Transdiagnostic Psychopharmacology: Bridging Mechanisms Across Mental Disorders

A special issue of Future Pharmacology (ISSN 2673-9879).

Deadline for manuscript submissions: 31 December 2025 | Viewed by 1117

Special Issue Editor


E-Mail Website
Guest Editor
Department of Psychiatry and Legal Medicine, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
Interests: psychiatry; addiction; substance abuse; psychiatry comorbidities; psychotherapy and psychopharmacology

Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue on Transdiagnostic Psychopharmacology: Bridging Mechanisms Across Mental Disorders, an area of growing relevance at the intersection of clinical neuroscience, psychopharmacology, and psychiatric nosology. Traditional diagnostic frameworks such as the DSM and ICD have guided the classification of mental disorders and the indication of psychotropic medications. However, accumulating evidence from genetics, neurobiology, and translational research suggests that many psychiatric symptoms and underlying mechanisms transcend these categorical boundaries.

Medications originally developed for one disorder frequently demonstrate efficacy across multiple conditions—such as antipsychotics, which can be used to treat mood disorders, and antidepressants, which are often also used to treat anxiety disorders—highlighting the limitations of diagnosis-specific prescribing. This Special Issue aims to consolidate research that supports a symptom- and mechanism-based approach to psychopharmacological treatment. It reflects a paradigm shift toward personalized psychiatry, grounded in shared neurobiological substrates, and aligned with dimensional models such as the Research Domain Criteria (RDoC).

We aim to gather cutting-edge research and theoretical contributions on transdiagnostic psychopharmacology, emphasizing pharmacological strategies that target core domains of psychopathology—such as affect regulation, cognitive control, reward processing, and stress reactivity—across traditional diagnostic categories. The issue aligns with the journal’s scope by integrating neurobiological insights with clinical applications, advancing the development of mechanism-based, individualized treatments.

By focusing on shared dimensions of mental disorders and exploring pharmacological interventions that span diagnostic classifications, this Special Issue supports the journal’s mission to disseminate innovative and interdisciplinary research in psychiatric science and neuropsychopharmacology. The goal is to encourage submissions that contribute to refining clinical practice and developing new frameworks for drug development, repurposing, and biomarker-driven interventions.

Original research articles and reviews are welcome. Potential topics may include (but are not limited to) the following:

  • Neurobiological and genetic mechanisms underlying shared psychopathology across diagnostic boundaries.
  • Pharmacological modulation of dimensional constructs (e.g., anhedonia, impulsivity, affective instability).
  • Mechanism-based prescribing strategies and clinical trial designs.
  • Transdiagnostic applications of existing psychotropics (e.g., antidepressants, antipsychotics, mood stabilizers).
  • Drug repurposing based on transcriptomic or neuroimaging findings.
  • Translational models aligning with RDoC or other dimensional diagnostic systems.
  • Clinical studies addressing polypharmacy in comorbid or mixed presentations.
  • Conceptual or critical reviews that address the limitations of traditional diagnostic systems in psychopharmacology.
  • Integrative approaches combining pharmacology with digital phenotyping, biomarkers, or AI-based prediction models.

We look forward to receiving your contributions.

Prof. Dr. Felix Kessler
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Future Pharmacology is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • transdiagnostic
  • psychopharmacology
  • psychiatry
  • treatment
  • neurobiological
  • pharmacotherapy
  • pharmacogenomics

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Review

33 pages, 640 KB  
Review
Future Pharmacotherapy for Bipolar Disorders: Emerging Trends and Personalized Approaches
by Giuseppe Marano, Francesco Maria Lisci, Gianluca Boggio, Ester Maria Marzo, Francesca Abate, Greta Sfratta, Gianandrea Traversi, Osvaldo Mazza, Roberto Pola, Gabriele Sani, Eleonora Gaetani and Marianna Mazza
Future Pharmacol. 2025, 5(3), 42; https://doi.org/10.3390/futurepharmacol5030042 - 4 Aug 2025
Viewed by 915
Abstract
Background: Bipolar disorder (BD) is a chronic and disabling psychiatric condition characterized by recurring episodes of mania, hypomania, and depression. Despite the availability of mood stabilizers, antipsychotics, and antidepressants, long-term management remains challenging due to incomplete symptom control, adverse effects, and high relapse [...] Read more.
Background: Bipolar disorder (BD) is a chronic and disabling psychiatric condition characterized by recurring episodes of mania, hypomania, and depression. Despite the availability of mood stabilizers, antipsychotics, and antidepressants, long-term management remains challenging due to incomplete symptom control, adverse effects, and high relapse rates. Methods: This paper is a narrative review aimed at synthesizing emerging trends and future directions in the pharmacological treatment of BD. Results: Future pharmacotherapy for BD is likely to shift toward precision medicine, leveraging advances in genetics, biomarkers, and neuroimaging to guide personalized treatment strategies. Novel drug development will also target previously underexplored mechanisms, such as inflammation, mitochondrial dysfunction, circadian rhythm disturbances, and glutamatergic dysregulation. Physiological endophenotypes, such as immune-metabolic profiles, circadian rhythms, and stress reactivity, are emerging as promising translational tools for tailoring treatment and reducing associated somatic comorbidity and mortality. Recognition of the heterogeneous longitudinal trajectories of BD, including chronic mixed states, long depressive episodes, or intermittent manic phases, has underscored the value of clinical staging models to inform both pharmacological strategies and biomarker research. Disrupted circadian rhythms and associated chronotypes further support the development of individualized chronotherapeutic interventions. Emerging chronotherapeutic approaches based on individual biological rhythms, along with innovative monitoring strategies such as saliva-based lithium sensors, are reshaping the future landscape. Anti-inflammatory agents, neurosteroids, and compounds modulating oxidative stress are emerging as promising candidates. Additionally, medications targeting specific biological pathways implicated in bipolar pathophysiology, such as N-methyl-D-aspartate (NMDA) receptor modulators, phosphodiesterase inhibitors, and neuropeptides, are under investigation. Conclusions: Advances in pharmacogenomics will enable clinicians to predict individual responses and tolerability, minimizing trial-and-error prescribing. The future landscape may also incorporate digital therapeutics, combining pharmacotherapy with remote monitoring and data-driven adjustments. Ultimately, integrating innovative drug therapies with personalized approaches has the potential to enhance efficacy, reduce adverse effects, and improve long-term outcomes for individuals with bipolar disorder, ushering in a new era of precision psychiatry. Full article
Show Figures

Figure 1

Back to TopTop