A survey found that patients with bipolar disorder sought help for an average of eight years, from at least three doctors, before getting the right diagnosis. Often, the condition is misdiagnosed as substance abuse, recklessness and impulsivity, all of which indeed tend to accompany bipolar disorder. Nevertheless, a diagnosis can be made based on symptoms of the illness. As described by the American Psychiatric Association's Practice Guideline for the Treatment of Patients with Bipolar Disorder the goals of treatment are to reduce the frequency and severity of episodes as well as their social and psychological impact; and to improve the patient's ability to function socially and mentally between episodes. Because manic episodes can cause impaired judgment, people must be protected from engaging in self-destructive actions such as making unwise investments or other foolish business decisions, giving their money away, going on spending sprees, driving recklessly or committing sexual indiscretions. Treatment for this episodic, long-term illness must be continually monitored to match its somewhat unpredictable manifestations. Medication is critical for treating acute mania, for preventing future episodes and for stabilizing mood between bouts. Last Updated: 3/3/2003
The Johns Hopkins University 1996-2003. All rights reserved. This information is not intended to provide advice on personal medical matters, nor is it intended to be a substitute for consultation. | 
