Surviving manic depression A manual on bipolar disorder for patients, families, and providers

E. Fuller Torrey, 1937-

Book - 2002

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New York : Basic Books 2002.
Main Author
E. Fuller Torrey, 1937- (-)
Other Authors
Michael B. Knable (-)
Physical Description
395 p.
Includes bibliographical references and index.
  • Preface: Manic Depression or Bipolar Disorder?
  • Acknowledgments
  • 1. Dimensions of Manic-Depressive Illness
  • How Many People in the United States Have Manic-Depressive Illness?
  • How Many People Are Being Treated?
  • Do Some Groups Have More Than Others? The Hutterites and the Amish
  • What Is the Prevalence of Manic-Depressive Illness in Other Countries?
  • Has Manic-Depressive Illness Always Existed?
  • Is Manic-Depressive Illness Increasing?
  • What Is the Cost of Manic-Depressive Illness?
  • 2. The Inner World: Mania and Depression From the Inside
  • Mania
  • Depression
  • Mixed States
  • Awareness of Illness
  • 3. The Outer Worlds: Manic-Depressive Illness Defined
  • Official Definitions
  • Are Unipolar Depression and Manic-Depressive Illness One Disease or Two?
  • Where Does Manic-Depressive Illness End and Normal Mood Swings Begin?
  • What Is the Relationship of Manic-Depressive Illness to Schizoaffective Disorder and Schizophrenia?
  • 4. Conditions Sometimes Confused with Manic-Depressive Illness
  • Mania Caused by Street Drugs
  • Mania Caused by Prescription, Over-the-Counter, and Herbal medications
  • Mania Caused by Infections
  • Mania Caused by Head Injuries
  • Mania Associated with Other Brain Disorders
  • Mania Associated with Other Illnesses
  • What Does Secondary Mania Tell Us About Brain Localization?
  • Manic-Like Behavior in Culture-Bound Syndromes
  • What Is an Adequate Diagnostic Workup?
  • 5. Risk Factors for Developing Manic-Depressive Illness
  • Winter Birth
  • Summer Onset
  • Urban Birth
  • Pregnancy and Birth Complications
  • Prenatal Famine
  • Prenatal Exposure to Influenza
  • Severe Stressors in Childhood
  • Social Class
  • 6. Onset, Course, and Outcome
  • Factors Affecting Course
  • Rapid Cycling and Seasonal Affective Disorder
  • Outcomes and Their Predictors
  • Stress as a Risk Factor for Relapse
  • Causes of Death
  • 7. Causes
  • Studies of Brain Structure
  • Studies of Brain Function
  • Genetic Studies
  • Neurochemical Studies
  • Studies of Infections and Immunological Factors
  • Disturbances in Body Rhythms
  • Endocrine Dysfunction
  • Kindling and Stress
  • 8. Medications: Mood Stabilizers
  • Lithium
  • Valproate (Depakote, Depakene)
  • Carbamazepine (Tegretol)
  • Lamotrigine (Lamictal)
  • Topiramate (Topamax)
  • Gabapentin (Neurontin)
  • Calcium Channel Blockers
  • Essential Fatty Acids
  • 9. Medications: Antidepressants, Antipsychotics, and Benzodiazapines
  • Antidepressants
  • Selective Serotonin Reuptake Inhibitors (SSRIs)
  • Burproprion and Other New Antidepressants
  • Tricyclic Antidepressants
  • Monoamine Oxidase Inhibitors (MAOIs)
  • Stimulants
  • Thyroid Supplementation
  • St. John's Wort and Other Herbal Remedies
  • Switch Rate
  • Antipsychotics
  • First-Generation, or Typical, Antipsychotics
  • Second-Generation, or Atypical, Antipsychotics
  • Benzodiazepines
  • 10. Medications: Treatment Strategies
  • Treatments for the Different Phases of Manic-Depressive Illness
  • Acute Mania
  • Depression
  • Rapid Cycling
  • Maintenance Treatment
  • Frequently Asked Questions About Medications
  • Do I Really Need to Take All of These Medications?
  • Do I Need to Take These Medications for the Rest of My Life?
  • What If I Am Pregnant or Breast-Feeding?
  • Should Treatment Be Different for the Very Old and the Very Young?
  • 11. Nonmedication Aspects of Treatment
  • Finding a Good Doctor
  • Building a Support Network
  • Psychotherapy
  • Reducing Stress
  • Mood Charts
  • Electroconvulsive Therapy
  • Insurance Issues
  • SSI and SSDI
  • 12. Manic-Depressive Illness in Children and Adolescents
  • Clinical Aspects
  • Diagnostic Aspects
  • Treatment Aspects
  • 13. Ten Special Problems
  • Concurrent Alcohol and Drug Abuse
  • Assaultive and Violent Behavior
  • Medication Noncompliance
  • Assisted Treatment
  • Homelessness
  • Arrests and Jailings
  • Suicide
  • Sex and AIDS
  • Confidentiality
  • The Seduction of Mania
  • 14. Manic-Depressive Illness and Creativity
  • Biographical Studies of Mental Illness in Creative People
  • Studies of Psychiatric Illness in Living Artists
  • Mental Illness and Creativity in Relatives
  • Direct Measurements of Creativity in People with Mental Illness
  • The Effects of Psychotropic Medications on Creativity
  • 15. Commonly Asked Questions
  • Should I Tell People?
  • What Are the Chances That Other Family Members Will Get Manic-Depressive Illness?
  • How Does It Affect Family Members?
  • How Does It Affect Siblings?
  • How Does It Affect Spouses?
  • How Does It Affect Children?
  • 16. Issues for Advocates
  • Advocacy Organizations
  • Scientologists, Antipsychiatrists, and "Consumer Survivors"
  • Research Funding and the National Institute of Mental Health
  • Stigma and Public Education
  • Exemplary Individual Advocates
  • Appendix A. Review of Books
  • Appendix B. Selected Websites
  • Appendix C. Review of Videotapes
  • Appendix D. Useful Resources
  • Notes
  • Index
Review by Choice Review

