Bipolar disorder : NICE guidelines summary

The NICE guideline CG185, titled "Bipolar disorder: assessment and management," was initially published on 24 September 2014 and last updated on 21 December 2023.

Scope and Importance for Primary Care

This guideline provides comprehensive recommendations for the recognition, assessment, and management of bipolar disorder across all age groups, including adults, children, and young people. It addresses various aspects such as diagnosis, treatment of acute episodes, long-term management, and considerations for special populations. The guideline emphasizes the role of primary care practitioners in early identification, ongoing management, and coordination with secondary care services to ensure holistic care for individuals with bipolar disorder.

Bipolar disorder is a complex and often challenging mental health condition, characterized by significant mood alterations that range from extreme highs (mania or hypomania) to lows (depression). This condition can have a profound impact on a person's life, potentially leading to lifelong and disabling consequences. Episodes of mania are marked by abnormally elevated moods or irritability, severe functional impairment, and can include psychotic symptoms lasting a week or more. Hypomanic episodes, though similar in nature, are typically less severe and last for a minimum of four days. Bipolar disorder is also frequently associated with co-morbid conditions, such as anxiety...