|Bipolar Home | Search | Updated May 28, 2008


Bipolar Disorder

medscape articles require free registration 
links marked CME tend to disappear

 

Diagnosis

Overviews
Bipolar Spectrum

Diagnosis
Criteria
Bipolar Spectrum
Screening Tools

Treatment
Medications
Psychotherapy
Non-Prescription
   Exercise
   Omega3
   Sleep

Drug Info
Medication List
Zyprexa/olanzapine
Lamictal/lamotrigine
Prozac/fluoxetine
Mood Stabilizers
Antidepressants
Studies-Bipolar
Studies-Other
Drug Searches

Links
SO Support
Transcripts
Misc
Updated Sites

Juvenile Bipolar
Overviews
Diagnosis
Treatment
Medications
Bipolar and ADHD
Psychotherapy
School
Family Experiences
Substance Abuse
Articles
Scales and Charts
Links

 

Criteria

ICD-10 Criteria for Bipolar Affective Disorder
1992 Internet Mental Health European Criteria

Diagnosis of Bipolar II Disorder Mentalhealth.com online diagnosis
Diagnosis of Bipolar I Disorder Mentalhealth.com online diagnosis

Merck Manual Manifestations of Depression and Mania (table) 
Merck Manual 
Some Causes of Symptomatic Depression and Mania. Illnesses that can cause depression or mania
THE MERCK MANUAL, Table 189-1, Ch. 189, Mood Disorders

Mania a short checklist but includes common causes of mania not caused by bipolar disorder. 


Is Your Depressed Patient Bipolar?  Aug 2005 Medscape

13 Indications for Bipolar vs Unipolar depression. Tables Table 4 is a chart comparing features of Unipolar and Bipolar depressions.
As many as 40% of both inpatients and outpatients diagnosed with depression are subsequently found to have bipolar disorders.

Beyond Antidepressants: Bipolar Spectrum Illness Presenting as Complicated or Refractory Mood Disorders in Primary Care medscape Aug 2002 CME Many clinicians associate irritability with a diagnosis of major depression, but when irritable (especially energetic and irritable) mood becomes the theme of the mood disturbance, bipolar illness must be suspected and systematically ruled out. plus much more. Written for doctors, this article covers some of the lesser known diagnostic characteristics.

Missing the Diagnosis of Bipolar Disorder: Treatment Implications  Bipolar Disorders and Impulsive Spectrum newsletter May 2002  the clinician should be suspicious when there is a history of any bipolar disorder in first-degree relatives and if the patient's first major depressive episode is characterized by 1) prepubertal/adolescent onset; 2) psychotic features; 3) hypersomnia and psychomotor retardation; 4) a period of increased energy and activity immediately preceding the depression (Calabrese, 2001). Other clues to bipolarity may be postpartum onset of depression or a history of so-called "hyperthymic temperament

Easy to Miss, Essential to Treat excite.com 

Reducing Misdiagnosis of Psychiatric Disorders
Jan 2,2001 Misdiagnosis or incomplete diagnosis of bipolar disorder is extensive among psychiatric patients, according to a study published in the January 2001 Journal of Psychiatric Services

Accurate Diagnosis Eludes Millions With Bipolar Disorder CHICAGO, IL -- November 15, 2000 Doctor's guide. Only one in four receives an accurate diagnosis in less than three years.
News Accurate Diagnosis Eludes Millions with Bipolar Disorder same report 

Most With Bipolar Disorder Go Undiagnosed medscape Health May 2001 short

Office Management of Mania and Depression When Patients Go To Extremes
Gary J. Bouchard, PA-C, EdM-While mood disorders are common in primary care, clinicians tend to underdiagnose and undertreat them. medscape (not working)

Depression: Differentiate Unipolar From Bipolar Women with postpartum depression, which can occur as long as 1 year after giving birth, are more likely to have bipolar depression than unipolar depression, according to Dr. Dubovsky go to FindArticles.com and paste the article title in the search field.

 


Screening Tools
 
A Rating Scale for Mania: Reliability, Validity and Sensitivity Zeigler
Manic checklist
Abbott Labratory doctor checklist
Goldberg Depression Inventory mentalhelpnet
Goldberg Mania Inventory mentalhelpnet
 
Mood Disorder Questionnaire Zyprexa.com 
NDMDA - Bipolar Disorder Screening online interactive
Bipolar Disorder Questionnaire Internet Mental Health  long In depth Questionnaire to fill in and take to Therapist

Screening Test for Bipolar Disorder Created Psychiatric Times Aug 2000 About one-third of them waited 10 or more years to get a diagnosis, and that's really 10 horrible years," Hirschfeld said CME 

The Psychiatric Review of Symptoms: A Screening Tool for Family Physicians American Family Physician Nov 1,1998 This includes information on diagnosing most disorders not just Bipolar. Mnemonic Guidelines. 

How To Recognize a Manic Episode about.com short list for significant others but links to more information

Life Charting of Affective Disorders By Gabriele S. Leverich, MSW, LCSW, and Robert M. Post, MD not working Oct.21,2000

 

more screening tools (this site)


Bipolar Spectrum

A Broader Definition for Mixed States Medscape,1997
Dysphoric Mania: A Distinct Type of Mixed State Medscape
Mixed State Heterogeneity: A Mural of Mood and Temperament Akiskal medscape
Detecting and Treating the Mixed Mania Spectrum Medscape, 1997
Bipolar Insights The Bipolar Spectrum: A Valid Forme Fruste? by S. Nassir Ghaemi, M.D.  Monthly column Jan.2001 Arguing for a broader definition in diagnosis

Clinical Validation of The Bipolar Spectrum: Focus on Hypomania, Cyclothymia, and Hyperthymia Hagop S. Akiskal MD

Phenomenology of Mania: Evidence for Distinct Depressed, Dysphoric, and Euphoric Presentations Steven C. Dilsaver, M.D., Y. Richard Chen, Ph.D., Arif M. Shoaib, M.D. and Alan C. Swann, M.D.Am J Psychiatry 156:426-430, March 1999

Impulsive-Control Disorders Linked to Bipolar Spectrum   Bipolar Disorders Letter Aug 2000 There were a few patients who got worse with SRIs, and those patients were bipolar," McElroy said. "Half the patients responded to mood stabilizers, and those patients were bipolar. So our theory is that patients' response will depend upon their mood disorder comorbidity
 

Mixed Bipolar States An Agitated Depressive Subtype medscape May 2002 Some patients with bipolar disorder suffer mixed states, defined in DSM as manic episodes with depressive or dysphoric features. These states are exacerbated by antidepressants and preferentially respond to anticonvulsants

Bipolar Plus Panic May Be Distinct Disorder, Study Finds Psychiatr. News 2002 37: (2) 16 [Full Text] These findings thus shore up previous evidence that the 5-HTT gene variant plays some role in bipolar disorder. But they also suggest that the variant is only implicated in pure bipolar, not in bipolar plus panic


Is there a biochemical test that accurately diagnoses bipolar disorder? Scientific .American

Evidence of Brain Abnormalities in Bipolar Disorder MedscapeWire

New Guidelines Help in Diagnosis and Treatment of Bipolar April 14, 2000 ( might be a duplicate)

Scientific American - Ask the Experts, Bipolar Disorder

 Practical Guidelines for Diagnosing and Treating Mania and Bipolar Disorder in the Elderly medscape 1998