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Prognosis


  • Introduction
  • Terminology
  • Definitions
  • Diagnosis
  • Epidemiology
  • Aetiology
  • Prognosis
  • Management

Regardless of treatment most patients (90%) suffering from mood disorders recover. They are, however, likely to relapse and in both recurrent depressive disorder and bipolar disorder a percentage will develop chronic symptoms (around 10-15%).

 

 

Recurrent Depressive Disorder

Bipolar Disorder

Duration

without treatment ~6 to 13 months
with treatment ~3 to 6 months

~3 months

Repeated episodes

over a 20 year period the mean number of relapses is around 5 or 6

in a lifetime a patient can have between 2 and 30 episodes, with a mean of 9

Other variables

15% will die by suicide

manic episodes may be followed by a depressive phase with a 25% risk of an episode of depression following on immediately afterwards

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Teaching

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