Bipolar disorders: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Bipolar disorders: management. Thyroid stimulating hormone (TSH), Syphilis screening, HIV screening, Vitamin B12. Fully referenced neurology checklist.
Main investigations
- Thyroid stimulating hormone (TSH)
- Syphilis screening
- HIV screening
- Vitamin B12
- Toxicology: urine and blood
- Inflammatory markers
- Fasting blood glucose
- Prolactin
- Liver function tests and clotting profile
- Serum lipids
- Brain imaging
- Electrocardiogram (ECG)
- Electroencephalograms (EEG)
Treatment of mania: drugs
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Electroconvulsive therapy (ECT): indications
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Treatment of bipolar depression
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Psychological treatments
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Indications for in-patient management
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References
- Hilty DM, Leamon MH, Lim RF, Kelly RH, Hales RE. A review of bipolar disorder in adults. Psychiatry (Edgmont) 2006; 3:43-55.
- McIntyre RS, Calabrese JR. Bipolar depression: the clinical characteristics and unmet needs of a complex disorder. Curr Med Res Opin 2019; 35:1993-2005.
- McCormick U, Murray B, McNew B. Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses. J Am Assoc Nurse Pract 2015; 27:530-542.
- Rybakowski JK. Recent advances in the understanding and management of bipolar disorder in adults. F1000Res 2017; 6:2033.
- Rowland TA, Marwaha S. Epidemiology and risk factors for bipolar disorder. Ther Adv Psychopharmacol 2018; 8:251-269.
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