Depressão de difícil tratamento e transtorno de humor bipolar: como tratar?

Doris Moreno; Mario Juruena

doi:10.25118/issn.2965-1832.2023.1003

Authors

Doris Moreno Mestre-doutora em Medicina pelo Departamento de Psiquiatria da FMUSP. Médica Assistente do Instituto de Psiquiatria HC FMUSP. Pesquisadora e Supervisora do Programa de Transtornos Afetivos (GRUDA)
Mario Juruena Mestre em Affective Neuroscience pela Universidade de Maastricht, Holanda; Mestre em Psicobiologia pela Unifesp; e Doutor (PhD) em Psiquiatria pela Universidade de Londres, Reino Unido. Professor do Departamento de Psicologia Médica do Instituto de Psiquiatria, Psicologia e Neurociências do King’s College London e Coordenador Médico do Maudsley Advanced Treatment Service, South London and Maudsley NHS Foundation Trust. Associate Editor do British Journal Psychiatry Open e do Journal in Affective Disorders

DOI:

https://doi.org/10.25118/issn.2965-1832.2023.1003

Keywords:

refractory depression, resistant depression, bipolar disorder, mental disorders

Abstract

Difficult-to-treat depression, also known as refractory or resistant depression, is characterized by the resistance it has to the treatments indicated by the psychiatrist. This lack of response causes many patients to abandon treatment . Bipolar disorder, on the other hand, is a complex mood disorder that causes fluctuations, taking the person from euphoria to depression in a short period of time. Attacks can vary in intensity, frequency and duration. Can the same person suffer from these two mental disorders? What is the differential diagnosis of these disorders? Are these disorders more common in men or women?