title: [Bipolar disorders and psychiatric comorbidity].
abstract: Comorbidity is very frequent in bipolar disorders. The most frequently psychiatric disorders associated with bipolar disorders are substance use disorders (particularly alcohol abuse) and anxiety disorders. Obsessive-compulsive disorder, impulse control disorders, personality disorders and eating disorders co-occur also with bipolar disorder. Comorbidity complicates the diagnosis and the treatment of bipolar disorder and worsen the prognosis. For every bipolar patient, it is necessary to search for a comorbid psychiatric disorder, and vice-versa. There is a noticeable paucity of controlled studies to guide selection of the most effective treatment approches for these patients. The expert consensus guidelines about treatment of bipolar disorder propose divalproex as first-line treatment when bipolar disorder co-occurres with substance abuse, panic disorder or posttraumatic stress disorder.
authors.affiliation: Laboratoire Vulnérabilité, Adaptation et Psychopathologie, CNRS UMR 7593, Groupe Hospitalier La Pitie-La Salpêtrière, 75651 Paris. heloiselipski@yahoo.fr
authors.forename: Héloise
authors.initials: H
authors.lastname: Lipski
authors.forename: Franck
authors.initials: F
authors.lastname: Baylé
mesh_terms: D001714:Bipolar Disorder / Q000453:epidemiology*; D015897:Comorbidity; D006801:Humans