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Bipolar disorder

Diagnosis

If your doctor suspects that you have bipolar disorder, you will normally be referred to a specialist. This will often be a psychiatrist. If your doctor thinks that, due to your illness, there is a risk that you could harm yourself, or others, they will arrange an appointment right away.

The specialist will carry out an assessment which will involve asking you a number of questions to determine whether or not you have bipolar disorder, and what treatments will be most suitable for you.

You will be asked about the symptoms that you have had, and when you first experienced them. The specialist will also ask you about how you usually feel leading up to, and during, an episode of mania or depression, and whether you have had thoughts about harming either yourself or others.

They will also want to know about your background and family history to see if any of your relatives have had the condition. If someone else in your family has bipolar disorder, the specialist may wish to talk to them, but will ask for your agreement before doing so.

It is extremely important for you to discuss your condition with the specialist, so that you are fully involved in the decisions about your care. However, in some cases, if your symptoms are very severe, you may be unable to make an informed decision or communicate your needs. In case this situation arises, you can produce a set of written instructions, stating what treatments and help you want or do not want. Your doctor or specialist will be able to help and advise you about this.

Depending on your symptoms, you may also have tests to see whether you have a physical problem, such as thyroid disease. If you have bipolar disorder, you should visit your doctor on a regular basis to have a physical health check. You may have other health problems, and the medication that is used to treat the condition can have side effects. For example, putting on weight is common.

Updated as of Sep 8 2008