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PURPOSE: Bipolar II disorder is often misdiagnosed as major depressive disorder. This paper addresses accurate diagnosis, proper treatment, and the chronic nature of the illness. CONCLUSIONS: Key factors in treatment success are early and accurate diagnosis and the patient's acceptance of a chronic psychiatric illness. Once the diagnosis of bipolar II disorder and need for long-term treatment are accepted, a successful outcome is more likely (Keck, 2003). PRACTICE IMPLICATIONS: The psychiatric advanced practice nurse contributes to successful treatment of bipolar II disorder through accurate diagnosis, evidence-based treatment, community referrals, coordination of care, professional organization participation, and patient advocacy.
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Cullen-Drill et al. (2008) studied this question.
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