Bipolar Affective Disorder Differential Diagnoses

  • Author: Stephen Soreff, MD; Chief Editor: Iqbal Ahmed, MBBS, FRCPsych (UK)   more...
 
Updated: Apr 17, 2012
 
 

Diagnostic Considerations

Other conditions to be considered include the following:

  • Cancer
  • Epilepsy
  • Fahr disease
  • AIDS
  • Medications (eg, antidepressants can propel a patient into mania; other medications may include baclofen, bromide, bromocriptine, captopril, cimetidine, corticosteroids, cyclosporine, disulfiram, hydralazine, isoniazid, levodopa, methylphenidate, metrizamide, procarbazine, procyclidine)
  • Circadian rhythm desynchronization
  • Cyclothymic disorder
  • Multiple personality disorder
  • Oppositional defiant disorder (in children)
  • Substance abuse disorders (eg, with alcohol, amphetamines, cocaine, hallucinogens, opiates)

Differential Diagnoses

Proceed to Workup
 
 
Contributor Information and Disclosures
Author

Stephen Soreff, MD  President of Education Initiatives, Nottingham, NH; Faculty, Metropolitan College of Boston University, Boston, MA

Stephen Soreff, MD is a member of the following medical societies: American College of Mental Health Administration and American Psychosomatic Society

Disclosure: Nothing to disclose.

Coauthor(s)

Lynne Alison McInnes, MD, MS  Associate Clinical Professor of Psychiatry, University of California, San Francisco, School of Medicine; Associate Adjunct Professor of Psychiatry and Genetics and Genomic Sciences, Department of Psychiatry and Human Genetics, Mount Sinai School of Medicine

Lynne Alison McInnes, MD, MS is a member of the following medical societies: Alpha Omega Alpha, American Psychiatric Association, and American Society of Human Genetics

Disclosure: Nothing to disclose.

Chief Editor

Iqbal Ahmed, MBBS, FRCPsych (UK)  Faculty, Department of Psychiatry, Tripler Army Medical Center; Clinical Professor of Psychiatry, Uniformed Services University of Health Sciences: Clinical Professor of Psychiatry, Clinical Professor of Geriatric Medicine, University of Hawaii, John A Burns School of Medicine

Iqbal Ahmed, MBBS, FRCPsych (UK) is a member of the following medical societies: Academy of Psychosomatic Medicine, American Association for Geriatric Psychiatry, American Neuropsychiatric Association, American Psychiatric Association, American Society of Clinical Psychopharmacology, and Royal College of Psychiatrists

Disclosure: Nothing to disclose.

Additional Contributors

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

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Table. FDA-Approved Bipolar Treatment Regimens
Generic NameTrade NameManicMixedMaintenanceDepression
ValproateDepakoteX
Carbamazepine extended releaseEquetroXX
LamotrigineLamictalX
LithiumXX
AripiprazoleAbilifyXXX
ZiprasidoneGeodonXX
RisperidoneRisperdalXX
AsenapineSaphrisXX
QuetiapineSeroquelXX
ChlorpromazineThorazineX
OlanzapineZyprexaXXX
Olanzapine/fluoxetine combinationSymbyaxX
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