Program Description
Primary care, initially the principal delivery system for mental health care, has become a large source of antidepressant prescriptions over the last 10 years, and current estimates suggest that 30% of depressed patients in primary care have a bipolar spectrum diagnosis.1 Yet despite the strong link between primary care and this disorder, an eye-opening study reveals 69% of bipolar patients are initially misdiagnosed by their physician, with many seeking consultation from five or more clinicians before accurate diagnosis.2 Don't let this happen in your practice. Because bipolar disorder often hides behind a comorbid condition, physicians like you must be prepared to overcome the diagnostic obstacles that stand between you and your patients' well-being.

1 Lewis, FT. J Am Osteo A. 2004;(6):9-14.
2 Hirschfeld RM, et al. J Clin Psychiatry. 2003;(64):53-59.

Learning Objectives
By participating in this activity, you will be able to:

• Identify the diagnostic challenges associated with bipolar depression
• Examine the functional disability and quality-of-life issues in bipolar depression
• Outline the efficacy and safety of nonpharmacologic and pharmacologic treatments for the management of bipolar depression and strategies to improve patient compliance

Who Will Benefit
This activity was designed to meet the continuing education needs of primary care physicians, general practitioners, physician assistants, registered nurses and advanced practice nurses. Other healthcare professionals may find this activity informative and should check with their state licensing and certification boards to determine if it meets their continuing education requirements.

Commercial Support
Supported by an educational grant from Eli Lilly and Company

Disclaimers
The content of this video activity may include product information that is inconsistent with or outside of the approved labeling for these products in the United States. Before prescribing any medication, you must familiarize yourself with the manufacturer's product information.

To earn continuing education credit, view this online course and complete the posttest and evaluation provided. A passing score of 70% or more must be achieved on the posttest. A link is provided within this online activity to access the posttest and evaluation. You will have the option of printing a Statement of Credit for your records after submission of the evaluation.

CME LLC and Eli Lilly and Company are not responsible for the speaker's statements, materials, acts or omissions.

Continuing Medical Education
CME LLC is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CME LLC designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME credits from activities presented by ACCME accredited providers may be used toward American Osteopathic Association (AOA) Category 2-A requirements.

The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.

CME LLC is approved by the California Board of Registered Nursing, Provider No. CEP12748, and designates this educational activity for 1.0 contact hour for nurses. ²

The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit(s)™ toward recertification requirements.

Content Originally Presented: July 28, 2007
Online Date: October 8, 2007
Credit Expiration Date: October 7, 2008

This activity is based on the symposium Managing Bipolar Depression: The Primary Care Physician's Role at Advances in Primary Care Medicine in July, 2007 in Los Angeles. Participants who attended the live symposium mentioned above cannot claim credit for this activity.

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