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Related Experiment Videos

Bipolar spectrum disorders. New perspectives.

Andre Piver1, Lakshmi N Yatham, Raymond W Lam

  • 1Nelson Mental Health Centre, Kootenay Lake Regional Hospital, Nelson, BC. steele_piver@netidea.com

Canadian Family Physician Medecin De Famille Canadien
|June 11, 2002
PubMed
Summary
This summary is machine-generated.

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Bipolar spectrum disorders (BSDs), including bipolar II disorder, are increasingly common in primary care. Early recognition and treatment by family physicians are crucial, as hypomania is often missed.

Area of Science:

  • Psychiatry
  • Primary Care Medicine

Background:

  • Bipolar spectrum disorders (BSDs) encompass conditions characterized by mood fluctuations.
  • Bipolar II disorder, defined by hypomanic episodes and depression, is often underdiagnosed.

Purpose of the Study:

  • To review current understanding of bipolar II and related disorders.
  • To highlight new perspectives on diagnosis, clinical features, epidemiology, and treatment.

Main Methods:

  • Literature search of MEDLINE and ClinPSYCH (1994-2001).
  • Review of reference lists from identified articles.
  • Note: Limited high-quality evidence, including a lack of randomized controlled trials for BSDs.

Main Results:

  • BSDs are more prevalent than previously assumed, potentially affecting up to 30% of primary care patients with anxiety or depressive symptoms.

Related Experiment Videos

  • Hypomania, the hallmark of bipolar II disorder, frequently goes undetected.
  • Improved diagnostic approaches may involve collateral information, semistructured interviews, and screening tools.

    • Conclusions:

    • Family physicians play a vital role in identifying and managing BSDs.
    • Increased recognition and treatment of these increasingly common disorders in primary care settings are recommended.