Mania, psychosis, and antipsychotics.
Although psychotic symptoms often occur in the manic phase of bipolar disorder, psychotic mania has been and continues to be frequently misdiagnosed as schizophrenia or other psychotic illnesses. In addition, the role of antipsychotic agents in the acute and maintenance treatment of psychotic mania remains unclear. In this paper, we present an overview of studies of psychosis in mania. We also review studies of conventional and newer antipsychotic agents in the acute and maintenance treatment of psychotic mania to help clarify the role of these agents in treating this illness.
McElroy
S L
SL
Department of Psychiatry, University of Cincinnati College of Medicine, OH 45267-0559, USA.
Keck
P E
PE
Strakowski
S M
SM
D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001714:Bipolar Disorder / Q000188:drug therapy* / Q000517:prevention & control / Q000523:psychology; D003024:Clozapine / Q000627:therapeutic use; D006801:Humans; D011379:Prognosis; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D018967:Risperidone / Q000627:therapeutic use; D012720:Severity of Illness Index
D014150:Antipsychotic Agents; D003024:Clozapine; D018967:Risperidone