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Treating Bipolar and Alcohol Use Disorders: Break ...
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The document discusses the treatment of bipolar disorder and alcohol use disorders, with a focus on the epidemiology, clinical consequences, and treatment options. It is an initiative by the American Psychiatric Association (APA) and Substance Abuse and Mental Health Services Administration (SAMHSA). The document highlights the prevalence of alcohol use disorders in individuals with serious mental illness and the need for integrated care.<br /><br />According to the document, more than 1 in 4 individuals with serious mental illness have a substance use disorder, and bipolar disorder is the most prevalent serious mental illness with comorbid alcohol use disorder. The document also discusses the impact of comorbidity, including increased severity of symptoms, rapid cycling, suicidality, and decreased functional outcomes.<br /><br />Treatment options for individuals with bipolar disorder and alcohol use disorders include pharmacological and psychotherapeutic approaches. Some pharmacological treatments mentioned in the document are valproate and naltrexone, which have been shown to improve alcohol outcomes in individuals with bipolar disorder. Psychotherapy approaches, such as Integrated Group Therapy, have also been found to be effective in reducing substance use.<br /><br />The document emphasizes the importance of an integrated model of care, with collaboration between different treatment teams and addressing medical comorbidities. Early psychosocial treatment and consideration of maintenance pharmacological treatment for alcohol use disorder are also highlighted. The document also acknowledges the lack of research on the treatment of bipolar disorder and alcohol use disorder in racial and ethnic minority populations and calls for more studies and cultural competency training.<br /><br />Overall, the document provides an overview of the epidemiology, clinical consequences, and treatment options for individuals with bipolar disorder and alcohol use disorders, with an emphasis on the need for integrated care and further research in this area.
Keywords
bipolar disorder
alcohol use disorders
epidemiology
clinical consequences
treatment options
comorbidity
pharmacological treatments
psychotherapeutic approaches
integrated model of care
research
Funding for SMI Adviser was made possible by Grant No. SM080818 from SAMHSA of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, SAMHSA/HHS or the U.S. Government.
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