Recognizing Bipolar Disorder in Primary Care

David is a 44 year old married father of two who acknowledges feeling more irritable lately with his kids and at work. He’s not all that interested anymore in his work as a hospital administrator and in the past few months he’s been drinking more in the evenings than he used to. He thinks he might be burning out from his job, since he just sort of stays “on edge.” He’s been sleeping more but still feels “draggy.” He hasn’t been fishing all season, something he once loved. His PHQ-9 score is 13. He “had some depression in grad school but the medicine never helped, I just gutted it out.” His paternal aunt was “Manic-Depressive” and “took Lithium for years.” His father “has an alcohol problem.” Read More