The Curbsiders Internal Medicine Podcast REBOOT #415 Bipolar Disorder With Dr. Kevin Johns
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Dec 2, 2024 Dr. Kevin Johns, a psychiatrist at Ohio State University Wexner Medical Center, shares vital insights into bipolar disorder treatment. He discusses the complexities of diagnosing this condition, emphasizing the variability of symptoms and the need for thorough evaluations. Dr. Johns critiques common screening tools, highlighting CIDI 3.0 as a preferable option. He also examines medication management, particularly the challenges of treating depressive phases, and underscores the importance of long-term observation and lifestyle modifications for effective treatment.
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Screening for Bipolar Disorder
- Ask patients if they've experienced extended periods of high energy, impulsivity, or unusual behavior.
- Inquire about specific examples and if others noticed these changes.
Depression as a Presenting Symptom
- Depression is often the primary presenting symptom in bipolar disorder, not mania.
- Depressive episodes in bipolar disorder are more frequent and impairing than manic episodes.
Bipolar Screening Tools
- Use the Mood Disorder Questionnaire (MDQ) as a quick screening tool in primary care.
- For suspected cases, the CIDI 3.0 offers a more thorough, structured interview.