Treatment of depression in bipolar
disorder
The first-line treatment for milder depres-
sion should be psychological (e.g. cognitive–
behavioural therapy). In patients with bipolar
disorder, selective serotonin reuptake inhibitors
(SSRIs) are recommended antidepressants, but
these may need to be used alongside a mood
stabilizer. The use of lamotrigine has been shown
to be effective in children and adolescents [29].
For severe depression with psychotic symptoms
an antipsychotic, such as risperidone, with an
antidepressant and a mood stabilizer would be
appropriate. Electroconvulsive therapy (ECT)
is recommended in severe psychotic depression,
especially if there is a risk of suicide.
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