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Pre Position
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Origin preposition
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MOOD-STABILISING AGENTS
المؤلف:
PAUL MALORET
المصدر:
Caring for People with Learning Disabilities
الجزء والصفحة:
P87-C5
2025-10-13
40
MOOD-STABILISING AGENTS
These are prescribed for the acute treatment and prevention of bipolar affective disorder, previously known as manic depression. This illness was not discussed in the ‘Prevalence and causation of mental health problems in people with learning disabilities’ as it is no more prevalent in people with learning disabilities than it is in anyone else. However, this is not to say that it is particularly uncommon within this population and can be extremely difficult to manage when it co-exists with a learning dis ability. Bipolar affective disorder generally presents as extreme changes in mood that appear in ‘cycles’ and there are periods of varying states of depression followed often by periods of mania, whereby the sufferer is usually euphoric, irritable, overactive and disinhibited, and may will experience ‘grandiose delusions’, i.e. they may believe they are Christ or the Queen (Pilgrim 2005).
Priest and Gibbs (2004) suggest that these ‘cycles’ of mood changes can be more rapid in people with learning disabilities than those of the general population. This causes problems when the most common drug of this type – lithium – is prescribed, as it usually requires a lengthy period of one type of mood to be effective, i.e. the service user needs to be in a manic or hypo-manic stage of the illness for a reasonably lengthy period for the lithium to take effect. Hardy and Bouras (2002) suggest that when lithium cannot be used, anti-epileptic drugs such as carbamazepine and sodium valproate may be useful, as may the newer anti-epileptics such as lamotrigine, for which positive reports of its use in bipolar affective disorder and learning disabilities are becoming commonplace.
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