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Feature Article

Managing bipolar disorder – key clinical recommendations

Philip Boyce, GIN S. MALHI

Figures

© bensTUdiopro/sToCK.adobe.CoM
© bensTUdiopro/sToCK.adobe.CoM

Abstract

Bipolar disorder typically arises with depressive symptoms during late adolescence, with mania following some years later. The GP has a key role in identifying patients presenting with mania and ensuring appropriate acute and long-term management. Key recommendations on each stage of the disorder can aid in developing a comprehensive biopsychosocial and lifestyle approach to management.

Key Points

  • Management of bipolar disorder requires a biopsychosocial and lifestyle approach.
  • The aim of management is to maintain mood stability.
  • The medications required differ according to the stage of the illness.
  • In the long term, maintenance of an effective mood-stabilising agent is essential.
  • Management of bipolar depression differs from the management of major depressive disorder.
  • Antidepressant monotherapy for bipolar depression is not indicated.

Figures

© bensTUdiopro/sToCK.adobe.CoM
© bensTUdiopro/sToCK.adobe.CoM