This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.


Bipolar Disorder: Diagnostic Challenges and Treatment Considerations

Dwight L. Evans, MD

Published: November 30, 2000

Article Abstract

A review of the criteria for the diagnosis of bipolar disorder identifies a number of complicatingfactors that historically have interfered with the accurate and precise diagnosis of patients. Patientswith different subtypes of the disorder sometimes present with different symptoms, and the carefuldiagnostician must be aware of them. These include comorbidity of bipolar disorder and attention-deficit/hyperactivity disorder, comorbidity of bipolar disorder and substance abuse, and mania secondaryto prescription drugs or physical illness, particularly in the elderly. As a result of these factorsand others, bipolar disorder is significantly underdiagnosed. Accurate and precise diagnosis has a directimpact on the choice of treatment and will be easier for those clinicians who are aware of theseveral subtypes of mania and depression and are familiar with the relevant Expert Consensus Guidelinesfor treatment.

Some JCP and PCC articles are available in PDF format only. Please click the PDF link at the top of this page to access the full text.

Related Articles

Volume: 61

Quick Links: