Abstract
Bipolar disorder (BD) is a serious mental disorder of chronic and recurrent course, characterized by episodes of mania, hypomania, depressive or mixed. Detailed clinical history, in order to identify the symptoms of each episode, is required for a proper diagnosis. Diagnostic criteria for each episode, as well as the different BD subtypes, are well described in the main psychiatric diagnostic manuals of mental illnesses (CIE and DSM). Taking into account the episode showed by the patient, pharmacological approach varies. Early clinical and functional recovery is the main goal of therapeutic approach to acute episode; the safety of the patient and relatives or close persons has to be taking into account. Long term overall stabilization of the patient, prevention of relapses or additional episodes, together with preservation of functionality are the main therapeutic goals.
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