Diagnosis and treatment of mixed states Diagnóstico e tratamento dos estados mistos
نویسندگان
چکیده
Mania and depression are seen as clinical syndromes of opposite polarities. It is known, according to the observations described by Kraepelin,1 that the association of manic or hypomanic symptoms with depressive ones is not infrequent, especially among patients who have BD conditions deemed severe. Besides, their treatment is more difficult due not only to the mixed symptomatology, but also to the instability of their presentation. Most currently studied mixed episodes are mixed manias, also called dysphoric manias, in which depressive symptoms are associated in higher or lesser degree with a manic or hypomanic condition. Besides them, the literature on mixed states (MS) describes mixed depressions, characterized by a predominantly depressive condition associated in a lesser degree with manic symptoms.
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