Skip to main content

Bipolar I Disorder

Wendy K. Marsh, MD, MSc Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Bipolar I (BP-I) is an episodic mood disorder of at least one manic or mixed (mania and depression) episode that causes marked impairment, psychosis, and/or hospitalization; major de...

DIAGNOSIS

  • The diagnosis of BP-I requires at least one manic or mixed episode (simultaneous mania and depression). Although a depressive episode is not necessary for the diagnosis, 80–90% of people wit...

TREATMENT

  • Ensure safety.

  • Psychotherapy (e.g., cognitive-behavioral therapy, social rhythm therapy, educational)

  • Stress reduction

  • Patient and family education

GENERAL MEASURES

  • Psychotherapy for depression (...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Regularly scheduled visits support adherence with treatment.

  • Frequent communication among primary care doctor, psychiatrist, and therapist

Patient Monitoring

Mood ch...

REFERENCES

1
1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
2
2 Hirshfeld RM. Validation of the ...

ADDITIONAL READING

  • American Psychiatric Association. Practice guideline for the treatment of patients with bipolar disorder (revision). Am J Psychiatry.  2002;159(Suppl 4):1–50. {L-End} {L-End}...

SEE ALSO

Algorithm: Depressive Episode, Major 

CODES

ICD10

  • F31.9 Bipolar disorder, unspecified

  • F31.10 Bipolar disorder, current episode manic without psychotic features, unspecified

  • F31.30 Bipolar disord, crnt epsd depress, mild or mod severt, unsp

  • F3...

CLINICAL PEARLS

  • BP-I is characterized by at least one manic or mixed episode that causes marked impairment, major depressive episodes usually occur but are not necessary.

  • 25–50% of BP-I patients attemp...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×