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Bipolar I Disorder Reviewed 5/2013

Laurie Carrier, MD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • History
  • Physical Exam
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • In-patient Considerations

ONGOING CARE

  • Follow-Up Recommendations
  • Patient Education
  • Prognosis
The following is an excerpt....
BASICS
Description
  • Bipolar I (BP-I) is a mood disorder characterized by at least 1 manic or mixed episode, often alternating with episodes of major depression, that causes marked impairment and/or hospitalization.
  • Symptoms are not caused by a substance (e.g., drug), a general medical condition, or a medication.
ALERT: Geriatric Considerations
New onset in older patients (>50 years of age) requires a workup for organic or chemically induced pathology.
ALERT: Pediatric Considerations
There is overlap with symptoms of attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). Children and adolescents experience more rapid cycling and mixed states. Depression often presents as irritable mood.
ALERT: Pregnancy Considerations
  • Potential teratogenic effects of commonly used medications (e.g., lithium, valproic ...

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