What Is Mania?
9. Prognosis
Bipolar disorder is a condition that results in significant morbidity and mortality rates. A study in the early 1990s in the United States estimated that the lost of productivity resulted in about $15.5 billion annual loss; 25% to 50% of bipolar patients attempt suicide with 11% being successful.
After the first manic episode, 40% to 50% go on to experience another episode of mania within the first two years. Only 50% to 60% of bipolar patients on lithium are able to control their symptoms. Some factors that suggest a worse prognosis are psychotic features, substance abuse, depression, and poor job history. Factors that suggest a better prognosis are older age of onset, short episodes of mania, few psychotic symptoms, few suicidal thoughts, and few medical issues.
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