Overview

Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD)

Status:
Completed
Trial end date:
2005-09-01
Target enrollment:
0
Participant gender:
All
Summary
A long-term study of current treatments for bipolar disorder, including medications and psychosocial therapies.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
National Institute of Mental Health (NIMH)
Treatments:
Bupropion
Inositol
Lamotrigine
Paroxetine
Risperidone
Tranylcypromine
Valproic Acid
Criteria
General Inclusion Criteria:

- current age 15 or older (Best Practice Pathway) or 18 years or older (Randomized Care
Pathways);

- able to give informed consent for data to be harvested;

- meet DSM-IV criteria for Bipolar I Disorder, Bipolar II Disorder, Bipolar Disorder
NOS, or Cyclothymic Disorder;

- undergo a complete standard evaluation including clinical interview, self ratings, and
laboratory studies;

- meet with Clinical Specialist as scheduled;

- able to complete all Study Registry Forms within 3 months of registration.

General Exclusion Criteria:

- unwilling or unable to adhere to basic study requirements (i.e., complete rating
forms, or attend scheduled evaluations);

- not competent to give informed consent in the opinion of the investigator (e.g.,
psychotic).

Participants will be asked to remain in the study for up to five years so that the
investigators can document and evaluate long-term treatment outcome. Participants will meet
with their STEP-BD psychiatrist for periodic evaluations and/or treatment adjustments
during the course of the study, fill out various self-rating forms, and when applicable,
participate in psychotherapy. One of the psychotherapy options, Family-Focused Therapy,
will require participants and their families to attend counseling sessions together.
Overall, the estimated amount of time required from participants in the study is 2 to 4
hours per month.