Psychiatry Boot Camp 2.7 Bipolar Disorders
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Jan 7, 2024 Dr. McIntyre discusses the key clinical features of bipolar disorders, including the relationship with circadian rhythm and the difference between type I and type II bipolar disorder. He also explores the pathogenesis of bipolar disorders and the first-line treatment options. The podcast emphasizes the importance of early recognition and treatment, evidence-based psychotherapies, and screening for accurate diagnosis.
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Career-Defining Clinical Moment
- Roger McIntyre chose bipolar disorder after a vivid, memorable psychiatry rotation where a man with psychosis fascinated him.
- That early encounter set a 30-year career and persistent curiosity about bipolar disorders.
Bipolar As A Rhythm Disorder
- McIntyre frames bipolar not as two poles but as a disorder of rhythmicity affecting mood, sleep, energy, and cognition.
- This perspective links bipolar phenomenology to circadian and rhythm-based mechanisms.
Use Severity To Differentiate Mania vs Hypomania
- Diagnose mania when elevated/irritable mood plus increased energy/activity occur with other impairing symptoms and no secondary cause.
- Treat hypomania differently by judging severity: hypomania lacks psychosis or need for hospitalization.