Links And Excerpts From The Curbsiders’ “#415 Bipolar Disorder With Dr. Kevin Johns And With Links To Additional Resources

Today I link to and excerpt from The Curbsiders‘ “#415 Bipolar Disorder With Dr. Kevin Johns”. November 13, 2023 | By .

All that follows isfrom the above resource.

Show Segments

  • Intro
  • Case
  • Screening for mania
  • History for diagnosing bipolar disorder
  • Definition
  • Mimickers
  • Treatment
  • Outro

Bipolar Pearls

  1. SIG-E-CAPS are the diagnosis criteria for a major depressive episode, not major depressive disorder, so consider other causes of depressive episodes before making a diagnosis.
  2. Depressive episodes are the most common and impairing symptoms of bipolar disorder (Judd et al 2002).  It is important to have on your differential for major depressive episodes.
  3. Bipolar disorder has a strong genetic component with a monozygotic concordance rate of nearly 50% (Kieseppa et al 2014).
  4. The Mood Disorder Questionnaire (MDQ) is the “d-dimer” of psychiatry; if it is negative, you can be fairly certain that the patient doesn’t have bipolar disorder, but a positive value does not give you a definitive diagnosis (Hirschfeld et al 2005).
  5. If a patient presents to your clinic with a prior diagnosis of bipolar disorder, it is important to learn the circumstances leading to their diagnosis and who made it to confirm validity.
  6. Screen for suicidality* at every visit; patients with bipolar disorder are 20-30 times more likely to die from suicide than the general population (Plans et al 2019).

*Here are links to some tools for suicidality screening:

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