Based on data from the 1997‐2016 National Ambulatory Care Surveys, dramatic changes have occurred in the treatment practices of psychiatrists caring for patients with bipolar disorder (1). These trends include an increase in the prescription of antipsychotics from 19.1% to 52.7% and a concomitant decrease in the prescription of mood stabilizers, including a decrease in the use of lithium from 30.4% to 17.6%. Despite equivocal evidence for efficacy together with evidence for potential harm, prescribing of antidepressants rose from 47.0% to 57.5%. And in spite of growing evidence for efficacy, use of psychotherapy fell from 50.9% to 35.7%.

中文翻译：

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全票表决。

根据1997-2016年全国门诊调查的数据，照料双相情感障碍患者的精神科医生的治疗方法发生了巨大变化（1）。这些趋势包括抗精神病药的处方从19.1％增加到52.7％，以及情绪稳定剂的处方减少，包括锂的使用从30.4％减少到17.6％。尽管关于疗效的模棱两可的证据以及潜在危害的证据，抗抑郁药的处方从47.0％上升到57.5％。尽管有越来越多的疗效证据，但心理治疗的使用率仍从50.9％降至35.7％。