A rapid-cycling bipolar patient treated with long nights, bedrest, and light.
نویسندگان
چکیده
BACKGROUND Stabilization of rapid-cycling bipolar disorder is extremely difficult. METHODS A refractory bipolar I rapid-cycling patient on valproate was treated with long "nights" (extended sleep in darkness) and daytime light therapy. RESULTS Rapid cycling immediately stopped on initiation of a 10 hour dark/rest period. This was extended to 14 hours (plus a self-selected 1 hour midday nap) without problems. Depression gradually improved when midday light therapy was added; near-euthymia was attained after light therapy was shifted to the morning. CONCLUSIONS Nonpharmacological chronobiological treatments may be a means to interrupt rapid cycling.
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عنوان ژورنال:
- Biological psychiatry
دوره 45 8 شماره
صفحات -
تاریخ انتشار 1999