{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T20:45:12Z","timestamp":1793738712260,"version":"4.6.1"},"reference-count":879,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,3,14]],"date-time":"2018-03-14T00:00:00Z","timestamp":1520985600000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014379","name":"Canadian Network for Mood and Anxiety Treatments","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100014379","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2018,3]]},"abstract":"\n The Canadian Network for Mood and Anxiety Treatments (\n CANMAT<\/jats:styled-content>\n ) previously published treatment guidelines for bipolar disorder in 2005, along with international commentaries and subsequent updates in 2007, 2009, and 2013. The last two updates were published in collaboration with the International Society for Bipolar Disorders (\n ISBD<\/jats:styled-content>\n ). These 2018\n CANMAT<\/jats:styled-content>\n and\n ISBD<\/jats:styled-content>\n Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management as well as new research into pharmacological and psychological treatments. These advances have been translated into clear and easy to use recommendations for first, second, and third\u2010 line treatments, with consideration given to levels of evidence for efficacy, clinical support based on experience, and consensus ratings of safety, tolerability, and treatment\u2010emergent switch risk. New to these guidelines, hierarchical rankings were created for first and second\u2010 line treatments recommended for acute mania, acute depression, and maintenance treatment in bipolar I disorder. Created by considering the impact of each treatment across all phases of illness, this hierarchy will further assist clinicians in making evidence\u2010based treatment decisions. Lithium, quetiapine, divalproex, asenapine, aripiprazole, paliperidone, risperidone, and cariprazine alone or in combination are recommended as first\u2010line treatments for acute mania. First\u2010line options for bipolar I depression include quetiapine, lurasidone plus lithium or divalproex, lithium, lamotrigine, lurasidone, or adjunctive lamotrigine. While medications that have been shown to be effective for the acute phase should generally be continued for the maintenance phase in bipolar I disorder, there are some exceptions (such as with antidepressants); and available data suggest that lithium, quetiapine, divalproex, lamotrigine, asenapine, and aripiprazole monotherapy or combination treatments should be considered first\u2010line for those initiating or switching treatment during the maintenance phase. In addition to addressing issues in bipolar I disorder, these guidelines also provide an overview of, and recommendations for, clinical management of bipolar\n II<\/jats:styled-content>\n disorder, as well as advice on specific populations, such as women at various stages of the reproductive cycle, children and adolescents, and older adults. There are also discussions on the impact of specific psychiatric and medical comorbidities such as substance use, anxiety, and metabolic disorders. Finally, an overview of issues related to safety and monitoring is provided. The\n CANMAT<\/jats:styled-content>\n and\n ISBD<\/jats:styled-content>\n groups hope that these guidelines become a valuable tool for practitioners across the globe.\n <\/jats:p>","DOI":"10.1111\/bdi.12609","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T07:37:36Z","timestamp":1521099456000},"page":"97-170","source":"Crossref","is-referenced-by-count":1761,"title":["Canadian Network for Mood and Anxiety Treatments (\n CANMAT<\/scp>\n ) and International Society for Bipolar Disorders (\n ISBD<\/scp>\n ) 2018 guidelines for the management of patients with bipolar disorder"],"prefix":"10.1111","volume":"20","author":[{"given":"Lakshmi N","family":"Yatham","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of British Columbia Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5339-7185","authenticated-orcid":false,"given":"Sidney 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