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PrognosticIndicators ofTreatmentOutcome
List of Prognostic Indicators ofTreatment Outcome1.   Suicidality2.   Presence of a personality disorder3.   Quality of fa...
Bipolar Disorder-Major Public Health Issue Overall  economic burden is estimated at  $45 billion dollars annually Costs ...
Differential diagnosis should alsobe considered. Specifically with:  Bipolar     vs. unipolar  ADHD  Schizophrenia  Su...
Substance Abuse and BipolarDisorder   B. D. is the highest Axis I disorder    comorbid/concurrent with substance abuse  ...
Bipolar Disorder andPersonality Disorders   Approximately 50% of all Bipolar patients also    meet criteria for a persona...
Major Issues that ImpedeDiagnosis and Recognition ofB.D.   Clinicians are not always looking for    manic/hypomanic episo...
Major Issues that ImpedeDiagnosis and Recognition ofB.D.   Lack of reliable assessment tools for Bipolar Disorder   Misd...
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Bipolar mod 3

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Bipolar mod 3

  1. 1. PrognosticIndicators ofTreatmentOutcome
  2. 2. List of Prognostic Indicators ofTreatment Outcome1. Suicidality2. Presence of a personality disorder3. Quality of family and social support4. Substance use5. History of severity of prior episodes6. Bipolar I type is most severe7. Treatment onset-the sooner the better8. Age of onset-the younger the more severe
  3. 3. Bipolar Disorder-Major Public Health Issue Overall economic burden is estimated at $45 billion dollars annually Costs of treatment for an individual exceed $17,000 per year 1 in 3 people with bipolar disorder fail to comply with medications Non-adherence to treatment often results in hospitalization and suicide
  4. 4. Differential diagnosis should alsobe considered. Specifically with:  Bipolar vs. unipolar  ADHD  Schizophrenia  Substance abuse  Axis II
  5. 5. Substance Abuse and BipolarDisorder B. D. is the highest Axis I disorder comorbid/concurrent with substance abuse 21-61% of people with B.D. abuse or are addicted to substances as compared to 3- 13% in the general population B.D. is second to antisocial personality disorder in terms of concurrent substance abuse Substance use adversely effects medication, produces earlier onset of symptoms and often leads to hospitalization
  6. 6. Bipolar Disorder andPersonality Disorders Approximately 50% of all Bipolar patients also meet criteria for a personality disorder The most common comorbid conditions are in cluster B and C The most common Cluster B disorders include Antisocial, Borderline, Histrionic, Narcissistic The most common Cluster C disorders include Avoidant and Obsessive-Compulsive
  7. 7. Major Issues that ImpedeDiagnosis and Recognition ofB.D. Clinicians are not always looking for manic/hypomanic episodes and have a strong reliance on self-reports NOT forming a strong alliance throughout assessment period Poor assessment by the clinician of family and personal history Denial/Stigma may cause clinicians to under diagnose and clients may not accept the diagnosis
  8. 8. Major Issues that ImpedeDiagnosis and Recognition ofB.D. Lack of reliable assessment tools for Bipolar Disorder Misdiagnosed as unipolar depression Children, adolescents and young adults are often diagnosed with ADHD People often do not have clear cut, discrete mood episodes Mania if often unrecognized or considered irritability/ aggression Psychotic features are often mistaken for Schizophrenia Unwillingness of the client to seek treatment Lack of insight from client in mood episodes Clinicians are not looking for manic/hypomanic episodes- and reliance on self-reports

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