Bipolar disorder is often a progressive disease characterized by recurrent mood episodes punctuating a background of persistent functioning impairments.1 Because of this progressive nature, and the effect that symptoms can have on patient functioning, helping patients with bipolar disorder to improve their functioning is important.2 Moreover, some have argued that preventing or stalling the progression of bipolar disease can and should be a clinical goal.3
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Patients with bipolar disorder and comorbidities are typically more complex cases than those without medical or psychiatric comorbidities
Bipolar disorder (BD) includes several disorders of emotion, thought, and energy, characterized by biphasic mood episodes of mania or hypomania and depression.
It is estimated that 57% of patients with bipolar disorder are not fully adherent to medication