TREATMENT GUIDELINE FOR BIPOLAR MOOD DISORDER (BMD)
	EVALUATION OF SEVERITY
			LEVEL 1
			LEVEL 2
	GO TO ALGORITHM BMD MANAGEMENT		LEVEL 3
			LEVEL 4
	MAKE DIAGNOSIS OF BIPOLAR MOOD DISORDER USING DSM-4 OR ICD-10
	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
	DETERMINE THE SEVERITY OF MAJOR DEPRESSION	GLOBAL ASSESSMENT OF FUNCTIONING SCALE	>80: LEVEL 1
			60-79: LEVEL 2
			40 - 59: LEVEL 3
			<40: LEVEL 4
		HAMILTON DEPRESSION RATING SCALE	0 - 7: REMISSION
			8 - 17: MILD: LEVEL 1
			18 - 27: MODERATE: LEVEL 2
			28 - 37: SEVERE: LEVEL 3
			38+: VERY SEVERE: LEVEL 4
		ZUNG DEPRESSION SELF RATING SCALE	0 - 49: REMISSION
			50 - 59: MILD: LEVEL 1
			60 - 69: MODERATE: LEVEL 2
			70 - 79: SEVERE: LEVEL 3
			80+: VERY SEVERE: LEVEL 4
		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
	DETERMINE THE SEVERITY OF MANIA	YOUNG MANIA RATING SCALE	≤ 12
		OTHER RATING SCALES