Diagnosing bipolar depression

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 available as part of a CPD eLearning subscription.