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The Curbsiders Internal Medicine Podcast
#415 Bipolar Disorder With Dr. Kevin Johns
Nov 13, 2023
Dr. Kevin Johns, an expert in diagnosing and treating bipolar disorder, discusses the challenges of diagnosing and treating this condition. Topics covered include screening for mania, the importance of family history, understanding the diagnosis and criteria for bipolar disorder, and the challenges of accurate diagnosis and effective treatment. The hosts emphasize the need for regular assessment, monitoring, and a healthy lifestyle for individuals with bipolar disorder.
01:17:31
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Quick takeaways
- Diagnosing bipolar disorder requires determining if the patient has experienced at least one manic episode and considering various mimickers and differential diagnoses.
- Treatment for bipolar disorder depends on the specific phase of the illness, with different medications and collaboration with a psychiatrist playing a role.
Deep dives
Diagnosis of Bipolar Disorder
The key to diagnosing bipolar disorder is determining if the patient has experienced at least one manic episode. Manic episodes are characterized by a sustained period of elevated or expansive mood, increased goal-directed activity, and other manic symptoms such as hypersexuality and grandiosity. Differentiating bipolar disorder from other psychiatric conditions such as schizoaffective disorder or substance use disorders can be challenging and may require long-term observation. Screening tools like the CIDI 3.0 and MDQ can aid in the diagnosis process.
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