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Identification of Prodromal Signs and Symptoms and Early Intervention in Manic Depressive Psychosis Patients: A Case Example

Published online by Cambridge University Press:  16 June 2009

Alison Perry ,
Nicholas Tarrier  and
Richard Morriss
Alison Perry
Affiliation:
University Hospital of South Manchester
Nicholas Tarrier
Affiliation:
University Hospital of South Manchester
Richard Morriss
Affiliation:
Royal Preston Hospital
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Abstract

Recent research has revealed that relapse in manic depressive psychosis and schizophrenia is preceded by specific prodromal signs and symptoms that include dysphoria, other non-psychotic symptoms and features unique to individual patients. Treatment studies in schizophrenia have shown that early pharmacological intervention during a prodromal phase of psychotic relapse may be effective in the prevention of hospitalization. This paper describes the procedure of prodromal signs identification in manic depressive psychosis and the negotiation of an appropriate plan of action with the mental health services in order to abort the relapse or reduce its severity through early pharmacological intervention. A case example is presented to demonstrate this approach.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 23 , Issue 4 , October 1995 , pp. 399 - 409
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1995

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References

Birchwood, M., MacMillan, F. and Smith, J. (1992). Early signs of relapse in schizophrenia: monitoring methodology. In Kavanagh, D. (Ed). Schizophrenia: an interdisciplinary handbook. London: Chapman and Hall.Google Scholar
Birchwood, M., Smith, J., MacMillan, F., Hogg, B., Prased, R., Harvey, C. and Bering, S. (1989). Predicting relapse in schizophrenia: the development and implementation of an early signs monitoring system using patients and families as observers. Psychological Medicine 19, 649–656.CrossRefGoogle ScholarPubMed
Birchwood, M. and Tarrier, N. (Eds). (1994). Psychological management of schizophrenia. Chichester: Wiley & Sons.Google Scholar
Bunney, W. E., Murphy, D. L., Goodwin, F. K. and Borge, G. F. (1972). The “switch process” in manic-depressive illness: I. A systematic study of sequential behaviour change. Archives of General Psychiatry 27, 295–302.CrossRefGoogle Scholar
Carlson, G. A. and Goodwin, F. K. (1973). The stages of mania: a longitudinal analysis of the manic episode. Archives of General Psychiatry 28, 221–228.CrossRefGoogle Scholar
Carpenter, W. T., Hanlon, T. E., Heinrichs, D. W., Summerfelt, A. T., Kirkpatrick, B., Levine, J. and Buchanan, R. W. (1990). Continuous versus targeted medication in schizophrenic outpatients: outcome results. American Journal of Psychiatry 147, 1138–1148.Google ScholarPubMed
Coryell, W., Keller, M., Endicott, J., Andreasen, N., Clayton, P. and Hirschfield, R. (1989). Bipolar II illness: course and outcome over a five year period. Psychological Medicine 19, 129–141.CrossRefGoogle ScholarPubMed
Goodwin, F. K. and Jamison, K. R. (1990). Manic-depressive illness. New York: Oxford University Press.Google Scholar
Harrow, M., Goldberg, J. F., Grossman, L. S. and Meltzer, H. Y. (1990). Outcome in manic disorders. A naturalistic follow-up study. Archives of General Psychiatry 47, 665–671.CrossRefGoogle ScholarPubMed
Hertz, M. I. and Melville, C. (1980). Relapse in schizophrenia. American Journal of Psychiatry 137, 801–805.Google Scholar
Hirsch, S. R. and Jolley, A. G. (1989). The dysphoric syndrome in schizophrenia and its implications for relapse. British Journal of Psychiatry 155, (suppl. 5), 46–50.CrossRefGoogle Scholar
Jolley, A. G., Hirsch, S. R., McRink, A. and Manchanda, R. (1989). Trial of brief intermittent neuroleptic prophylaxis for selected schizophrenic outpatients: clinical outcome at one year. British Medical Journal 298, 985–990.CrossRefGoogle ScholarPubMed
Jolley, A. G., Hirsch, S. R., Morrison, E., McRink, A. and Wilson, L. (1990). Trial of brief intermittent neuroleptic prophylaxis for selected schizophrenic outpatients: clinical and social outcome at two years. British Medical Journal 301, 837–842.CrossRefGoogle ScholarPubMed
Keller, M. B., Lavori, P. W., Coryell, W., Endicott, J. and Mueller, T. I. (1993). Bipolar 1: a five-year prospective follow-up. Journal of Nervous and Mental Disease 181 (4), 238–245.CrossRefGoogle Scholar
Kupfer, D. J., Frank, E. and Perel, J. M. (1989). The advantage of early treatment intervention in recurrent depression. Archives of General Psychiatry 46, 771–775.Google ScholarPubMed
Miklowitz, D. J. (1992). Longitudinal outcome and medication noncompliance among manic patients with and without mood-incongruent psychotic features. Journal of Nervous and Mental Disease 180 (11), 703–711.CrossRefGoogle ScholarPubMed
Molnar, G., Feeney, M. G. and Fava, G. A. (1988). Duration and symptoms of bipolar prodromes. American Journal of Psychiatry 145 (12), 1576–1578.Google ScholarPubMed
Morriss, R. K. (1992). Interviewing skills and the detection of psychiatric problems. International Review of Psychiatry 4, 287–292.CrossRefGoogle Scholar
O'Connell, R. A., Mayo, J. A., Flatow, E., Cuthbertson, B. and O'Brien, B. E. (1991). Outcome of bipolar disorder on long term treatment with lithium. British Journal of Psychiatry 159, 123–129.CrossRefGoogle ScholarPubMed
Post, R. M., Ballenger, R. C., Rey, A. C. and Bunney, W. E. (1981). Slow and rapid onset of manic episodes: implications for underlying biology. Psychiatry Research 4, 229–237.CrossRefGoogle ScholarPubMed
Roy-Byrne, P., Post, R. M., Uhde, T. W., Porcu, T. and Davis, D. (1985). The longitudinal course of recurrent affective illness: life chart data from research patients at the NIMH. Acta Psychiatrica Scandinavica 71 (Suppl 317), 1–34.CrossRefGoogle Scholar
Sclare, P. and Creed, F. (1990). Life events and the onset of mania. British Journal of Psychiatry 156, 508–514.CrossRefGoogle ScholarPubMed
Smith, J. A. and Tarrier, N. (1992). Prodromal symptoms in manic depressive psychosis. Social Psychiatry and Psychiatric Epidemiology 27, 245–248.CrossRefGoogle ScholarPubMed
Tarrier, N., Barrowclough, C. and Bamrah, J. (1991). Prodromal signs of relapse in schizophrenia. Social Psychiatry and Psychiatric Epidemiology 26, 157–161.CrossRefGoogle ScholarPubMed
Tohen, M., Waternaux, C. M. and Tsuang, M. T. (1990). Outcome in mania: a 4–year prospective follow-up of 75 patients utilising survival analysis. Archives of General Psychiatry 47, 1106–1111.CrossRefGoogle Scholar
World Health Organisation (1992). The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organisation.Google Scholar
Young, M. A. and Grabler, P. (1985). Rapidity of symptom onset in depression. Psychiatry Research 16, 309–315.CrossRefGoogle ScholarPubMed
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