Abstract

Pushpa Prasad Sharma

Timely diagnosis and efficient management of bipolar disorder is still a difficult task. Despite increased understanding about the neurobiology of bipolar disorder its diagnoses and management still remains challenging. Bipolar disorder has been associated with other psychiatric as well as physical comorbidities like that of ADHD, substance abuse ,anxiety disorder, and also DM, hypertension and immunological disorders interfering with the diagnosis and treatment causing Increased morbidity, mortality and suicide risk are the challenging issues in bipolar disorder. Considerable medical comorbidities also factor to reduce life expectancy.