Clinical practice recommendations for bipolar disorder

Authors

  • G. S. Malhi,

    1. CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, St Leonards, NSW, Australia
    2. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
    3. Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia
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  • D. Adams,

    1. CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, St Leonards, NSW, Australia
    2. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
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  • L. Lampe,

    1. CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, St Leonards, NSW, Australia
    2. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
    3. Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia
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  • M. Paton,

    1. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
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  • N. O’Connor,

    1. Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia
    2. Sydney South West Area Health Service, Sydney, NSW, Australia
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  • L. A. Newton,

    1. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
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  • G. Walter,

    1. Discipline of Psychological Medicine, University of Sydney, Sydney, NSW, Australia
    2. Child and Adolescent Mental Health Services, NSCCAHS, Sydney, NSW, Australia
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  • A. Taylor,

    1. Northern Sydney Central Coast Mental Health Drug and Alcohol, Northern Sydney Cental Coast Area Health Service, Sydney, NSW, Australia
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  • R. Porter,

    1. Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
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  • R. T. Mulder,

    1. Department of Psychological Medicine, University of Otago, Christchurch, New Zealand
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  • M. Berk

    1. Melbourne University, Barwon Health and the Geelong Clinic, Geelong, Victoria, Australia
    2. Orygen Research Centre, University of Melbourne, Melbourne, Victoria, Australia
    3. Mental Health Research Institute, Melbourne, Victoria, Australia
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Professor Gin S Malhi, CADE Clinic, Level 5, Building 36, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia. E-mail: gmalhi@med.usyd.edu.au

Abstract

Objective:  To provide clinically relevant evidence-based recommendations for the management of bipolar disorder in adults that are informative, easy to assimilate and facilitate clinical decision-making.

Method:  A comprehensive literature review of over 500 articles was undertaken using electronic database search engines (e.g. MEDLINE, PsychINFO and Cochrane reviews). In addition articles, book chapters and other literature known to the authors were reviewed. The findings were then formulated into a set of recommendations that were developed by a multidisciplinary team of clinicians who routinely deal with mood disorders. These preliminary recommendations underwent extensive consultative review by a broader advisory panel that included experts in the field, clinical staff and patient representatives.

Results:  The clinical practice recommendations for bipolar disorder (bipolar CPR) summarise evidence-based treatments and provide a synopsis of recommendations relating to each phase of the illness. They are designed for clinical use and have therefore been presented succinctly in an innovative and engaging manner that is clear and informative.

Conclusion:  These up-to-date recommendations provide an evidence-based framework that incorporates clinical wisdom and consideration of individual factors in the management of bipolar disorder. Further, the novel style and practical approach should promote their uptake and implementation.

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