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10-minute consultation: bipolar disorder
by A Tylee, E Vieta, A Young
10-minute consultation
Book (96 Pages)
September 2016
Bipolar disorder is a heterogenous condition and there is considerable disagreement about its definition and diagnosis. In most cases, however, the onset occurs during early adulthood and the illness follows a cyclic course, between episodes of acute mania and bipolar depression.

The 10-minute consultation: bipolar disorder will provide a holistic approach to the assessment and management of bipolar disorder, stressing the importance of ongoing patient review and recall to ensure delivery of high-quality, evidence-based treatment.

The clinician's manual is designed to be used in the clinic and for studying, containing targeted guidance on all aspects of the primary care clinician's role. Written by experienced key opinion leaders, the book supports everyday patient care and improved outcomes.
Table of contents
1. Introduction
How is bipolar disorder classifi ed?
What is the natural history of illness?
What are the effects of bipolar disorder on daily functioning and quality of life?
2. Who and what to test
Screening and case fi nding
What issues should the GP cover during the 10-minute consultation?
Differential diagnosis: substance abuse, personality disorders and
general medical conditions
3. How to manage the patient with bipolar disorder
Who to treat?
How to treat?
Acute-phase management
Maintenance-phase management
4. Person-centred care
How to identify the patient’s beliefs about bipolar disorder
(their concerns and expectations)?
What are the patient’s cultural beliefs and practices?
How to recognise nonconcordance with treatment strategies?
Are any treatments particularly appropriate?
5. Applying the evidence
What are the implications of the international best-practice guidelines for GPs?
Selected landmark studies
What are the prescribing options for treating to target in primary care: a summary
When to refer?
6. Review and recall
What ongoing patient care, monitoring and follow-up are necessary?
What roles do other key healthcare workers have in managing the patient?
What is the role of information technology (IT)?
What is the role of the expert patient?
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