Unmet Needs in Psychiatry: Bipolar Depression
Depressive phases of bipolar disorders (BD) present major challenges for treatment and comprehensive clinical management. They are the main component of psychiatric morbidity in BD, even with treatment, and are associated with excess morbidity and mortali
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New Directions in Psychiatry
Maurizio Pompili Roger McIntyre • Andrea Fiorillo Norman Sartorius Editors
New Directions in Psychiatry
Editors Maurizio Pompili Department of Neurosciences Mental Health and Sensory Organs Sapienza University of Rome Rome Italy Andrea Fiorillo Department of Psychiatry University of Campania “L. Vanvitelli” Naples Italy
Roger McIntyre University Health Network University of Toronto Toronto, ON Canada Norman Sartorius Association for the Improvement of Mental Health Programmes (AMH) Geneva, Geneve Switzerland
ISBN 978-3-030-42636-1 ISBN 978-3-030-42637-8 (eBook) https://doi.org/10.1007/978-3-030-42637-8 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Despite efforts spent on caring for psychiatric patients and treating mental disorders, there are still many unmet needs in several domains of major mental disorders, including affective unipolar and bipolar disorders, schizophrenia, and suicide risk. For example, misdiagnosis, treatment resistance, noncompliance, and adverse effects are some of the more frequently reported unmet needs in clinical practice. Moreover, psychiatric practice is undergoing major changes, following the recent advances in science, society, and medicine. Many of these changes are common to other medical disciplines, but many others are specific to psychiatry, and these are fully addressed in one of this book’s chapters. As regards the unmet needs, it has been repeatedly shown that the needs of patients, relatives, the community at large, and those of the governmental bodies only partially overlap. For instance, patients in their families are more concerned about the quality of
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