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Treatment pathways for bipolar disorder in the USA and Europe: convergence or divergence?

Published online by Cambridge University Press:  16 April 2020

Charles Bowden  and
Patrice Boyer
Charles Bowden*
Affiliation:
University of Texas Health Science Center, San Antonio, TX, USA
Patrice Boyer
Affiliation:
Pavillon Clerambault, UMR 7593 CNRS, Hôpital de la Salpétrière, Paris, France
*
*Corresponding author. bowdenc@uthsca.edu (C. Bowden).
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Extract

Mood stabilising therapy is the cornerstone of treatment for bipolar disorder, a disease that is commonly associated with disabling psychosocial morbidity [37,11]. A variety of drugs have been approved for use in bipolar disorder, thus providing a wide array of options for clinicians when deciding on a course of treatment [28]. In order to assist clinical decision-making, facilitate optimal quality of care and reduce unnecessary variation in clinical practice, several clinical practice guidelines and treatment algorithms have been developed [4,19,20,21]. As well as similarities, there are some differences between guidelines developed from an American perspective and those developed from a European perspective [4,19], and there is a pervasive view in the clinical community that treatment of patients with bipolar disorder differs substantially between the United States (US) and Europe. This article discusses what is known about the similarities and differences of treatment practices for bipolar disorder between the US and Europe.

Type
Research Article
Information
European Psychiatry , Volume 18 , Issue S1 , December 2003 , pp. 19s - 24s
Copyright
Copyright © European Psychiatric Association 2003

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