- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
Bipolar disorder
- Chapter:
- Bipolar disorder
- Author(s):
Kate E.A. Saunders
, and John Geddes
- DOI:
- 10.1093/med/9780198746690.003.0633
Bipolar disorder is a highly heritable, lifelong, relapsing, and remitting chronic mental illness. While traditionally characterized as a disorder with distinct periods of elated and depressed mood, it is now clear that interepisode mood instability is common. Comorbid psychiatric and medical conditions are common. When occurring in medical settings mania can be both disruptive and hazardous, and may require active psychiatric management. Pharmacological approaches are the mainstay of treatment, although adjunctive psychotherapies are helpful in preventing relapse. Compulsory detention in hospital using mental health law may sometimes be required for both manic and depressive states.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- 26.1 General introduction
- 26.2 The psychiatric assessment of the medical patient
- 26.3 Common psychiatric presentations in medical patients
- 26.4 Psychiatric treatments in the medically ill
- 26.5 Specific psychiatric disorders
- 26.5.1 Delirium
- 26.5.2 Dementia
- 26.5.3 Organic psychoses
- 26.5.4 Alcohol misuse
- 26.5.5 Substance misuse
- 26.5.6 Depressive disorder
- 26.5.7 Bipolar disorder
- 26.5.8 Anxiety disorders
- 26.5.9 Acute stress disorder, adjustment disorders, and post-traumatic stress disorder
- 26.5.10 Eating disorders
- 26.5.11 Schizophrenia
- 26.5.12 Somatic symptom and related disorders
- 26.5.13 Personality disorders
- 26.6 Changing unhealthy behaviours
- 26.7 Psychiatry, liaison psychiatry, and psychological medicine
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine