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Bipolar Depression - Clinical Management in the Community


An accurate diagnosis is, of course, the first step in making treatment decisions. Treatment choices in psychiatry are rarely straightforward, and bipolar depression is no exception to this general rule. Further, the number of FDA-approved medications for bipolar mania has tripled over the past decade, while the pharmacopoeia available for bipolar depression remains quite limited.(1)

Treating bipolar depression requires an individualized care plan. The construction of a care plan is further complicated by the limited number of FDA-approved medications. There are few reliable indicators of clinical efficacy to guide the treatment decisions; thus, each option should be discussed with the patient, including initiation and maintenance of therapy.(2) The final choice is often driven by which medication is likely to be best tolerated. In addition, psychotherapy has been shown to be an effective adjunctive treatment for bipolar depression.(1)

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Filetype: MP3 - Size: 36.6MB - Duration: 53:18 m (96 kbps 8000 Hz)