Page 18 - Dr. Elie Hantouche
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Mood-
Stabilizer Clinical predictors Temperamental predictors
▪ Episodic course (free ▪ Hyperthymic dominant
intervals) traits (“H”)
▪ Euphoric hypomania ▪ High affective intensity
Lithium
▪ MDI sequence (“I”)
▪ Absence of rapid cycling
▪ Family history of BP
▪ Mixed hypomania ▪ Complex instable traits
Valproate ▪ Rapid cycling (Cyclo – Anx – Irrit)
Divalproate ▪ Anxious comorbidity ▪ High mood reactivity
Valpromide ▪ Substance abuse ▪ Borderline traits
▪ Migraine
▪ Dominant depressive • Depressive dominant
recurrence traits (± Anxious
▪ High mood lability and Temp)
Lamotrigine
instability • Borderline traits
▪ DMI sequence • High emotional
reactivity and instability
Hantouche, Tempéraments Affectifs, J Lyon, Mars 2014