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Table 2 Criteria for concordance with the Dutch guideline for diagnosis and treatment of bipolar disorder[16]

From: Treatment of bipolar disorder in the Netherlands and concordance with treatment guidelines: study protocol of an observational, longitudinal study on naturalistic treatment of bipolar disorder in everyday clinical practice

Treatment modalities

Criteria for concordance with the Dutch guideline

Group psycho-educationa

All patients

Emergency plan on how to deal with emerging mood symptoms

All instable patients. (A mood episode in the previous 12 month, currently symptomatic, more than four visits a year)

Maintenance pharmacotherapy

Patients with three or more episodes lifetime or a history with one or two severe episodes and/or a positive family history of bipolar disorder

Use of prospective lifechart

Rapid cycling, a mood episode in the previous 12 months or currently symptomatic despite maintenance pharmacotherapy

Specific psychotherapy for bipolar disorder and/or supportive treatment

Instability despite medication and participation in a group psychoeducation program

  1. aIn the Netherlands a group psycho-education program described by Hofman et al. [24] is advised for all patients. This program consists of 6 sessions for patients and caregivers.