The Management of Psychomotor Agitation Associated with Schizophrenia or Bipolar Disorder: A Brief Review

Int J Environ Res Public Health. 2021 Apr 20;18(8):4368. doi: 10.3390/ijerph18084368.

Abstract

The early and correct assessment of psychomotor agitation (PMA) is essential to ensure prompt intervention by healthcare professionals to improve the patient's condition, protect healthcare staff, and facilitate future management. Proper training for recognizing and managing agitation in all care settings is desirable to improve patient outcomes. The best approach is one that is ethical, non-invasive, and respectful of the patient's dignity. When deemed necessary, pharmacological interventions must be administered rapidly and avoid producing an excessive state of sedation, except in cases of severe and imminent danger to the patient or others. The purpose of this brief review is to raise awareness about best practices for the management of PMA in emergency care situations and consider the role of new pharmacological interventions in patients with agitation associated with bipolar disorder or schizophrenia.

Keywords: agitation; bipolar disorder; loxapine; psychomotor agitation; schizophrenia.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antipsychotic Agents* / therapeutic use
  • Bipolar Disorder* / drug therapy
  • Humans
  • Loxapine* / therapeutic use
  • Psychomotor Agitation / drug therapy
  • Psychomotor Agitation / etiology
  • Schizophrenia* / complications
  • Schizophrenia* / drug therapy

Substances

  • Antipsychotic Agents
  • Loxapine