Published by
Norton (2016-06-20)
Current material
Final Pages
Original language


Not Fully Bipolar But Not Unipolar - Practical Management

by Phelps, James

How to understand your clients' true illnesses, not just their DSM checklists.

Though the DSM discusses the criteria for mood disorders in absolute terms?either present or absent?professionals are aware that while such dichotomies are useful for teaching, they are not always true in practice. Recent genetic data support clinicians' longstanding recognition that a continuum of mood disorders between unipolar and bipolar better matches reality than a yes/no, bipolar-or-not approach. If we acknowledge that continuum, how does this affect our approach to diagnosis and treatment?

In A Spectrum Approach to Mood Disorders, nationally recognized expert James Phelps provides an in-depth exploration of the signs, symptoms, and nuanced presentations of the mood disorder spectrum, focusing on the broad gray area between Major Depression and Bipolar I. Combining theoretical understanding and real-world scenarios, Phelps offers practical treatment guidelines for clinicians to better understand the subtle ways mood disorders can show up, and how to find the most beneficial path for treatment based on the patient's individual pattern of symptoms.

Is it trauma, or is it bipolar? Borderline? Both? Phelps's expertise and wealth of personal experience provides readers with unparalleled insight into a subject that is by nature challenging to define. His emphasis on non-medication approaches, as well as chapters on all the major pill-based treatments (from fish oil to lithium to the avoidance of atypical antipsychotics and antidepressants), creates a comprehensive resource for any clinician working with patients on the mood spectrum. Appendices on the relationship between bipolar diagnosis, politics, and religion; and a plain-English approach to the statistical perils of bipolar screening, offer further value.

Phelps has written an invaluable guide of the critical information professionals need to treat patients on the mood disorder spectrum, as well as a useful tool for highly motivated families and patients to better understand the mood disorder that effects their lives. This book seeks to alter the black and white language surrounding these mood disorders to influence a shift in how patients are diagnosed?to insure that treatment matches their specific needs.

James Phelps, MD, is director of the Mood Disorders program at Samaritan Mental Health in Corvallis, Oregon, which serves a five-hospital system.

Available rights (1)

Language Territory Type Vendor Status
German World All

Mohrbooks Literary Agency
Sebastian Ritscher

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James Phelps provides a guide for the perplexed. He analyzes the most complex, most common, and least understood aspect of clinical practice?the spectrum halfway between depression and mania. Many people suffer in that purgatory of diagnosis, neither truly bipolar nor unipolar, but they and their clinicians don't realize it. They should read this book. One can hope that future readers can look back on it as a key step towards ending an old and long period of clinical confusion.

Quote: Nassir Ghaemi, Md, MPH

Engaging, wise, and superbly practical, this book addresses the complexity of the subject matter while providing an accessible guide for a range of health professionals to improve the treatment of mood disorders. The author integrates research and decades of clinical experience with a refreshing candor, inspiring you to think. The value of this book lies not only in the empowerment of the treating provider, but also in emphasizing the empowerment of the individual seeking treatment.

Quote: Lea Burns, PsyD

James Phelps' seminal work establishes a clear description of bipolarity and mood, moving us beyond the limitations of a binary construct. This excellent lens provides for greater diagnostic accuracy by including those with undiagnosed and/or mis-diagnosed mood traits. Dr. Phelps has created an essential tool-kit with a range of non-pharmacological and pharmacological interventions to improve the quality of life and outcomes for those with bipolar symptoms.

Quote: Lynnea Lindsey-Pengelly, PhD, MSCP

James Phelps provides an invaluable resource for understanding and addressing complex or intractable mood disorders. Frustrating for clinicians and patients alike, the traditional first line of defense?antidepressants?regularly fails to help and often worsens symptoms. Here is help. Lucidly written and comprehensively researched, this guidebook upends rigid notions about bipolarity versus depression and provides clear direction and evidence for effective treatment options. It belongs on every practitioner's bookshelf.

Quote: Jana Svoboda, LCSW

How we think about recognizing and treating mood disturbances profoundly impacts how we treat them. And nowhere is there more confusion in clinical psychiatry than at the meeting point of mania and depression. James Phelps’ impressive new book A Spectrum Approach to Mood Disorders goes a long way toward ending the confusion and helping the mental health clinician take a balanced and reasoned approach to the treatment of the many patients who show a range of mood disturbances over time. It should be mandatory reading for everyone about to prescribe, or take, an antidepressant or mood stabilizer.

Quote: Charles Raison, MD

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