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Bipolar I Disorder

Wendy K. Marsh, MSc, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • An episodic mood disorder of at least one manic or mixed (mania and depression) episode that causes marked impairment, psychosis, and/or hospitalization.

  • Symptoms are not caused by a ...

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. Daily schedule especially sleep, clean from substances, avoid blue light (screens) in evening, exercise, a healthy diet

  • Psychotherapy for depression (e.g., cogn...

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: Amer...

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...

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