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Objectives

Prevalence of Bipolar Disorders. Type I Bipolar Disorder 12 month DSM-IV bipolar I disorder2.0%Lifetime DSM-IV bipolar I disorder 3.3%(Rates are higher than 1-2% previously thought) Type II Bipolar Disorder 0.5%. Prevalence of SUDs. Lifetime prevalence of substance use disorders in general p

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Objectives

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    1. Objectives Epidemiologic data The risks and consequences of co-occurring bipolar disorders and SUD (BP-SUD) The scope of general medical problems associated with bipolar disorder and SUD Importance of selecting appropriate methods to identify and assess SUD among people with bipolar disorder

    2. Prevalence of Bipolar Disorders Type I Bipolar Disorder 12 month DSM-IV bipolar I disorder 2.0% Lifetime DSM-IV bipolar I disorder 3.3% (Rates are higher than 1-2% previously thought) Type II Bipolar Disorder 0.5% Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:8-19. Grant JE, Levine L, Kim D et al. Impulse Control Disorders in Adult Psychiatric Inpatients. Am J Psychiatry 2005;162:2184-2188. Bebbington and Ramana 1995; Regier et al. 1990Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:8-19. Grant JE, Levine L, Kim D et al. Impulse Control Disorders in Adult Psychiatric Inpatients. Am J Psychiatry 2005;162:2184-2188. Bebbington and Ramana 1995; Regier et al. 1990

    3. Prevalence of SUDs Lifetime prevalence of substance use disorders in general population Alcohol dependence/abuse 17% Other substances 6% Prevalence of problematic substance use may increase Changes in drug use and patterns Aging of �baby boom� cohort Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:8-19. Grant JE, Levine L, Kim D et al. Impulse Control Disorders in Adult Psychiatric Inpatients. Am J Psychiatry 2005;162:2184-2188. Bebbington and Ramana 1995; Regier et al. 1990 Kessler RC, McGonagle KA, Zhao S, et al. Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States: Results From the National Comorbidity Survey. Arch Gen Psychiatry 1994;51:8-19. Grant JE, Levine L, Kim D et al. Impulse Control Disorders in Adult Psychiatric Inpatients. Am J Psychiatry 2005;162:2184-2188. Bebbington and Ramana 1995; Regier et al. 1990

    4. Co-occurring BD and SUD Rates of SUDs are substantially higher Co-occurring SUD & bipolar disorder has negative impact on course, treatment & prognosis of both disorders Comorbid substance use problematic and common among those with bipolar disorder

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