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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Answer

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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