Bipolar disorder, single episode

Bipolar I Disorder, Single Episode (296.0x) is one of many DSM-1V diagnoses for which the taxonic status cannot be directly tested (American Psychiatric Association, 1994). The problem lies with the structure of the 296.0x diagnosis. Unlike the definition of panic disorder, 296.0x lacks a unique... 

Major depressive disorder, single episode Major depressive disorder, recurrent Bipolar disorder, type P Bipolar disorder, type lb Dysthymic disorder Cyclothymic disorder ... 

Example 3 Is Bipolar I Disorder, Single Manic Episode (296.0x) a Taxon ... 

Whenever possible, we prefer to treat with a mood stabilizer (e.g., lithium, VPA) alone, because of their specificity for bipolar disorder and to minimize adverse effects. This is particularly true in mild to moderately severe episodes of acute mania. In addition, if the patient can benefit from a single drug during the acute episode, this would support its benefit for maintenance and prophylactic purposes. Further, monotherapy diminishes the chance for potentially significant drug interactions and reduces cost. 

A number of strategies have been used to optimize the use of medications in treating bipolar disorder in pregnancy. Patients who have had a single episode of mania with good recovery may be able to taper medication before conception. Those with multiple and frequent recurrences of symptoms (depression or mania) could attempt to discontinue medications before conception or wait until the pregnancy is diagnosed and then taper medications. Medications could be resumed if symptoms occur or after the first trimester to decrease the... 

Recent emphasis on the recurrent and progressive nature of bipolar disorder has increasingly led to recommending commencement of prophylaxis after a single manic episode. 

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