Page 70 - Elie HANTOUCHE

Bipolar IV

 Hyperthymic Depression: Mixed Depressive

States by definition

 Antidepressant alone: Mixed State worsens

 Antidepressant + Mood Stabilizer

 AD: Bupropion, MAOIs , SSRIs

 Mood Stabilizers: Lithium+++ (babydose)

 Suicide – Medical Emergency – Convulsive

Therapy (ECT)