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Psychiatric Quarterly
Published in: Psychiatric Quarterly 2/2008

01-06-2008 | Original Paper

Comorbid Anxiety in Bipolar Disorder Alters Treatment and Prognosis

Authors: Rif S. El-Mallakh, Michael Hollifield

Published in: Psychiatric Quarterly | Issue 2/2008

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Abstract

Mood disorders in general, and bipolar disorder in particular, are unique among the psychiatric conditions in that they are associated with extraordinarily high rates of comorbidity with a multitude of psychiatric and medical conditions. Among all the potential cormobidities, co-occurring anxiety disorders stand out due to their very high prevalence. Outcome in bipolar illness is worse in the presence of a comorbid anxiety disorder. The coexistence of an anxiety disorder presents a particularly difficult challenge in the treatment of bipolar illness since antidepressants, the mainstay of pharmacologic treatments for anxiety, may adversely alter the course of manic-depression. Identification of anxiety disorders in bipolar patients is important. The treatment plan needs to balance the potential benefit and harm of antidepressant administration.
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Metadata
Title
Comorbid Anxiety in Bipolar Disorder Alters Treatment and Prognosis
Authors
Rif S. El-Mallakh
Michael Hollifield
Publication date
01-06-2008
Publisher
Springer US
Published in
Psychiatric Quarterly / Issue 2/2008
Print ISSN: 0033-2720
Electronic ISSN: 1573-6709
DOI
https://doi.org/10.1007/s11126-008-9071-5

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