THE FOUNDATIONS OF EFFECTIVE MANAGEMENT OF BIPOLAR DISORDER

Objectives: To understand the epidemiology and course of bipolar disor der, to outline the importance of accurate and reliable diagnosis of b ipolar disorder both on a cross-sectional and longitudinal basis; and to emphasize the value of a collaborative therapeutic relationship, ps ychoeducation, and psychotherapy. Methods: A brief review of relevant literature to deal with the issues of diagnosis and laying the foundat ions for effective treatment. Results: Bipolar disorder may well be a heterogeneous group of conditions with varying forms of biphasic mood dysregulation and a changing course across a lifetime. A collaborative therapeutic relationship, psychoeducation, and psychotherapy can be t he basis for effective management. Conclusions: As the concept of bipo lar disorder has broadened the condition is being identified with incr easing frequency in many clinical settings. It is a relapsing and recu rring condition. It is now recognized that in addition to rational pha rmacotherapy, there is a need to encourage a high level of treatment a dherence while providing a holistic package of interventions.