The CANMAT and ISBD Guidelines for the Treatment of Bipolar Disorder: Summary and a 2023 Update of Evidence
- PMID: 38695002
- PMCID: PMC11058959
- DOI: 10.1176/appi.focus.20230009
The CANMAT and ISBD Guidelines for the Treatment of Bipolar Disorder: Summary and a 2023 Update of Evidence
Abstract
Bipolar disorder is a complex and heterogeneous psychiatric condition that affects more than 2% of the population. The assessment and treatment of bipolar disorder can be a challenge for clinicians, given its clinical complexity and the rapidly changing treatment landscape with the growing range of treatment options that are becoming available for various phases of the illness. To help clinicians navigate the complexity involved in the assessment and management of bipolar disorder, the guidelines of the 2018 Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) synthesized the evidence on the efficacy, safety, and tolerability of treatments for bipolar disorder and translated it into first-, second-, and third-line treatment recommendations. The main objective of this contribution is to provide clinicians with a summary of the 2018 CANMAT/ISBD guideline recommendations with the addition of any new evidence for the treatment of bipolar disorder across the lifespan.
Keywords: Bipolar Disorder; Clinical Drug Studies; Evidence-Based Practice; Practice Guidelines.
Copyright © 2023 by the American Psychiatric Association.
Conflict of interest statement
Dr. Yatham is a consultant for, has received speaker fees from, sits on the advisory board of, and/or receives research funding from AbbVie, Alkermes, Allergan, Canadian Network for Mood and Anxiety Treatments, Canadian Institutes of Health Research, Dainippon Sumitomo Pharma, Gedeon Richter, Intracellular Therapies, Lundbeck, Merck, Otsuka, Sanofi, and Sunovion over the past 3 years. Dr. Keramatian has been on an advisory board for AbbVie. Dr. Chithra reports no financial relationships with commercial interests.
References
-
- Diagnostic and Statistical Manual of Mental Disorders , 5th ed . Arlington, VA: , American Psychiatric Association; , 2013.
-
- Keramatian K , Pinto JV , Schaffer A , et al. : Clinical and demographic factors associated with delayed diagnosis of bipolar disorder: data from Health Outcomes and Patient Evaluations in Bipolar Disorder (HOPE-BD) study . J Affect Disord 2022. ; 296 : 506 – 513 - PubMed
-
- Hirschfeld RMA , Lewis L , Vornik LA : Perceptions and impact of bipolar disorder: how far have we really come? Results of the National Depressive and Manic-Depressive Association 2000 survey of individuals with bipolar disorder . J Clin Psychiatry 2003. ; 64 : 161 – 174 - PubMed
Publication types
LinkOut - more resources
Full Text Sources