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The Curbsiders Internal Medicine Podcast

REBOOT #415 Bipolar Disorder With Dr. Kevin Johns

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.
01:19:44

Episode guests

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Quick takeaways

  • Diagnosing bipolar disorder involves careful assessment of mood history and potential comorbidities to distinguish it from other conditions.
  • Standardized screening tools like the Mood Disorder Questionnaire and CIDI 3.0 are essential for accurately identifying manic symptoms.

Deep dives

Introduction to Bipolar Disorder

Bipolar disorder is characterized by the presence of manic and depressive episodes, with the depressive episodes often being the most prevalent and impairing. Patients may present initially with depressive symptoms, making it crucial to differentiate bipolar disorder from major depressive disorder or other conditions. The complexity of diagnosis arises as manic symptoms can be subtle or go unnoticed, and the understanding of these symptoms varies widely, even among healthcare professionals. Accurate diagnosis involves thorough assessment, including mood history and functional impairment, and may require extended follow-up for confirmation.

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