What monitoring in needed following initiation of medication for the treatment of bipolar affective disorder (manic-depressive illness)?

Updated: May 30, 2019
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Evaluate and closely monitor patients with bipolar depression for the risk for mood destabilization or switching to mania and for the presence of emergent symptoms following initiation of pharmacotherapy for a depressive episode. [3] Initiate an antipsychotic agent in patients with bipolar depression with psychotic features, and consider psychosocial interventions (eg, psychoeducation; psychotherapy strategies such as cognitive behavioral therapy [CBT], interpersonal and social rhythm therapy [IPSRT], family focused therapy; chronic care model-based interventions).

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