Page 42 - Elie HANTOUCHE
P. 42
Endogenous versus Exogenous Cyclicity in BP


Disorder: Role of Affective Temperaments


(Koukopoulos et al, JAD, 2006)






(Hypo)Mania Hypomania








Depression
AD


Basic Stable - Instable -
temperament Hyperthymic Complex Cyclothymic


Sequence MDI DMI


Cyclicity Exogenous Endogenous

Episodic, Instability,
Evolution
free intervals tendency to rapid cycling

Worsening effect of
Prophylactic effect of
Reactivity to lithium via attenuating antidepressants (formation
of rapid cycling; chronic
treatment hyperthymia mixed state; mood

switching)
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