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Tijdschr Psychiatr. 2019;61(6):384-391.

[Earlier recognition of bipolar disorder - necessity and advice for clinical practice].

[Article in Dutch]


There is an average 10-year delay in diagnosing bipolar disorder, hampering the application of effective therapeutic interventions.<br/> AIM: To investigate factors contributing to early recognition.<br/> METHOD: We give a stage-oriented overview of the opportunities for early recognition.<br/> RESULTS: Recognition in stage 0 (at-risk) and stage 1 (prodromal) is yet impossible. In stage 2 (syndromal) there are opportunities for better recognition in patients presenting with depression by conducting a thorough (collateral) psychiatric assessment, family history and by applying additional screening tools. CONCLUSIONS There are opportunities for better recognition of bipolar disorder in the syndromal stage.

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