It is frequent that a patient with bipolar disorder have a late diagnosis of his disease, since there exists an absence of conscience of his state in the phases of obsession or hypomania, and it is frequent that psychiatrist who explore a patient in the depressive phase notice that he is only conscious of the existence of a depressive picture and not of the process known as BD (bipolar disorder).

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Doctor Manuel Bousoño, Head teacher of Psychiatry of the University of Oviedo has taken part in a training course for residents with a speech bipolar disorder.
In his opinion, among the aspects of this pathology, the one the most worrying ones are the identification of the patients, their subtypes, how to approach the treatment and the doses of medicine to use.
In this respect, this expert considers necessary ” an active attitude of search of the fine symptoms of the hypomaniac phases to assure its diagnosis “.
In the same way, Bousoño explains that ” the disorders of anxiety have a certain comorbility with these phases but, in general, it doesn´t evolve towards them “. On the contrary, Bousoño indicates that in the case of the depression, it does not happen in the same way, since ” most bipolar disorders begin under the form of a depressive episode “, which might explain, in certain way, the delay in its diagnosis.
The expert also insists on the importance of family environment in the treatment of the affected person. Such and as he explains, Vieta and Colom’s studies realized in Spain, have put of and demonstrated the need to improve the therapeutic adherence of the patients, and for that it is necessary a lot of collaboration of the family.
Bousoño thinks that nowadays, the treatment of this pathology is entering a” very encouraging ” path, due to the advances registered in last ten years. ” We have nowadays numerous therapeutic strategies and new and effective medicines for the control of these patients “.
In this respect, this specialist assures that there is specially a considerable advance in pharmacogenetic and pharmacogenomic investigation, and that this disciplines will open in the future the doors of hope for a treatment that allows the recovery of most of the patients with BD “.
In Bousoño’s words, ” BD is the psychiatric disease that has the biggest hereditary component, without avoiding the existence of some forms of late appearance, which can be a product of cerebral injuries of organic nature “.
Hospitalization, according to him, ” is necessary in most of the cases of maniacal episodes (not in the case of hypomania), specially when psychotic symptoms exist “, though this expert considers that ” the time of hospitalization must be the minimum to facilitate a suitable managing of a later treatment, which in is in the practice is a period between two and three weeks ”


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