title: Early intervention in bipolar disorder, part I: clinical and imaging findings.
abstract: The concept of prevention is not new to psychiatry and has long been recognized in general medicine. Recent evidence has highlighted that early pharmacological and psychosocial treatment dramatically ameliorates poor prognosis and outcome for individuals with psychotic disorders, reducing conversion rates to full-blown illness and decreasing symptom severity. Nevertheless, despite the many recent advances in our thinking about early intervention, the need for early intervention in bipolar disorder (BPD) is an area that has been relatively neglected. This review attempts to synthesize what is currently known about early intervention in BPD. We discuss methodological issues pertaining to this topic, review clinical studies that focus on high-risk subjects as well as first-episode patients and review findings from brain imaging studies in the offspring of individuals with BPD as well as in first-episode patients. A companion paper discusses the cellular and molecular mechanisms of action of agents with neurotrophic and neuroplastic properties, with a particular emphasis on lithium and valproate.
authors: Mood and Anxiety Disorders Program, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland 20892, USA.
authors: Giacomo
authors: G
authors: Salvadore
authors: Wayne C
authors: WC
authors: Drevets
authors: Ioline D
authors: ID
authors: Henter
authors: Carlos A
authors: CA
authors: Zarate
authors: Husseini K
authors: HK
authors: Manji
mesh_terms: D000293:Adolescent; D000328:Adult; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology / Q000523:psychology; D001921:Brain / Q000473:pathology / Q000503:physiopathology; D042241:Early Diagnosis; D006801:Humans; D012307:Risk Factors; D016896:Treatment Outcome; D055815:Young Adult