolar, I didn't really have an understanding as to what exactly that ment. All I know was what I felt. Reading this book opened my eyes to what exactly was going on with me and made me realize that I am not alone, there are others who felt the same way I did. I highly recommend this book for a better understanding of what a person with manic depression goes through.

    1 out of 2 people found this review helpful.

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  • Anonymous

    Posted July 12, 2013

    Highly Recommended - great detailed information

    This is the second book I have read by E Fuller Torey. He is a master at describing mental illness and all of its aspects and treatments. Very good discussion of treatment pros and cons as well as related studies. Only problem with the Nook format is that the table text is so small it is unreadable, and I could not find any way to enlarge it. So, if you want this book as a permanent reference (it is the best on the subject as far as I am concerned), then get the print edition. GREAT BOOK!

    Was this review helpful? Yes  No   Report this review
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