Stratégies thérapeutiques des troubles de l'humeur

Mood disorders constitute a major problem of public health, both regarding the patient's suffering and in terms of management cost. The multiplicity of treatments raises a similar interrogation of the clinicians on the selection of the appropriate therapeutic management. It appears useful, therefore, to homogenize the responses and to determine the different steps of the treatment, despite the uncertainties that necessarily persist due to the complexity of such disease and its therapeutic means. Numerous published data exist, and the therapeutic guidelines are often quite similar. The current synthesis is based on the recommendations of: the French agency ANAES (Agence Nationale d'Accréditation et d'Evaluation en Santé) 2002, the APA (American Psychiatric Association) 2000 and 2002, the Canadian workgroup on depression CANMAT 2001, the British Association for Psychopharmacology 2000, the WFSBP (World Federation of Societies of Biological Psychiatry) 2002, and on recent individual studies.