Bipolar Disorder

Article

Current Issues in Bipolar Disorder Diagnosis: The Life Course Method

How should we diagnose bipolar disorder? It isn’t always easy and current bipolar screening tools are problematic for a number of reasons.

Is Bipolar Disorder Over-Diagnosed?

Whether you work in a hospital or an office setting, you’ve probably seen many patients who come to you with a “history of bipolar disorder.” We’ve seen it, too, in multiple settings at an academic medical center. Is this a new epidemic? Or a redefinition of what it means to be “bipolar”?

A Note From the Editor

While bipolar disorder is something we all encounter in practice, views are mixed as to how best to diagnose and treat it.

Research Update

Mood Stabilizer plus Antidepressant May Protect Against Mania

Most of you would hesitate to put a patient with bipolar I on antidepressants without adding a mood stabilizer, in order to prevent a switch to mania. If this is your clinical practice, you are following the recommendations of the APA consensus guidelines for the treatment of bipolar depression. But the hard data to support the danger of switching is surprisingly weak.

Maternal Flu and Risk of Bipolar Disorder

Several past studies have investigated a possible link between infections during pregnancy and psychiatric illness in the offspring. These studies may be biased, however, by poor recall or by a clinical, as opposed to serological, diagnosis of infection in the mother. A recent study attempted to overcome this bias by measuring influenza antibodies—a more precise manner of identifying influenza exposure—drawn from the mothers of bipolar offspring.

Expert QA

Distinguishing Bipolar from Unipolar Depression

Some patients complain bitterly about depression and dysphoria, but they don’t tell you anything about the other half of their lives—the upswings of mood and energy—so you may not realize the need to suspect bipolar illness.

Free Article

Current Issues in Bipolar Disorder Diagnosis: The Life Course Method [Free Article]

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Bipolar Disorder
Bipolar Disorder, The Carlat Report (TCPR) Vol 10 #8

How should we diagnose bipolar disorder? It isn’t always easy and current bipolar screening tools are problematic for a number of reasons.