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[Inadequate treatment of affective disorders].

P Bergsholm1, E W Martinsen, F Holsten

  • 1Psykiatrisk klinikk, Sentralsjukehuset i Sogn og Fjordane, Førde.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|August 30, 1992
PubMed
Summary

Inadequate treatment of mood disorders contributes to chronicity and suicide. Misdiagnosis and insufficient treatment, particularly with neuroleptics, worsen outcomes for affective disorders.

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Area of Science:

  • Psychiatry
  • Mental Health Research

Context:

  • Affective disorders face challenges including stigma, underfunding, and slow knowledge acquisition.
  • Mind/body dualism and misinformation impede effective treatment strategies.

Purpose:

  • To highlight the critical issues surrounding the inadequate treatment of mood disorders.
  • To underscore the link between delayed/incorrect treatment and negative patient outcomes.

Summary:

  • Inadequate treatment of mood disorders is linked to stigma, underfunding, and misdiagnosis, leading to increased chronicity and suicide risk.
  • Severe and atypical mood disorders are often misclassified, with neuroleptic use potentially masking symptoms without sufficient benefit and causing side effects.
  • The consequences include social breakdown and post-depression syndrome, necessitating a re-evaluation of treatment approaches.

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Impact:

  • Delayed treatment increases the risk of chronicity and is a leading cause of suicide, with Norway experiencing a significant rise in mortality.
  • Misclassification of mood disorders leads to inappropriate treatment, such as neuroleptics, which are insufficient and carry risks.
  • Addressing these issues is crucial for improving patient outcomes and reducing the societal burden of affective disorders.