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