Abstract
The diagnosis of any cancer is typically accompanied with instabilities of general health, disposition, and mood. Once the urgency of the cancer is addressed, additional health concerns, comorbidities, and conditions may be compromised and attention must be paid to these details in the context of the cancer. Mood disorders, including major depression and bipolar disorder, as well as distressful reactions are common and often ignored due to an inherent expectation of a sadness and distress associated with such a life-threatening disease. However, pathological mood swings are eminently treatable, and the management of mood disorders is particularly gratifying to the individual with cancer and rewarding for the practitioner. Adherence to treatment and improvements to quality of life are immediate, and enhancements in survivorship emerge over time. Bipolar disorder represents a particular challenge for the oncology team as gyrations of mood may jeopardize every aspect of management. This chapter discusses clinical strategies for the bipolar patient and includes the mood stabilizing and antipsychotic medications, emphasizing the need for regular monitoring of clinical mood symptoms, medication levels when possible, and physical health to gauge progress. Periods of unstable moods should be anticipated in the individual with concomitant cancer and specifically in the patient with bipolar disorder. Negotiating care involves clinical judgment at an interface of medicine wherein limited knowledge of pharmacological interactions is a major challenge; there are no clinical trials of mood management in the cancer patient with bipolar disorder. This chapter discusses the treatments of bipolar disorder and unstable moods in cancer.
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Hertz, D.L., Ellingrod, V.L., McInnis, M.G. (2014). Bipolar Disorder in the Cancer Patient. In: Grassi, L., Riba, M. (eds) Psychopharmacology in Oncology and Palliative Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40134-3_11
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DOI: https://doi.org/10.1007/978-3-642-40134-3_11
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