2. ENFERMEDAD BIPOLAR Psicosis Maniaco-depresiva? DEPRESION UMBRAL PARA DEPRESION UMBRAL PARA MANIA MANIA severidad Manning JS, et al. Prim Care Companion J Clin Psychiatry. 2002;4(4):142-150.
3. MANIA Eje I Eje I? Eje II? Nivel de hipertimia crónica Eje I Eje I? Eje II? Nivel de distimia crónica DEPRESIÓN López Mato, 03 Respuesta Remisión
4.
5.
6. DIAGNÓSTICO INCORRECTO 2000 NDMDA Bipolar Surveysobre 600 Patients con trastorno bipolar: Diagnóstico Incorrecto Inicial más frecuente: depresión unipolar=60% 69% Diagnóstico Incorrecto Inicial NDMDA=National Depressive and Manic-Depressive Association. Constituent Survey. 2001; Chicago, IL. atualmente:DBSA=Depression and Bipolar Support Alliance; Hirschfeld RMA, et al. J Clin Psychiatry. 2003;64(2):161-174 . 35% sintomáticos por más de 10 años antes de Diagnóstico correcto
7. Bipolares están sintomáticos casi la mitad de su vida (gralm. depresivos) Judd LL, et al. Arch Gen Psychiatry. 2002; N=146 53% 6% 9% 32%
8.
9.
10.
11.
12.
13.
14.
15.
16.
17. Predisposición Genética Factores de Desarrollo Stress Factores Genéricos Episodios Afectivos Tomado de Cetkovich Marcelo T E M P E R A M E N T O
Effective long-term treatment is the goal in the management of an illness such as bipolar disorder. Increased frequency and longer duration of acute manic and depressive episodes can lead to poor long-term symptom management, functioning and recovery. Reference: 1. Manning JS, Ahmed S, McGuire HC, et al. Mood Disorders in Family Practice: Beyond Unipolarity to Bipolarity. The Primary Care Companion J Clin Psych iatry 2002;4(4):142-150.
As you can see from the 2000 National Depressive and Manic Depressive Association’s Bipolar Survey, correct diagnosis has been a tough challenge, historically. Just three years ago, 69 percent of patients in the survey had been misdiagnosed as having unipolar depression, when in fact they were suffering with bipolar disorder. And 35 percent of them waited at least 10 years for the correct diagnosis to be made.