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Assessment and Objectives Management of Bipolar Disorder

1 Samar McCutcheon, MDClinical Assistant ProfessorDepartment of PsychiatryThe Ohio State University Wexner Medical CenterAssessment and Management of Bipolar Disorder ObjectivesObjectives Establish criteria for Bipolar spectrum disorders Formulating an accurate diagnosis Review approaches to treatmentWhy talk about Bipolar Disorder ?Why talk about Bipolar Disorder ? 12thmost common disabling condition 10 year lag in diagnosis and treatment Potentialrisk of using unopposed antidepressants Loss of healthy life years Increased risk for premature deathDefinitionsDefinitions Episodicmood Disorder characterized by mania, hypomania and/or depression Subtypes: Bipolar I Disorder : mania +/- hypomania and depressive episodes Bipolar II Disorder : hypomania + depressive episode No manic episodes Other Specified Bipolar Disorder /Unspecified Bipolar Disorder2 DSM-5 Criteria: ManiaDSM-5 Criteria: ManiaA) Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently inc

diagnosis • Review approaches ... Specifiers describing the clinic al status of the current/most recent episode • -Mild, Moderate, Severe, In Partial Remission, In Full Remission Specifiers describing features of the current episode ... • Risk factors: thyroid disorder, female sex,

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