Journal article

The case for improved care and provision of treatment for people with first-episode mania

Sameer Jauhar, Aswin Ratheesh, Christopher Davey, Lakshmi N Yatham, Patrick D McGorry, Phillip McGuire, Michael Berk, Allan H Young

The Lancet Psychiatry | ELSEVIER SCI LTD | Published : 2019


The care of people with first-episode mania has been overlooked in comparison with the care of patients with other non-affective psychoses, despite evidence suggesting targeted treatments might be of benefit for this patient group. In this Personal View, we outline the general epidemiology of first-episode mania in the context of bipolar disorder, the natural history of mania (with an emphasis on its recurrent nature), current evidence for pharmacological, psychological, and service-level interventions, current guidelines for the treatment of first-episode mania, and provide a patient's point of view of the care pathway (appendix). We note the paucity of high-quality evidence for interventio..

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