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Bipolar I Disorder

Wendy K. Marsh, MD, MSc Reviewed 06/2019
 


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

GENERAL MEASURES

  • Ensure safety.

  • Psychotherapy for depression (e.g., cognitive-behavioral therapy, social rhythm, interpersonal) in conjunction with medications

  • Regular daily schedule, exercise,...

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
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013. [View Abstract on OvidMedline]
2
Ostac...

ADDITIONAL READING

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...

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