What are the Veterans Administration/Department of Defense (VA/DoD) clinical practice treatment guidelines for bipolar affective disorder (manic-depressive illness)?

Updated: May 06, 2018
  • Author: Stephen Soreff, MD; Chief Editor: Glen L Xiong, MD  more...
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Answer

The 2010 Veterans Administration/Department of Defense (VA/DoD) clinical practice guideline for management of bipolar disorder recommends reassessing patients who start treatment for acute bipolar mania, hypomania, or mixed episodes every 1-2 weeks for at least 6 weeks. [3] Patients with severe mania who are not hospitalized should be reassessed every 2-5 days until symptoms improve. An absence of any significant symptoms of mania or depression for 2 months should be considered to be full remission and assessment of symptoms should then be continued periodically to monitor for relapse. [3]


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