Torrey (Uniformed Services Univ. of the Health Sciences) and Knable (George Washington Univ. Hospital) offer a comprehensive look at the psychiatric condition of manic depression. They include statistics, a description of the condition, related conditions that mimic manic depression, risk factors, causes, onset, course, and outcome. An excellent section describes medications that may be prescribed, their appropriate uses, and side effects. Commonly asked questions and descriptions of the effects of manic depression on children, adolescents, and creativity round out the content of the book. Fact sheets offer synopses of pertinent information throughout. With both general and detailed information, it is a handbook in the finest sense of the word, gathering information about the course of the disease from many sources into one place. Also included are quotes from other authors who have survived manic depression, which illustrate in easy-to-understand terms the clinical information presented and discussed. Four appendixes include reviews of books for further reading, Web sites and their content descriptions, a list of videos with descriptions, and listings of support groups and contact information. Recommended for anyone interested in manic depression, and for all libraries. All levels. D. Sibley University of Massachusetts Medical School

Copyright American Library Association, used with permission.
Review by Booklist Review

Torrey and Knable, long active in the research and treatment of manic depression, present an informative, clearly written, cogently presented advisor. Very saliently, they examine the reasons for the lack of treatment for many sufferers and discuss changes in the definition of the disease over the years, showing how those have at times hampered understanding. In their coverage of risk factors and causes, they caution that much information currently presented as fact isn't based on solid studies, and the information they furnish on treatments details many different types of drugs (and their side effects) as well as nonmedicational approaches. The patient-oriented physician, they say, will combine those types of therapeutics to best suit each patient. Emphasizing that alcohol, drugs, and homelessness exacerbate manic depression, they note advocacy organizations and point out their good and bad features, plead for advocates from among patients, and suggest that a modern Dorothea Dix could be greatly helpful. Of course, they deem increased research funding vital. An important book that may be useful for years. --William Beatty

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

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. (c) Copyright PWxyz, LLC. All rights reserved

(c) Copyright PWxyz, LLC. All rights reserved
Review by Library Journal Review

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 (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.