CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Bipolar disorder - Management
When should I refer a person managed solely in primary care?
- Referral may be needed if the person presents with a relapse of symptoms.
- Referral should also be considered if:
- The person's functioning declines significantly or symptom control is inadequate.
- Treatment adherence is a problem.
- Comorbid alcohol or drug misuse is suspected.
- The person is considering stopping prophylactic medication after a period of relatively stable mood.
- A woman is planning a pregnancy or presents with an unplanned pregnancy.
- The person is a child or young person.
In depth
© NHS Institute for Innovation and Improvement