TY - JOUR
T1 - Bipolar disorder - A focus on depression
AU - Frye, Mark A.
PY - 2011/1/6
Y1 - 2011/1/6
N2 - A 26-year-old businesswoman seeks evaluation for a pattern of "hibernating away" each winter; this pattern began when she was in high school. Her current symptoms include excessive sleeping, a 20-lb (9-kg) weight gain related to an increased intake of sweets and excessive alcohol use, anhedonia, lack of motivation, negative ruminations, and decreased productivity at work. She reports a history of several-week periods in college when she had less need for sleep, with associated increases in mood, energy, and libido. During the last episode, she exceeded her credit-card limit and was evaluated at an emergency department for alcohol intoxication. How should she be evaluated and treated?
AB - A 26-year-old businesswoman seeks evaluation for a pattern of "hibernating away" each winter; this pattern began when she was in high school. Her current symptoms include excessive sleeping, a 20-lb (9-kg) weight gain related to an increased intake of sweets and excessive alcohol use, anhedonia, lack of motivation, negative ruminations, and decreased productivity at work. She reports a history of several-week periods in college when she had less need for sleep, with associated increases in mood, energy, and libido. During the last episode, she exceeded her credit-card limit and was evaluated at an emergency department for alcohol intoxication. How should she be evaluated and treated?
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U2 - 10.1056/NEJMcp1000402
DO - 10.1056/NEJMcp1000402
M3 - Article
C2 - 21208108
AN - SCOPUS:78650913180
SN - 0028-4793
VL - 364
SP - 51
EP - 59
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 1
ER -