Diagnosing bipolar depression

Author(s):
Prof Eleni Palazidou and Dr Oluwakemi Okopi

Duration:
60 minutes

Credits:
1

Published:
October 2025

Type:
CPD learning module

CPD domain:
Clinical

Bipolar disorder.jpg

This CPD eLearning module has been awarded Most popular CPD eLearning module 2025/2026 at the RCPsych eLearning Awards.

To recognise and celebrate this, the module will be free to access until the 31st August 2026.

Mania is the hallmark of bipolar disorder, yet depression is the predominant clinical state and the one most responsible for the high morbidity and mortality associated with this condition.

The diagnosis of bipolar depression, though seemingly straightforward, can become a challenging task in the absence of a previous history of mania. Differentiating bipolar from unipolar depression is essential in order to make the correct choice of drug treatment.

In this module you will learn how to recognise bipolarity in patients presenting in a depressed state. Evidence-based information, where available, and practical advice will be given on how to carry out an informed examination and avoid any pitfalls in reaching the correct diagnosis.

Learning outcomes:

By the end of this module, you should be able to:

  • recognise that the possibility of bipolarity should always be considered when assessing a patient presenting in a depressed state
  • be conversant with the indicators of bipolarity
  • have considered subsyndromal states and their importance to the patient’s functioning and outcome in the long term
  • give examples of the major comorbid conditions and their impact on the diagnosis, course and outcome of bipolar depression. 
Availability

This module is free to access until the 31st August 2026.

If you are a member of the Royal College of Psychiatrists, you can log in straight away using the same username and password with which you access the members' area of the College website. Otherwise, all you need to do is register with the College.





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