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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

Psychiatry in primary care toolkit

A powerful mobile app packed with features that will streamline screening and assessment in primary care.

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