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Management of bipolar depression
Bipolar Disorder Care Standard 23: There is a record of screening for and management of bipolar depression.

Criteria
23a The care record shows that a depression-screening algorithm is followed, eg Hamilton.

23b Where antidepressants are prescribed, the care record shows they are prescribed in combination with a mood stabiliser.

23c The care record shows the use of a professionally rated assessment tool to monitor outcome, eg Montgomery Asberg Depression Rating Scale (MADRS).

Supporting material for standard 23:
Useful resources are available in the SIGN and NICE guidelines.

        
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30|11|2008  - British Journal of Psychiatry
Montgomery & Asberg Depression Rating Scale (MADRS)
Diagnostic Specific Rating Tools - A new depression scale designed to be sensitive to change
30|10|2008  - Journal of Neurology, Neurosurgery and Psychiatry
Hamilton Depression Rating Scale
Reference: Diagnostic Specific Rating Tools - Hamilton Depression Rating Scale. M Hamilton (1960). A rating scale for depression. J Neurol Neurosurg Psych 23: 52-62
6|9|2007  - NICE
Bipolar disorder: the management of bipolar disorder in adults, children and adolescents, in primary and secondary care
NICE. Bipolar disorder: the management of bipolar disorder in adults, children and adolescents, in primary and secondary care. London: NICE; 2006. NICE clinical guideline 38
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6|9|2007  - SIGN
Bipolar affective disorder SIGN 82
SIGN. Bipolar affective disorder. Edinburgh: SIGN; 2005. SIGN Publication No. 82
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