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Chapter 5 - Clinical Screening for Unipolar and Bipolar Disorders

Published online by Cambridge University Press:  16 May 2024

By
Claudia Lex  and
Thomas D. Meyer
Edited by
Allan Young ,
Marsal Sanches ,
Jair C. Soares  and
Mario Juruena
Allan Young
Affiliation:
Institute of Psychiatry, King's College London
Marsal Sanches
Affiliation:
Baylor College of Medicine, Texas
Jair C. Soares
Affiliation:
McGovern Medical School, The University of Texas
Mario Juruena
Affiliation:
King's College London
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Summary

Accurate diagnoses are crucial in choosing the most appropriate evidence-based treatment for mood disorders. Structured clinical interviews are the gold standard to assess unipolar (UD) and bipolar disorders (BD); however, they require time, financial, and training resources that are often unavailable. As this is especially true outside of specialty clinics or tertiary care settings, self-ratings can be used for screening to facilitate the diagnostic process. Such tools have both strengths and weaknesses, but it is essential that a detailed clinical assessment still follows before providing a valid diagnosis for mood disorders. In this chapter, we review several screening tools for UD and BD that have substantial empirical support and/or are widely used. We list measures that have been used for other types of screening, for example, to assess severity of symptoms or focus on specific populations. Gaps, recent developments, such as digital approaches, and final conclusions for clinical practice are also discussed.

Keywords

depressionhypomaniabipolar disordersmood disordersscreeningprimary care
Type
Chapter
Information
Clinical Textbook of Mood Disorders , pp. 54 - 67
Publisher: Cambridge University Press
Print publication year: 2024

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