Click here to see the meta data of this asset.
Mania: When to refer to a specialist
The primary care provider should refer to a specialist in the following situations:
- a patient requiring hospital admission
- questions regarding capacity for treatment decisions
- unfamiliarity with the use of anti-bipolar medications
- complex and uncertain clinical presentations
- diagnostic dilemmas
- cases of treatment-resistant mania
- problematic adverse events and safety concerns with medication
- when considering electroconvulsive therapy
Related Portico Network topics
Psychiatry in primary care toolkit
A powerful mobile app packed with features that will streamline screening and assessment in primary care.
Clinical guidelines
Canadian network for Mood and Anxiety Treatment (CANMAT) guidelines for the management of patients with bipolar disorder (2005, updated 2009, 2013)
Bipolar disorder: Assessment and management (NICE guideline CG185, 2014)