Bipolar disorder most commonly is diagnosed in persons between 18 and 24 ye
ars of age. The clinical presentations of this disorder are broad and inclu
de mania, hypomania and psychosis, Frequently associated comorbid condition
s include substance abuse and anxiety disorders. Patients with acute mania
must be evaluated urgently. Effective mood stabilizers include lithium, val
proic acid and carbamazepine. A comprehensive management program, including
collaboration between the patient's family physician and psychiatrist, sho
uld be implemented to optimize medical care.