title: Co-morbidity of bipolar affective disorder and obsessive compulsive disorder in a Bedford community psychiatry team.
abstract: This is a study of the prevalence and impact of co-existing bipolar affective disorder on patients with OCD, and the effect on their management within a community psychiatric team. We found that 16% of patients who visited psychiatric outpatients with a diagnosis of OCD had co-existing bipolar affective disorder. Of these the majority had bipolar affective disorder II (67%). Co-morbidity raised a number of challenges to patient management. Compared to the control group the patients with co-morbid bipolar affective disorder required a greater number of outpatients appointments, had a greater number of hospital admissions, were more likely to have been allocated a care coordinator and to have received psychological input.
authors: Department of Psychiatry, University of Cambridge, UK.
authors: Laura
authors: L
authors: Darby
authors: Mark
authors: M
authors: Agius
authors: Rashid
authors: R
authors: Zaman
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D018692:Antimanic Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D003156:Community Mental Health Services; D015897:Comorbidity; D006801:Humans; D009771:Obsessive-Compulsive Disorder / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D015995:Prevalence; D011613:Psychotherapy / Q000706:statistics & numerical data; D012307:Risk Factors; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D000928:Antidepressive Agents; D018692:Antimanic Agents; D014150:Antipsychotic Agents