title: Weight gain with atypical antipsychotic drugs in bipolar disorder.
abstract: Diana is a 21-year-old student who lives with her parents. She had been enrolled in college but has taken a temporary leave of absence due to the instability of her bipolar disorder. Since being diagnosed at age 18, Diana's treatment team has been unable to find a medication regimen that would maintain her stability. She has had several breakthrough manic episodes that resulted in significant risky and inappropriate behaviors on campus. The cognitive, motivational, and energy limitations of depression left her unable to keep up with school requirements. Dr. Spiker, her regular psychiatrist, prescribed olanzapine Zyprexa 5 mg. Both Diana and Dr. Spiker are concerned about potential weight gain but consider this intervention necessary, as other medication trials have been unsuccessful.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Callan
authors.forename: Robert H
authors.initials: RH
authors.lastname: Howland
authors.forename: Kathryn
authors.initials: K
authors.lastname: Puskar
mesh_terms: D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D001569:Benzodiazepines / Q000009:adverse effects* / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000188:drug therapy / Q000451:nursing*; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D004645:Empathy; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008612:Menu Planning; D000077152:Olanzapine; D010348:Patient Care Team; D020377:Self Efficacy; D012944:Social Support; D015430:Weight Gain / Q000187:drug effects*; D055815:Young Adult
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D000077152:Olanzapine