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Consult Request Guidelines
for Bipolar Disorder (Adult)
 
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Bipolar Disorder (Adult)

Suggested Pre-Referral Evaluation and Management Guidelines
  • Rule out medical contributors to symptoms:
    • Drugs of abuse: alcohol, cocaine, etc. -Consider referral to U-M Addiction Treatment Services: 734-764-9190
    • Thyroid and other endocrine diseases
    • Head injury
    • Sleep apnea
    • Medications: antidepressants, decongestants, stimulants, steroids, contraceptives
    • Caffeine use
  • Core of treatment for bipolar disorder is a mood stabilizing agent (lithium, valproic acid, or carbamazepine)
  • Antipsychotic agents can be used as second line or augmenting agents in adults.
  • Lamotrigine may be used for the prevention of bipolar depression.
  • Antidepressant agents should be used with caution, and in general not without a mood stabilizing agent.
  • Combining medications with effective psychotherapy is the best treatment. Evidence based therapies for bipolar disorder include: Cognitive Behavioral Therapy, Interpersonal and Social Rhythm Therapy, Family Focused Therapy.
Suggested Additional Test/Management Prior to Specialty Visit - Prior to referral, baseline labs to help speed process of starting medications: Comprehensive metabolic panel, TSH, CBCPD, CHD, height, weight, waist circumference, medication levels (if applicable).
- Provide a brief history of mental status at varying time points if able.
***Encourage family members and/or a close friend to attend specialty evaluation appointment.
Patient Education/Information (includes preps) UM Depression Center

Free Depression Center Patient and Family Support Groups:
Every 2nd and 4th Wednesday from 7:15 to 8:00 PM at the Rachel Upjohn Building, 4250 Plymouth Rd., Ann Arbor, MI
Appointment Timeframe Appointment wait times vary by availability.

Emergent care needs must be addressed through the Psychiatric Emergency Service: 734-936-5900.
How to Get Results to Consultant UMHS Patients: Make sure all needed information is posted or scanned in to MiChart

External Patients: Fax referral request form and supporting patient records. Fax: 734-763-5580

Records should be mailed or faxed well in advance of scheduled consultations. If time frame is too short, patients can hand carry outside records.
Clinic Contact Information UMHS patients:
  1. Complete electronic referral in MiChart.
  2. Direct the patient to call Psychiatry Intake & Call Center at 734-764-0231 or 1-800-525-5188 to make an appointment.
Clinic Location Sites Depression Center / Ambulatory Psychiatry at the Rachel Upjohn Building
UM Consulting Physician Depressive Disorders Section Faculty
Last Date of Revision 08/02/2013
 
 

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