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Screening for bipolar disorder.

Robert M A Hirschfeld1

  • 1Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, 1.302 Rebecca Sealy, 301 University Blvd, Galveston, TX 77555-0188, USA. rohirsch@utmb.edu

The American Journal of Managed Care
|December 6, 2007
PubMed
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Bipolar disorder is often missed, especially when presenting as depression. Early screening using tools like the Mood Disorder Questionnaire is crucial for timely diagnosis and treatment.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Bipolar disorder is a recurrent illness with depressive and manic/hypomanic episodes.
  • Depression is the most common presentation, affecting over 20% of primary care patients with depression.
  • Bipolar depression symptoms can differ from unipolar depression, and onset is typically in late teens.

Purpose of the Study:

  • To highlight the frequent misdiagnosis of bipolar disorder, particularly in primary care settings.
  • To emphasize the importance of careful assessment for bipolar disorder in patients presenting with depression.
  • To introduce the Mood Disorder Questionnaire as a valuable screening tool.

Main Methods:

  • Review of clinical presentations of bipolar disorder.
  • Discussion of diagnostic challenges in primary care and psychiatric settings.

Related Experiment Videos

  • Focus on the utility of the Mood Disorder Questionnaire for screening.

    • Main Results:

    • Bipolar disorder is frequently misdiagnosed, with patients consulting multiple professionals before correct diagnosis.
    • The average delay in diagnosis is 10 years, impacting timely treatment.
    • Screening instruments, like the Mood Disorder Questionnaire, can aid in early identification.

    Conclusions:

    • Clinicians must actively screen for bipolar disorder, especially in patients with depressive symptoms.
    • The Mood Disorder Questionnaire is a widely used and effective tool for outpatient and community screening.
    • Improved diagnostic practices can reduce treatment delays for bipolar disorder.