title: A brief motivational intervention for preventing medication-associated weight gain among youth with bipolar disorder: treatment development and case report.
abstract: Bipolar disorder (BP) in youth is an impairing psychiatric disorder associated with high rates of relapse and recurrence. High rates of psychiatric and medical co-morbidities account for additional illness burden in pediatric BP. The elevated risk of overweight and obesity in this population is of particular concern. One of the likely etiologies for weight gain in youth with BP is use of mood-stabilizing medications. Although these medications can be effective for mood stabilization, excessive weight gain is a common side effect. Obesity is associated with a host of medical problems and is also correlated with worse psychiatric outcomes in BP, rendering the prevention of weight gain in this population particularly clinically relevant. In this article, we describe the rationale and development of a brief motivational intervention for preventing weight gain among youth with BP initiating mood-stabilizing pharmacological treatment and then present a case example illustrating the principles of the intervention.
authors.affiliation: Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA. goldsteintr@upmc.edu
authors.forename: Tina R
authors.initials: TR
authors.lastname: Goldstein
authors.forename: Benjamin I
authors.initials: BI
authors.lastname: Goldstein
authors.forename: Michael B
authors.initials: MB
authors.lastname: Mantz
authors.forename: Bridget
authors.initials: B
authors.lastname: Bailey
authors.forename: Antoine
authors.initials: A
authors.lastname: Douaihy
mesh_terms: D000293:Adolescent; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009042:Motivation; D009765:Obesity / Q000139:chemically induced / Q000517:prevention & control; D050177:Overweight / Q000139:chemically induced / Q000517:prevention & control; D011614:Psychotherapy, Brief / Q000379:methods*; D012306:Risk; D015430:Weight Gain / Q000187:drug effects
chemical_list: D014150:Antipsychotic Agents