Bipolar Disorder in Primary Care: Diagnosis and Management
DOI:
https://doi.org/10.58931/cpct.2023.117Abstract
Primary care physicians play an important role in supporting and providing medical care for individuals with bipolar disorder. This includes correctly identifying bipolar disorder in those presenting with depressive symptoms to primary care settings or seeking psychiatric consultation and advise as needed; initiating treatment for depressive and hypomanic episodes; assessing risk for suicide or aggressive behaviour; referring to emergency services as needed; and providing maintenance care and monitoring for those with an established diagnosis with collaborative or as needed consultative support from psychiatric colleagues. The objective of this article is to provide up-to-date information to aid primary care physicians in achieving the above objectives related to diagnosing and managing patients with bipolar disorder.
References
Merikangas KR, Jin R, He JP, Kessler RC, Lee S, Sampson NA, et al. Prevalence and Correlates of Bipolar Spectrum Disorder in the World Mental Health Survey Initiative. Arch Gen Psych. 2011;68:241-251. DOI: https://doi.org/10.1001/archgenpsychiatry.2011.12
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Publishing; 2013. DOI: https://doi.org/10.1176/appi.books.9780890425596
Vázquez GH, Lolich M, Cabrera C, Jokic R, Kolar D, Tondo L, Baldessarini RJ. Mixed symptoms in major depressive and bipolar disorders: A systematic review. J Affect Disord. 2018 Jan 1;225:756-760. DOI: https://doi.org/10.1016/j.jad.2017.09.006
Daban C, Colom F, Sanchez-Moreno J, García-Amador M, Vieta E. Clinical correlates of first-episode polarity in bipolar disorder. Compr Psychiatry. 2006 Nov-Dec;47(6):433-7. DOI: https://doi.org/10.1016/j.comppsych.2006.03.009
Mitchell PB, Goodwin GM, Johnson GF, Hirschfeld RM. Diagnostic guidelines for bipolar depression: a probabilistic approach. Bipolar Disord. 2008 Feb;10(1 Pt 2):144-52. DOI: https://doi.org/10.1111/j.1399-5618.2007.00559.x
Persons JE, Coryell WH, Solomon DA, Keller MB, Endicott J, Fiedorowicz JG. Mixed state and suicide: Is the effect of mixed state on suicidal behavior more than the sum of its parts? Bipolar Disord. 2018 Feb;20(1):35-41. DOI: https://doi.org/10.1111/bdi.12538
Yatham LN, Kennedy SH, Parikh SV, Schaffer A, Bond DJ, Frey B, et al. Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 Guidelines for the management of patients with bipolar disorder. Bipolar Disord. 2018, Mar;20(2):97-170. DOI: https://doi.org/10.1111/bdi.12609
Yatham LN, Kennedy SH. Treatment of Mood Disorders. In: Kaplan and Sadock’s Comprehensive Textbook of Psychiatry (eds. Kaplan H, Sadock B, Ruiz P). Lippincott Williams and Wilkins, 2017.
Yatham LN, Chakrabarty T, Bond DJ, Schaffer A, Beaulieu S, Parikh SV, et al. Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) recommendations for the management of patients with bipolar disorder with mixed presentations. Bipolar Disord. 2021 Dec;23(8):767-788. DOI: https://doi.org/10.1111/bdi.13135
Published
Versions
- 2023-03-28 (2)
- 2023-03-28 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Canadian Primary Care Today
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
