Tratamento Bipolar: Estamos Usando Antipsicóticos Demais?

📚Download your free Guide to Prescribing Psychotropic Drugs in the Real World here https://wa.me/553199727834?text=Ol%C3... In this video, I'll show you how to compare mood stabilizers, antipsychotics, and antidepressants in the treatment of bipolar disorder, focusing on long-term outcomes. You'll learn why lithium and anticonvulsants continue to play a central role in preventing relapses and why the increased use of antipsychotics in clinical practice has been questioned by some researchers. Throughout the lesson, we'll analyze the difference between symptomatic relief and possible modification of the disease course, discussing mechanisms related to neuronal excitability, regulation of intracellular sodium and calcium, dopaminergic blockade, and monoamine modulation. We will also review data on overall functioning, cognition, hospitalizations, mortality, prevention of mania and depression, and metabolic and cardiovascular risks. You will also understand in which situations antipsychotics remain fundamental, such as in acute phases, psychosis, and certain refractory cases, and when lithium or other mood stabilizers should be prioritized in maintenance treatment. Furthermore, we will address the care required with antidepressants in bipolar disorder, especially the risk of inappropriate monotherapy and mood destabilization. The aim is to offer balanced clinical reasoning, without demonizing drug classes, but helping you choose treatment based on the stage of the illness, long-term outcomes, and the individual patient profile. Reference: Shah S, Ibrahim K, Sadah A, El-Mallakh RS. Mood Stabilizers Are the First Line of Treatment for Bipolar Disorder. South Med J. 2026 May 4;119(5):274-278. doi: 10.14423/SMJ.0000000000001959. PMID: 42067390. 🔗 Instagram: @drrafaelgomespsiquiatra Dr. Rafael Q D Gomes Psychiatrist CRM/SP 169.787 – RQE 71.591 ⚠️ LEGAL NOTICE: The information contained in these videos is not intended to replace consultation with a medical professional or serve as a recommendation for any treatment plan. In accordance with the Medical Code of Ethics, the videos are for educational purposes only, and do not disclose addresses or telephone numbers of offices, clinics, or health services. The videos on this channel are produced based on Dr. Rafael Gomes' experience, practical observation of patients, and the most recent scientific research available at the time. If you have any questions, consult your doctor.