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Bipolar afective disorder – Clinical review and case report

, Alexandru Neaga, Florin-Alexandru Petriuc, , Ilinca Dăscălescu, · Bulletin of Integrative Psychiatry · 2025

Bipolar Affective Disorder (BAD), often termed bipolar disorder (BD), is a chronic mood disorder characterized by episodes of mania/hypomania and depression, interspersed with periods of euthymia. The disorder has substantial morbidity, mortality, and socio-economic burden. This paper reviews current knowledge on its epidemiology, clinical features, etiology (genetic, neurobiological, environmental), diagnostic criteria including differential diagnoses, evidence-based treatments (pharmacological and psychological), prognosis, recent advances in research. Case reports play a key role in ilustrating the clinical diversity of BD and guiding individualized care. Key findings include that prevalence lies around 1-2% for bipolar I and II disorder in many populations, early age of onset (adolescence / early adulthood), strong genetic contributions, environmental risk moderators, and that combination treatments (therapy + medication) yield better outcomes. Recent research is refining subtypes via genetic clustering, exploring neuroanatomical correlates, and developing novel therapies. Gaps remain in effective treatment of bipolar depression, prediction of conversion in at-risk individuals,

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