THE ROLE OF BIPOLARITY IN DEPRESSION IN THE FAMILY PRACTICE SETTING

摘要: The literature suggests that bipolar spectrum disorders are more prevalent than previously thought but still poorly recognized. In the primary care setting, this poor recognition is largely result of an insensitive, cross-sectional approach and clinicians' lack familiarity with phenomenology II. Failure to recognize role bipolarity in depressive illness often a cause outcome setting under dosing antidepressants. Hypomania easily missed clinical evaluations and, as currently defined by DSM-IV, may not represent most diagnostic marker for all variants illness: Mood lability energetic activity, temperamental traits embodied construct cyclothymia, have emerged specific. Given emerging data much one third depressions both psychiatric settings belong soft spectrum, practitioner education on necessity consider course, temperament, family history depression improve identification limit unproductive or potentially harmful antidepressants use unprotected mood stabilizers.