| TREATMENT GUIDELINE FOR BIPOLAR MOOD DISORDER (BMD) | ||
| EVALUATION OF RESPONSE OR REMISSION | ||
| LEVEL 1 | ||
| LEVEL 2 | ||
| GO TO ALGORITHM BMD MANAGEMENT | LEVEL 3 | |
| LEVEL 4 | ||
| THE AIM OF TREATMENT IS ALWAYS REMISSION, NOT ONLY RESPONSE | ||
| VARIOUS DEFINITIONS FOR RESPONSE OR REMISSION EXISTS IN BIPOLAR MOOD DISORDER, BUT LITTLE EVIDENCE SUPPORTS THESE DEFINITIONS AND THEY SHOULD BE THUS INTERPRETED WITH CAUTION | ||
| GLOBAL ASSESSMENT OF FUNCTIONING SCALE | > 80: REMISSION | |
| HAMILTON DEPRESSION RATING SCALE | 0 - 7: REMISSION | |
| ZUNG DEPRESSION SELF RATING SCALE | 0 - 49: REMISSION | |
| MONTGOMERY ASHBERG DEPRESSION RATING SCALE | 0 - 10: REMISSION | |
| FULL RESPONSE OR REMISSION INDICATES THE PATIENT HAS ESSENTIALLY RETURNED TOWARDS HIS/HER BASELINE LEVEL OF FUNCTION PRESENT BEFORE THE EPISODE OR EXACERBATION CURRENTLY BEING TREATED. ATTAINING FULL RESPONSE GENERALLY INDICATES THAT NO REVISIONS IN THE STRATEGY OR TACTICS ARE NECESSARY AT THIS TIME. | > 75% IMPROVEMENT IN BASELINE SYMTOMS | |
| PARTIAL RESPONSE INDICATES THE PATIENT’S SYMPTOMATIC IMPROVEMENT IS EVIDENT, BUT THE PATIENT HAS NOT RETURNED TO BASELINE (I.E., THIS IS NOT A SATISFACTORY ENDPOINT), AND CONTINUED MEDICATION CHANGES ARE RECOMMENDED. | 25 - 74% IMPROVEMENT | |
| PARTIAL AND LOW-PARTIAL (26-50% IMPROVEMENT) RESPONSE CATEGORIES FURTHER DEFINE THE PARTIAL RESPONSE GROUPING, AND ARE USED TO HELP INFORM TREATMENT DECISIONS. | 51 - 74% IMPROVEMENT | |
| NON-RESPONSE OR MINIMAL RESPONSE INDICATES THE PATIENT IS ESSENTIALLY UNCHANGED SYMPTOMATICALLY, OR THE RESPONSE IS VERY MINIMAL, REQUIRING EITHER A CHANGE IN STRATEGY (I.E., MEDICATION CHANGE) OR A CHANGE IN THE TACTICS OF THE TREATMENT OPTIONS (I.E., CHANGE IN DOSE). | < 25% IMPROVEMENT | |
| YOUNG MANIA RATING SCALE | ≤ 12 | |
| OTHER RATING SCALES | ||