PSYCH 127A Chapter Notes - Chapter 5.9: Electroconvulsive Therapy, Valproate, Carbamazepine

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Continue to take between episodes --> less likely to relapse. Common among rapid cycling patients, those with mix of manic and depressed symptoms, and those with comorbid alcohol abuse. Compliance: ~1/2 do not take it regularly or stop taking it against advice due to negative side effects. Side effects: nausea, memory problems, weight gain, impaired coordination. E. g. carbamazepine (tegretol) or valproic acid (depakene) Valproic acid may be more effective than lithium for rapid cycling patients and those with mixed mania and depression symptoms in a single episode. Cognitive therapy can address reactions to stressful life events and reservations about taking medications. Interpersonal and social rhythm therapy - based on recognition that a repeated episode of mania or depression is often precipitated by stressful life events, disruptions in social rhythms, or failure to take medications. Emphasis on monitoring interaction between symptoms and social interactions. Lead more orderly lives esp for sleep wake cycles.

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