Bipolar Disorder in Adults
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Bipolar Disorder in Adults
Bipolar spectrum disorders are a major public health problem, with estimates of lifetime prevalence in the general population of the United States at 3.9 percent, with a range from 1.5 to 6.0 percent. Bipolar disorder is also associated with significant mortality risk, with approximately 25 percent of patients attempting suicide and 11 percent of patients completing. Furthermore, inadequate treatment and service structure causes high rates of jailing for bipolar patients.Bipolar depression is still undertreated, too, with patients suffering such symptoms 31.9 percent of the time over nearly 13 years.
Review articles for adults and pediatric patients imply progress, but we have not fully researched depressive episodes, combination treatment, health services interventions, and special populations. Practice guidelines, decision trees, and elaborate algorithms are well written, but are not user friendly.
Review articles for adults and pediatric patients imply progress, but we have not fully researched depressive episodes, combination treatment, health services interventions, and special populations. Practice guidelines, decision trees, and elaborate algorithms are well written, but are not user friendly.
More pharmacologic options are now available, and psychoeducation, self-help, and psychotherapy interventions are frequently utilized. The Depression and Bipolar Support Alliance has taken a leading role in educating patients, their families, medical professionals, mental health professionals, and the public at large about manic-depressive illness. The National Alliance of the Mentally Ill (NAMI) has also sought information by surveying family members about utilization and value of mental health services.
An electronic systematic review within the online databases PubMed, Medline, PsychINFO, and Cochrane Library was conducted up to May 2020. Keywords used were: “bipolar disorder” OR “mania” AND “gender” OR “gender difference” AND “national cohort” OR “multicentric studies”. The results were filtered by year of publication and number of patients included in the study. We then proceeded to exclude studies not adherent to criteria and incomplete studies not providing information on sample composition in terms of diagnosis and gender distribution.
Be a full and active participant in your own treatment. Learn everything you can about bipolar disorder. Become an expert on the illness. Study up on the symptoms, so you can recognize them in yourself, and research all your available treatment options. The more informed you are, the better prepared you’ll be to deal with symptoms and make good choices for yourself.
Using what you’ve learned about bipolar disorder, collaborate with your doctor or therapist in the treatment planning process. Don’t be afraid to voice your opinions or questions. The most beneficial relationships between patient and healthcare provider work as a partnership. You may find it helpful to draw up a treatment contract outlining the goals you and your provider have agreed upon.
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Regards,
Nancy Ella
Dual Diagnosis: Open Access
Email: dualdiagnosis@emedsci.com
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